NickelChip

Just jumping in to say that 60lbs in 3 months is a tremendous amount of weight to lose! Have you ever lost that much in three months before? Or at all? Pre-surgery, I could never lose more than about 40lbs before I plateaued and then slowly started to regain. But, I understand you have a long way left to go, so it probably feels like you'll never get there. Focus on building the good habits now, like you are. If you can, go for a daily walk. That may be plenty of exercise for now if you are currently sedentary. But protein, vegetables, and fruits are great choices. Also, take photos of yourself to see the progress. I swear that even at over a year out and within 10 lbs of a normal BMI, I still FEEL obese sometimes. And then I see a recent photo of myself and I am shocked to see a normal weight woman who kinda looks like me. How can I see myself so wrong in my own head? In the first year, I took a progress photo every month on the 21st so I could compare. I'm so glad I did.

The effects of surgery appear to be more durable than meds. So if you take Zepbound and stop, most people regain most to all of the weight over a relatively short period of time because nothing about your body has changed once the meds are gone. It's like your blood pressure going back up after stopping blood pressure meds. If you get surgery, it's permanently altering your physiology, so it keeps working for you long after the surgery is done. You don't go back to having a larger stomach or your intestines being rerouted in the case of a bypass. Your hunger and capacity do increase, so if you don't make lasting changes, yes, you can overeat and make poor choices over time that can lead to weight regain. It's a tool, not a cure. Some doctors will say that a bypass is more durable and "stronger" than a sleeve in terms of how much weight you can lose and how easy it is to keep off over time. The combination of surgery now plus adding GLP-1s sometime in the future (if you need them) seems to be an approach that more doctors are looking at for longterm maintenance. Of course, this assumes nutrition and exercise guidance is being followed.

"Surgery is cheating? Oh no! I didn't know there were rules. Have I forfeited my eligibility to be awarded a weight loss trophy? I guess I'll just have to take looking good in my clothing and not dying prematurely as a consolation prize." "You can either be supportive of my decision or you can stop talking because I didn't ask for your opinion and am not seeking advice at this time." "Oh, is today the day we're sharing what we disagree with about each other's life decisions? Hold on, let me go get my list. I've got a few things for you that I'm sure you'll want to hear." The bottom line is, you have the right to live your life the way you see fit. The people making comments like this are not trying to be helpful. They are trying, even if they don't realize it themselves, to control you and take away your right to do what you feel is best for you. When you try to explain and convince them, you play into the idea that they have a right to tell you what to do or that you need their permission. What they don't expect is for you to have the confidence to laugh in their face at their audacity and tell them point blank to get back in their own f*ing lane. And they will not like it one bit when you do, but it'll feel pretty fantastic on your end.

I just checked and at 2 months, I was down 20.6 lbs from the day of surgery. There's really not a hard and fast rule for how much you'll lose. Everyone is different and it depends on your starting point and how much you lost pre-op, too. I had some months when I lost a lot and other months where I hardly lost anything, but overall it moved steadily downward. My weight loss has stalled for the past month or so, now that I am more than a year out. The only guidelines I was given was 60g minimum of protein per day and 64oz water. I am now almost 14 months post-op and I've gone from 225 lbs on surgery day (251 was my highest, which was 6 months pre-op) to anywhere from 162-165lbs. My exercise consists of walking and that's it. I'd like to lose another 10 lbs but I'm also pretty fine with where I am as long as I don't gain (which is why I do hope to lose a bit more). I've gone from a size 22 to a size 12. I think I could still lose a bit more if I focused on cutting out some bad habits that have crept in with sweets/simple carbs, and if I increased my daily exercise to something a little more challenging than a walk. I don't count calories and I don't really track macros at this point, either. I just try to eat reasonable meals that focus on protein and veggies, and not snack too much or eat junk food too often. A typical day is either spinach frittata, Kodiak protein oatmeal, or a Greek yogurt for breakfast, plus a serving of mixed fruit (strawberries, cantaloupe, blueberries, grapes. Lunch is a good size spinach salad with 3oz chicken and some black beans. Dinner might be a bowl of homemade chicken, bean, and veggie soup, chili, or maybe some grilled meat and veggies. Sometimes I eat chickpea pasta with marinara and meatballs but other types of pasta and breads don't settle well. For snacks, I like string cheese and an apple, or some mixed nuts or roasted edamame. I have to be careful of overindulging in things like popcorn, candy, and cookies because they are too easy to eat without getting full (and sadly I don't get dumping from them). Red meat fills me up very quickly. The hardest thing for me now is dealing with the head hunger that makes me want to reach for food if I am bored or stressed. Getting the stuff out of the house completely is the only strategy that really works for me with that. My only real advice is don't drive yourself crazy. Just do your best each day and pay attention to your body. That's more important than counting calories. You're not on a diet! You need to figure out what you can sustain for the rest of your life, while paying attention now to the basics (protein and water, plus vitamins) to keep up your health.

