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It is, I guess I worry to much because the scales are not showing weight loss each week.

My hunger or interest in eating didn’t really return for around a year. I found eating to a routine very helpful. In fact I still eat this way. I started doing it to establish good/better eating behaviours (been a meal skipper for most of my life in an attempt to control my weight) & also to ensure I was getting in calories & necessary nutrients. Not a food tracker either. Wasn't required to in my program. I do random checks for my own curiosity, to ensure I wasn’t slipping or getting complacent & to check new foods/ingredients or recipes. I more often checked portions. I know my calorie intake was low compared to others (barely 900 at 6 months & my goal) but at least I was eating regularly & nutritiously. I still have times I don’t feel hungry. Usually just a day or two but went through a period of a couple of months recently which saw me reduce my intake a little. Went from 4 meals & 3 or 4 snacks to 3 meals & same snacks. On the days or times I didn’t feel as hungry I chose something lighter to eat like yoghurt, soup or just ate some protein & didn’t care if I didn’t eat all my portion. Oh & I still take 30-45 minutes to eat most meals - used to take up to an hour. I’m also a meal repeater. I have favourites & there’s nothing wrong with that. Know how much I can have as a portion & the protein content. I used to eat scrambled eggs or rolled oats for breakfast. Now I just eat rolled oats. Similarity at lunch - 3 or 4 options I rotated through currently two options. Dinner is repeats too mostly because of left overs. I still cook much as I did before 😁. Eat that meal for 2 or 3 days & freeze the remaining portions for those nights I don’t feel like cooking (love my freezer & microwave - little reheat & sometimes cook vegetables - 5 mins total). I usually cook pretty simply too: protein & vegetables so I can easily check what I’m eating & getting nutritionally. I never had those signals many speak of regarding fullness. No sneezing, no runny nose, etc. Just my restriction if I went too far or if something sat more heavily than expected. It’s why I started asking myself if I really needed the next bite or just wanted it. It’s not unusual for me to put food on my fork & then put it down again to maybe eat a couple of minutes later. I remember the first time I felt hungry after surgery. I was about 7 months, had a busy day & then went to a function. Hadn’t eaten much & there’s was nothing suitable at the event. Was home & in bed when I realised I was vey restless. Something was wrong but didn’t know what. It took some time to realise I was hungry. I realised this was my real hunger signal. Didn’t want a specific food, flavour or texture. There was a logical reason I was hungry - I hadn’t really eaten for most of the day. Took another 3 months before I felt it again. One of the things I’ve learnt along the way is you have to do what works best for you. Because it works for someone else doesn’t mean it’s right for you. Whether that is tracking or not tracking your food, how many meals or snacks you have, how much activity you do, what foods you choose to eat, eat occasionally, or generally avoid, etc. Use other people’s experiences & routines as suggestions of things you could try if you’re stuck but if they’re wrong for you, try something else. So after a long way of getting to it, my two suggestions based on my experiences if you want to try them, are: Track your calorie intake & nutrients for a few days just to ensure you’re on track & not missing anything. Then only check new foods you introduce &/or do random checks. Try eating to a routine. Doesn’t have to be a full meal but at least something that is nutritionally dense & protein focused. Oh, yes stalls happen. Mine were short. A few days only. I tracked my weight daily which is how I saw when they occured.

I am so glad that there is a community to help with this. I'm slated for VSG surgery on Monday. Not necessarily nervous about the surgery itself, but what could happen after. And while I sit here in this pretty anxious state, I have a question: I've lost 21 pounds on my pre-op diet. Will I lose more after surgery or will I stall? I just feel like I'm going to stall after the surgery, and maybe this isn't a lot to lose pre-op. I'm just worried that I'll be one of the people that won't lose anymore after surgery.

