NickelChip

@LisaCaryl Oh no, that acid reflux experience sounds terrible. When I was deciding between surgeries, the reflux issue was one of the things that swayed me toward gastric bypass. It's such a terrible feeling. I hope you can get it under control quickly.

@BlueParis The music festival looks like a wonderful time! And I'm so glad to hear you're in a good place with how you feel about yourself. It makes such a difference, doesn't it? For me, it was a year ago today that I went to my appointment with my weight management doctor and was advised to consider having surgery. I had just finished a 2-week roadtrip, driving around 7,000km from Boston to Denver and back for a writing conference, with some great stops along the way. And by "just finished" I mean I had pulled into my driveway at about 10am that morning, having been delayed at the Canadian border (because the maps app on the iPhone didn't know the little border crossing it was sending me to closed at 4pm and I had to drive a couple more hours to find an open crossing!) and having to stay an extra night in Vermont because it was getting too late to make it home safely. After two weeks of restaurant meals and junk food snacks, I weighed in at my highest ever. A year later, I've lost 65 lb and am just 1.4 lbs away from no longer being classified as obese. I still have a ways to go, but it feels good to have gotten this far. Recently, I've had more trouble with vomiting, so I'm sticking with liquids for 24 hours to see if I can let my stomach rest. It seems I never know what will set me off. I have an appointment with my nutritionist coming up soon and will talk to her about it. I'm also struggling post-vacation with some sugar and carb cravings, along with having zero desire to do any cooking now that summer weather has arrived.

A small amount of cooked vegetables, chewed thoroughly and eaten once by accident will not cause a leak. Some programs even allow cooked vegetables in the soft foods stage.

Yes, I have an Instapot and am just starting to give it some use. I've made delicious bean soups, and I have a recipe for chicken I'm wanting to try. I just try to follow recipes that are specifically for Instapot and they always come out perfectly. The meat really is tender, and soups are so good.

My favorite no-cook meals are salads. I like to start with a salad of baby spinach, matchstick carrots, fresh edamame, chickpeas, beets, feta or goat cheese, a sprinkling of sliced almonds, and top with a drizzle of balsamic vinegar. It pairs well with chopped chicken breast (buy rotisserie to avoid having to cook it), smoked salmon, or thawed pre-cooked shrimp. Regarding the honey in your recipe, I would start by cutting the amount in half and see if you like the flavor of the glaze like that. Depending how you feel about artificial sweeteners, you might also try one of the no-sugar keto "honey" substitutes that are out there.

I know exactly what you mean by the stretchy clothing. I think the past couple years before my surgery, I was able to fool myself by only buying the stretchiest clothing. I stopped wearing jeans and bought lots of leggings, loose tunics, and flowing kimono-style wraps to wear over. They always fit, even if I went up 10 lbs. It was such a nice day when my jeans fit again, but it also drove it home to me how I had been kidding myself about not changing size in all that time.

Back from vacation last night and had a great time. We spent 2 days at the waterpark at Great Wolf Lodge, then drove to Hershey, Pennsylvania to visit the amusement park, followed by a trip through Lancaster County (where many Amish people live). I did what I could to meet protein goals and make healthy choices at restaurants, but I also allowed myself some sweets and tried not to stress about it too much. Weighed myself this morning and was down one pound since last week. Overall feeling good and looking forward to getting back to a more normal schedule, although I have a bit of a break from work until next week. A few random travel tips: Always make sure you are getting your food prepared the way you want it when you order. I saw a photo of a salad with grilled chicken on the menu, but I didn't realize it could also come fried until that was what the server brought me. She didn't ask which I wanted (she was new), and I just assumed it was grilled. A simple, "That's with grilled chicken, right?" would have saved me having to try to peel away all of the fried breading. If you must order fast food when on the road, a small cup of chili from Wendy's has 16g protein and 240 calories. I believe it's 22g carb (6g of which is fiber). They also have some nice salads. For a long car trip, bring a gallon-size thermal jug of ice water and keep it in the back to refill your smaller water bottle. Individual packs of edamame, beef jerky, and nuts made great portable snacks to get in some extra protein, and Quest protein chips are delicious! I also found protein pretzels in a gas station convenience store and they were good, although not as high in protein as Quest (which they also sold there).