I had relatively little pain and no nausea. For the first few days I was very tired. I think that was the anesthesia working its way out of my system. The pain was manageable with just liquid Tylenol. I had a couple times I moved wrong and got a sharp pain in my lower right incision area, which they say is the largest one. I found having a heating pad was so helpful. I put it on my belly when I went to sleep and it helped a lot. I took it really easy the first 3 days. After that, I was mostly up and about but not mentally sharp enough to trust myself with too much work unless it was pretty mindless. By the end of the first week I was mostly back to normal but weak from so few daily calories. If you can, taking two weeks off or being able to work very minimally is the way to go.

Good luck! Are you having your surgery locally or traveling for it? Will your insurance give you any help toward the cost?

Allow me to rant for a minute. I have insurance, and I am lucky enough that it covered my surgery with a $1k copay after I hit my $2k annual deductible. So, I can't complain about my own outcome as far as that goes. But I just got a look at the hospital charges. My insurance company was billed in the neighborhood of $42k dollars for my surgery and hospital stay. They then had a negotiated plan "discount" of $32k applied, bringing the total paid on my behalf to just under $10k. Plus my copay equals $11k, or $13k if you factor in that my entire deductible was made up of surgery related charges. Why can't the hospital just say that a gastric bypass costs $13k? Because that is what they are going to get paid, and they know it, and my insurance knows it. Why the charade? Why must every single insurance policy "negotiate" different discount rates? This is stupid. And without insurance, would I just be left with a $42k bill that I had to pay out of pocket? I have a feeling I would be. Rant over.

I remember my hands especially were so puffy with fluid. It took over a week just to get back to my day of surgery weight because of all the fluid. But you're still losing fat even if the scale doesn't show it, so don't worry!

What an amazing transformation! You look great, and I hope you feel really good too!

I set my goal weight at 155 lbs to reach a "healthy" BMI of 25, partially because I felt like it would be nice to experience going to the doctor and not having my weight come up as a red flag (although my doctor is really great about things like that), and partially because it was the weight I was when I graduated high school and I was curious to see if I could get back there. My "secret" goal would be to reach 151 lbs, which would mean I lost 100 lbs from my highest weight. I'm currently a week from my 1-year surgiversary and 8 lbs above my goal, so I'm pretty happy.

Yes, I would have the surgery again knowing what I do now. I would recommend it for everyone who has struggled with being significantly overweight despite commonsense lifestyle changes. Even with the most restrictive diets, I could never lose weight and keep it off for very long. This has been the only thing that has ever worked.

I've been surprised by my lack of constipation. I was so prepared for it to happen that I ordered the biggest value container of Miralax to keep on hand... and I used it twice in a year. I am regular like clockwork and have been since about the second month or so. BUT, I have had the vomiting I mentioned in another post, which I wasn't really prepared to have happen. I have been surprised by how different it feels to eat different types of foods in various quantities. For example, if I eat 3oz of chicken or beef, I'm very full and sometimes can't finish it or have more than a bite of a side dish. But I can eat a very large salad or other non-starchy veggies and it doesn't make me feel stuffed. A few bites of bread can sit really heavy but I can eat crackers without feeling that way at all, where I would have assumed they would be about the same. Also surprising is that what you eat, how much you exercise, and how much weight you lose in a week do not necessarily go hand in hand the way you think they will. Some weeks you will drop several pounds, other weeks you will not lose an ounce. You can do exactly the same thing both weeks. Your body will do what it wants. Beyond making good choices and sticking with a healthy lifestyle you can sustain (longterm sustainability is the MOST important thing), there's not much you can do to make a meaningful difference in how much weight you lose and how quickly.

OMG, that dress!!! Also, you look fantastic! Congratulations on a very successful year!