Hey all, I had my dietician appointment last week, and I am due to have my pre-op assessment this week. Bit of a long one, apologies! Full disclosure - I have ADHD and I am also suspected Dyslexic, and both of these things are making it really hard to plan and to work with numbers etc. We went through all the info of the Liver Reduction Diet (LRD) - I am starting that on the 1st May, for 2 weeks. I've been given 800 calories a day max - already made a small blunder when ordering stuff from New You Plan https://www.thenewyouplan.com/ - I ordered x14 shakes, x14 soups, x14 meals & x14 snack bars. I added up what a typical day's calories would look like with these, and it only comes to about 555 calories - so I had to order some SlimFast meal replacement powder to buff it up for another 222-odd calories. 😰 I don't know why that stressed me out so much, but because my dietician gave me a meal plan template of only 4 items, I got it stuck in my head that I couldn't add an extra shake on top of that, rather than just thinking I am allowed 800 calories per day. I also got through the guidance for the vitamins and the food stages and god...with my neurodiverse brain it is just SO much to take in and try and organise. I am anxious about ordering the right vitamins, and then making sure I am eating the right things - my instinct is always to prep, prep, prep, but I think maybe that will be running before I can walk. Any advise at this stage? 💜

The minimum liquid intake was 48oz, and now, a week later, they tell me to try to go for 64oz. lol But they say half the liquid can be from protein shake, the rest clear liquid. I tried yogurt and it’s ok, it’s hard to eat. It supposed to be 1-2 oz of “food.” I get full with 2 spoons of yogurt. I tried cheese today and that’s a no go. I feel like I’m going to choke. Cream of wheat has been good because it’s liquidy, but then it’s high in carbs, so idk if it’s worth eating lol I too could not sleep at the hospital. Every angle hurt, and the machines kept beeping, and the nurses kept coming in to check my sugar, blood pressure etc.

WOW. No offense, but I'm glad I'm not in the UK. There's absolutely no way I could do 4 weeks. 2 weeks pushed me to my very limits. By the time I couldn't do it anymore and was ready to just give up, it was the day before surgery! I give you all the credit in the world. Just hearing 4 weeks would have absolutely put me off from the surgery. The fact that you're doing it is extremely admirable and impressive. We'll all definitely be here to support you and cheer you on. If you can do 4 weeks of this, you can definitely stick to the bariatric diet after.

February 19th for me. I’m on day 3 of my pre-op diet. It’s going better than what I was expecting to be honest.

You're correct to be aware of bathroom issues but it's not a serious consideration for having the surgery. Consider yourself more lactose intolerant among a few other things and just eat around certain foods. The heavy consumption of fruit is important for me for hydration and feeling satisfied with food. The only gas triggers are grapes (red & green). I still eat them at home but not if I'm going to be in an office or public area like the gym. No issue eating berries, oranges, pinneapple, peaches, mango, grapefruit and most others. I'm not kidding about eating at least 20lbs a week of fruit, often way more. It's great for supplementing hydration and satisfies a sweet craving.

Our tastes can change radically after surgery. Mine changed at about 2 weeks post op. I was SO mad!! LOL I didn't want to eat anything I had been eating. All my protein supplements tasted awful. Soup I loved 3 days before was vile. I felt like a pregnant woman!! 😂 I think part of it is being in ketosis, it does funny things to the body. And part of it is the hormonal surge we get after surgery as we start losing weight. I've talked to some who say it eases up and others who had it throughout the rapid weight loss stage, but their normal tastebuds came back once they stopped losing weight. I'm 3 months post op and right now I hate avocados (I used to eat them every day), and I can't taste sweet spices like cinnamon, nutmeg, and cardamom. I can't tell you how much this annoys me. LOL On the upside I like fish a lot more than I did before and that is great because fish is the gentlest meat protein you can eat and it packs a punch nutritionally!!