I'm an American but I order Yorkshire Tea Decaf from Amazon because it is the absolute best! I'm normally a Yorkshire Gold girl, but I have followed the no caffeine rule since my pre-op diet. But I'm dragging in the mornings and going to switch back to regular tea as soon as my last box of decaf is done. I have no issues with hydration at this point, but being tired in the mornings makes me crave sugar, so I think caffeine is the lesser of two evils.

@BlueParis Frustrating as it is, I think it takes most people about a year to reach their lowest weight. Those lucky few who drop the weight really fast are unusual. I know it's hard! But you're a healthy weight and looking great, so it's worth being proud of how much you've accomplished, especially with such a difficult travel schedule. At least your stall has broken! As for scars, mine are similarly dark purple. This is not a surprise to me as I get very dark scars, even from spider bites. Those pajama pictures reminded me that I had to get rid of an old favorite pair of pajamas as they were much too large. I look forward to buying a cozy new pair when the cold weather rolls around! I honestly don't know how anyone stays on track while traveling, especially on vacation. It is so hard when eating at restaurants non-stop, not to mention being surrounded by snack foods and temptations like ice cream and candy, which are much too easy to eat. I dread what my weight will be at the end of the week when I get home from my family trip. This will be the most days in a row I've missed weighing myself since surgery. But now that I've had a day of indulging in some treats, and realizing that eating junk isn't as appealing as I remember and kind of makes me feel blah, I'm hoping I'll be better about limiting myself to the healthiest options I can find.

The issues I have with foods aren't so much about quantity as texture or bite size and/or speed of eating. I'm 4 months post-op and have averaged one vomiting incident a week, usually from a new culprit each time. Often, the same food will be something I've been fine with in the past and will have again in the future without problems. Reheating is a big issue as it dries out food, but so is swallowing too much at one time, even when well-chewed. A normal portion size for me right now might be 4 oz meat or fish and a small serving of vegetables, or a small hamburger without the bun. Today I ordered a bowl of short rib chili at a restaurant and ate about half of it, plus a bite of the cornbread. From what I hear, yes, the restriction will be less over time. But don't expect that for the first year or two.

If you've lost weight and gained it back multiple times, you might want to ask yourself if there was something truly, miraculously different THIS time that is going to stop you from repeating that pattern. Because if you have not had a completely life changing experience that has totally altered your approach to weight loss and nutrition forever, there's no reason to think the weight loss this time is going to prove any more permanent than it was before. But only you know the answer to that. Change is scary, and surgery is a big change. The chances of a serious complication are very tiny, but the chances for things that annoy you after surgery are close to 100%. I still find that I get an upset stomach about once a week for reasons unknown, and it can be a real nuisance. And I still have to take protein shake supplements sometimes and I hate how they taste. On the other hand, the power of the metabolic changes for losing weight and improving comorbidities is unmatched. All I can say personally is that I worked with my hospital nutrition and medical program for 7 long years only to never reach anywhere close to my goal and eventually gain every single pound back. I have now reached a weight after only 4 months post-op that I haven't seen in 25 years, no matter how many times I tried. And the surgery gives me a much better chance of keeping it off. So I'm glad I did it. Whatever you decide, just make sure you are being realistic with yourself about the possible risks and rewards of either choice.

Doing okay here, too! Today is officially 4 months post-op and I'm feeling pretty good, although I've been very tired lately. I'm wondering if it's the heat, or if I need to get better about eating on a regular schedule. I'm prepping for vacation right now and I know the next week is going to be a little crazy when it comes to food and exercise being off track. I've stocked up on easy sources of protein for the trip, including single serve packs of roasted edamame, beef jerky, and nuts, plus protein bars. My doctor's office called today and said I could stop taking omeprazole since I have completed the 90-day prescription they gave me. Now I just have another 2 months left of the ursudiol. I can't wait for that one to be finished because it is so hard to swallow. It's too light and basically floats instead of wanting to go down. I need to remember to take my 4-month progress photos. I think I will try to take them in the morning tomorrow as I'm feeling kind of bloated with the heat today.