Let's see... early on, it was scrambled eggs. That one is really common. You think it will be mild on your tummy, but you'd be better off with a fried or hard boiled egg because scrambling makes it really textured by comparison and for some reason, it's not good. I also struggled with broccoli and asparagus unless it was steamed to the point it turned to mush. I had a problem with reheated foods, too, so cooking up a big piece of salmon or chicken and then portioning it out for a few meals was a no-go unless I ate it cold. I could reheat ground meat, though, especially if it had a sauce with it. I would say that 99% of the time, none of these things were a problem after about 6 months. What I do still struggle with is if I forget to eat slowly and take very small bites that I chew thoroughly. In the beginning I used a cocktail fork to remind me to take tiny bites. I would chew for a minute before swallowing. If I didn't, I would get sick. But as time goes on, you can eat a bit more, chew a bit less, and get away with it. Until, like this morning, you are in a hurry and inhale your food without thinking like you did pre-surgery, and realize after about four rapid bites that this was a huge mistake. Sometimes when that happens, you will be in pain for a while and then it will subside on its own. Sometimes, it will come right back up. On the bright side, it is not like pre-surgery with that awful vomit taste and smell. It just looks (and tastes/smells) like chewed food, sometimes with some foamy mucus, and it's fairly quiet, too. (Sorry if that's really gross to describe, but I figured it's good to be prepared). One thing I did was order a pack of the motion sickness bags you can find online. I put a few in my car and tucked one in my purse. That way, if I was ever in public and ate something that didn't agree with me, it was much easier to be discreet about it. With dumping, in my experience, every so often if I have something sugary, I will experience an increased heart rate. It's not a big deal and it slows after about 15 minutes. But on Thanksgiving, my cousin made a green bean casserole that was very fatty with a ton of butter and cheese. I had a single bite of it, and maybe 20 minutes later my heart was pounding like I had just gotten up and run a lap around the block. It went away after about 15 minutes as well, but definitely a stronger reaction. But that's it for dumping for me. I've had enough sugary and fatty foods that I'm fairly confident I am one of the 70% who only experience very minor to no symptoms, unfortunately. I wish I had something to make me not want to indulge!

Okay, so I had reached a BMI of 40 when I got the referral to the surgical team. But with 6 months of nutrition counseling and the 2 week liquid diet, the day of surgery I had a BMI of 36.3. I chose the bypass and I am very happy with it. My weight loss has not been the dramatic numbers you see with larger patients, but it's been stunning to me. I am almost a year out and am currently within 9 pounds of a normal BMI. I have not been this weight in 30 years and I firmly believe no amount of diet and exercise alone would have gotten me here. I would do it again in a heartbeat and wish I had done it earlier. With regards to the bypass itself, I am very pleased with it. I chose it over the sleeve because of GERD concerns and because my brother, who had the sleeve 15 years ago, has had a lot of regain that I think the bypass will help me avoid to some degree. I had some issues with vomiting for the first several months when I didn't eat very slowly or had something that was not the "right" texture for my picky insides. But other than that, I've been great. At this point, I can eat about a third to a half of a typical portion of most meals so I don't feel like I get funny looks or anything from people who don't know my situation. I do not experience dumping, which is sad because it means I can eat sweets if I want them without getting sick. And yes, I do want them, so managing cravings is my biggest challenge. I no longer care much for bread or pasta and I also don't eat rice. I do like a few roasted potatoes sometimes and I will steal a couple fries from someone else's plate but I won't order them for myself. I mostly prefer protein, veg, and fruit. And, yeah, sweets... My labs have all looked good so far (have to go get blood drawn next week ahead of my 1-year follow up). I feel fantastic. My one concern had been not being able to take ibuprofen because I was taking it a few times a week for pain. Well, within weeks of the surgery, even when my weight was still fairly high, my pain went away. I have had one time in the past year when I had a headache and wished I could take ibuprofen (and actually, I could have if I had really needed to because a single ibuprofen, or even one a week, is not a high enough risk to worry about).

I like Celebrate brand tropical twist chewable, but they also make soft chews in fruit flavors (and maybe chocolate?) if you prefer a less chalky texture. Any bariatric brand should be fine.

If it works with what you've been given for a diet plan, the unflavored whey powder (like Isopure) blends well into tomato soup or butternut bisque. I found that to be a delightful alternative to the sweet shakes. You might also buy Fairlife skim milk, which has 13g protein per 8oz serving, and blend with PB2 peanut butter powder (and a banana if allowed) for a really nice smoothie. Lastly, a few brands of the bariatric protein shakes make chicken, beef, or French onion flavored powders that you can heat up for a savory "shake".

Every doctor I've seen recommends whey isolate, but you should check with your dietician. Bone broth is collagen and that is not the same type of protein, at least as I recall it being explained. I was told I could have bone broth but that it doesn't count the same way. I do know, however, that certain brands might be making versions that have the missing amino acids, so that could be an option. Definitely ask a registered dietician or your bariatric team.

My tip for hydration is to try different temperatures. I found that hot decaf tea with a splash of milk was much easier for me to drink than cold water. Also, one of my favorite options early on was tomato soup with a scoop of plain protein powder mixed in. I bought the organic brand with as little sugar and added ingredients as possible. The one protein shake I could tolerate longer term was Syntrax Nectar Naturals in orange flavor. It reminded me enough of orange juice that it felt like a treat for breakfast and the tanginess kept it from seeming too sweet.