Oh, and if it fits into your program, try a butternut squash bisque instead of tomato to see if that is better for your stomach.

This happens to a lot of people, both bariatric and not. One reason, I think, is that we restrict ourselves early in the day to "be good." It's an old "dieting" way of thinking, like if I eat nothing all day, I will lose weight. So your body gets tired from lack of fuel and starts to send hunger signals, and you ignore them until evening comes, by which time you can't fight them off as much. Plus, now you are probably getting cravings for all sorts of junk food that will give your body a rapid energy burst because your body is sneaky like that. Eating your biggest meal in the morning or early afternoon can help reduce evening cravings, as can adding in more fiber with each meal in the form of vegetables, if you have the capacity. Try to shift your major calorie intake to early in the day so your evening meal is just a light bite to finish the day. If that doesn't help, try breaking the cycle of what triggers cravings at night. For me, watching television is a big one because of the association with old snacking habits, plus the constant food commercials. Sometimes recognizing the bad habit and naming it to yourself, like "I only think I am hungry because I am watching a commercial for a fast food restaurant right now" actually helps you overcome it.

I think the best encouragement I can offer is to help manage your expectations. WLS is a treatment with results measured in months and years, not days. For perspective, my day of surgery weight was only 6 lbs higher than yours. I am 4 months post op as of tomorrow and I hit 189 lbs...yesterday. That's 17 weeks to lose 34 pounds. And I promptly bounced up to 190 this morning. Barely eating anything has very little bearing on how much weight you will lose in the beginning. Your body is going through some stuff. Like, a lot of stuff. We don't even know the half of all the systems that are recalibrating in the first weeks and months. Calories in and calories out is just not a useful equation to describe what is happening to you right now. The weight on the scale is a single data point, but it doesn't even tell you what type of weight you have lost. Fat? Water? Muscle? No idea! And the smart scales aren't actually very smart because they give you averages, not actual measurements. I only lost 2.8 lbs the entire month of May, but I went down a dress size and a bra size during that time. Then I lost 10lbs in 2 weeks. Why? Who knows! So, for long term sanity, I suggest focusing on the things you can control and not worrying about what you can't. Focus on meeting protein and fluid targets. Add in a sustainable exercise routine (for me, that is just walking consistently every week). Do some reading and watch videos about good bariatric nutrition (I recommend The Pound of Cure videos on YouTube to start with). Collect and try new recipes as you move through the food stages. Take your measurements and a monthly progress photo. You may see the changes better in photos than you do by looking at yourself in a mirror. Basically, you are only 2 weeks into a 52-week-plus journey. You'll get there, but it will take time. And you will drive yourself crazy if you're like the kid in the backseat asking yourself "Are we there yet?" from the minute you pull out of the driveway.

Best of luck!

Okay, so it's very common to have a stall, and they can last several weeks. It's not because of anything you're doing, and aside from just stopping to assess that you are still following your plan in a reasonable way, there's nothing you can do to change it. Are you hitting your protein goals? Getting your hydration? Eating on a regular schedule and prioritizing your protein and non-starchy veggies? Sticking to a reasonable portion size by using a small saucer or luncheon plate? Avoiding empty calories in the form of sugary drinks, simple carbs, and snacking or grazing? Getting some basic movement every day, like going for a walk or using resistance bands? If no to any of these, focus on changing that issue. If yes, try not to panic. You will likely start losing again soon, but possibly slower than before because that's just how it works. In the meantime, take your measurements or try on some clothing to see if it fits differently. I recently had a month of very slow loss, just 2.8 lbs in 4 weeks with so much up and down. But my clothing fit differently and my measurements were getting smaller. All of a sudden, I lost 10 lbs in 3 weeks. I did nothing differently.

I honestly can hardly believe it. I haven't been this weight in 25 years, no matter how many diets I tried (and failed). In the first several months, you are likely to be successful even when you make mistakes, which allows you time to get your habits right for later when the magic wears off a bit and you have to maintain. You don't have to be perfect and you don't have to overdo the exercise or go to extremes for the surgery to work, which is such a relief.

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.