I am here to add my vote for meal planning. I also have ADHD tendencies and I LOATHE food tracking. In the early days after surgery when I absolutely had to make sure I got in my protein and water, I managed to track by keeping a physical tracking notebook next to me at all times. I had to see the book to remember to do it. I stopped tracking around 5 months when I was consistently hitting my goals. Now that I am almost a year out, my weight loss has slowed (as expected) and I am finding it too easy to make poor choices if I don't plan ahead. I forced myself to actually track for a couple days and was shocked by how many calories I could eat and what I was choosing even when I "thought" I had been pretty reasonable. So, instead of tracking, which I am still terrible at, I've started meal planning and prepping ahead. For breakfast and lunch, I came up with a selection of maybe three or four choices I liked that have around 20g protein and entered them into my meal tracking app. For example, a spinach frittata for breakfast that I can slice into several servings, fruit cups that I make ahead for the week, single-serve packets of protein oatmeal or a protein bar for those days when I have to grab and go. For lunch, I make homemade chicken veg soup and also salad jars. I also like to make a batch of turkey chili to have on hand, which I store in single-serve containers. I also came up with a few snacks I like such as Greek yogurt with blueberries, or an apple with cheese. I also entered in my typical favorite 6 or 7 homemade dinners as recipes or meals in the app so I could easily add them to my day with one click. Before my shopping day, I try to plan my meals for the coming week. If I see my calories going too high or my protein not being enough, or whatever, on any given day, I can adjust accordingly. On a day that I eat oatmeal, I make sure my other choices are less carb heavy. If I have eggs for breakfast, I might plan to have a carb at dinner. I have the tab easy to get to on my computer, but printing it out each day would also work, as would entering each meal as a reminder in your phone's task list or calendar app. It is so much easier for me to look at my menu and follow it than it is for me to decide what to eat every day in the moment. It also means that if I can eat what I plan most of the time, I can have a restaurant meal or a dessert a few times a month without worrying about it or trying to track it. And since I tend to package up most of my make-ahead meals in single-serve containers, it's pretty easy to grab something to take along if I'm going to be out and don't want to have to hunt for food on the go and risk being off plan. The worst days for me are when everything in the house is an ingredient instead of a meal. That's exhausting and inevitably leads to snacking or poor choices. I find I need to set a regular day of the week for shopping when I can also have time to prep some items right away, before the food even goes in the fridge. I have the most success for the week when all my produce enters the fridge already washed, sliced, and portioned into fruit cups and salad jars, and when I can kick off a batch of chili in the slow cooker, a frittata in the oven, and a batch of taco meat to store for later in the week all at once. Freezing complete single-serve meals is another great strategy for those busy days when you might otherwise get off track. Like any habit, it takes a while to establish and may not be 100% perfect all the time, but I definitely find this helping me.

Generally, the closer you can get to a natural, whole food diet, the better. The goal is to get your protein from real food and to learn recipes and choices that will work for you forever. Having said this, it all depends what you like and what you can tolerate. Personally, I hated protein drinks but I did find a powdered one I liked and ended up having one per day at breakfast until I hit about 8 months post-op, but that was because I pre-bought a ton of the stuff on a big sale and wanted to use it up instead of wasting it. Once you can manage a Greek yogurt, a couple eggs, and 3-6 oz of meat over the course of a day, you probably don't need protein supplements.

I know for me, this is the hardest time of the year. It's cold (-8F this morning according to my car, which is just insane). It's still kinda dark in the mornings and dark pretty early at night, too. The holidays are over so a lot of the fun you may have been anticipating a while back is done and the routine feels hard and boring. It's not a motivation-inspiring season. So my advice is that sometimes it's okay to take care of your mental health, and that can be as important as your physical health. Within reason, of course, so you don't let yourself slide into terrible habits. But if you have 10 things to do and you can only manage 5, pick the 5 that matter most to you. Don't do what I sometimes do and spend so much time stressing and lamenting over the 5 you can't get done that you end up not doing anything at all. 5 things is okay when 10 isn't possible. You need to move your body, but you don't need to walk AND do yoga, AND do pilates, AND... It's okay to pick one thing. It's okay to skip the gym and go for a walk with a friend. Or skip the walk and get a pedicure one day because your body is just tired. Sometimes that's what will give you energy to do the other stuff. As long as your hair is reasonably clean, sometimes you just need a ponytail. Or a hat. Not all days are cute days. Plan to get done what you must get done plus what you really want to get done, until you feel able to do more and pushing yourself to do it only takes average effort. I think sometimes we deplete our energy to the point that our bodies and minds have to insist on recharging. Give yourself the chance to recharge without guilt.