I had my operation VSG, one month and one day ago. I didn't have to do a pre op diet as my surgeon didn't reccomend it for me ..; I lost 7 pounds in the two weeks pre-op and then lost 18 pounds in the first 2 and half weeks post op ... I haven't lost anything since and am starting to get seriously seriously down about it and am thinking that this is it ... this is the weight I'm going to be stuck at forever. I'm so sad and upset. It just feels so useless. I'm walking and being as active as I can and drinking as much fluids as I can manage but the scales aren't budging. I'm so sad.

I was so happy to have chicken soup flavored "shakes" to offset all the sweet stuff (until they started to taste like chemicals after surgery, lol). I was also able to put unflavored protein powder in tomato soup, and that was so nice! I would do a coffee flavored shake at breakfast, chicken soup shake for lunch, and tomato soup for dinner, plus sugar free jello. It wasn't too bad after the first several days. Mine lasted 2 weeks. Take it easier if you can, and get lots of fluid and sleep.

It is pretty common & it can be a challenge to find foods you enjoy & can tolerate. It can be a lot of trial & error to find foods to eat. Don’t give up a good though. Sometimes you eat something one day & it’s fine but the next day your tummy is no way that’s disgusting. Then a week or so later it’s great again. It does gets better & easier as you progress. I began eating to a routine to help counter not being hungry & having no appetite because I knew I had to eat. Didn’t matter if I didn’t eat all of my portion or only ate the protein portion, as long as I was getting some nutrients in. My fridge always had leftovers in it which I’d eat for another meal that day or the next. Actually there’s still leftovers there everyday & I’m 5 years out. 😁 Eating to a routine continues to be part of my day. I’m not as rigid anymore but I find it helps keep me focussed & helps ensure I only respond to real hunger not head hunger.

Yes the surgeon I met pre-op warned me at the time about hair loss but I was a bit dismissive as have (had!) such thick hair that I didn't think I would have as much fall out as I did. I am thankful for the thick hair as I think it is how I coped with it not being noticeable to others. My hair loss stopped after month six and the regrowth is strong and thick again not sure if that is luck or down to the fact that I added in the special bariatric hair vitamin, plus collagen on top of the other bariatric vitamins I take. I just don't know where the curl/kink is coming from now in the regrowth underneath. My hair is now long enough to tie back a bit but I will be getting it cut again next week to try and get closer to it all being one length at the back.

Pho broth saved me in those first few weeks post op! My local place was happy to sell me a container of broth only. It was a nice change from the powdered broths and protein drinks. I’m almost 5 years PO now and have pho from time to time, mostly just the broth, meat, and veggies with a couple bites of noodles at the end of my meal if I still have any room.

I am new here and I’ve been devouring the forums. I am one week post ESG. I am down 16 lbs. I notice a lot of you have cute pictures on your signature showing your weight loss journey. Where do you get those?

I also have the extreme nausea and then vomiting. It IS dumping syndrome. Please see the information below. https://draxe.com/health/dumping-syndrome/#:~:text=hypoglycemia symptoms. (3)-,Common Signs and Symptoms,becomes difficult because of the discomfort that follows soon after.,-Causes and Risk Common Signs and Symptoms The initial signs and symptoms of dumping syndrome occur right after eating a meal, especially if it’s high in sugar. Symptoms may include: nausea vomiting abdominal cramping and pain diarrhea bloating dizziness or feeling lightheaded weakness flushing (blushing) sweating wanting to lie down after meals increased heart rate The rapid movement of fluid into the small intestine causes dumping syndrome symptoms like abdominal distention, cramp-like contractions, bloating and diarrhea. One of the most important clinical clues for doctors who are making a diagnosis of dumping syndrome is profound fatigue after a meal, with a need to lie down. When your body releases large amounts of insulin in order to absorb the sugars that have entered the small intestine, your blood sugar levels drop. This drop causes the following symptoms of late dumping syndrome: weakness sweating dizziness rapid or irregular heart rate flushing confusion hunger aggression tremors Early dumping syndrome is the most frequent type of dumping syndrome. It may occur alone or in association with late symptoms. Sometimes dumping syndrome cannot be separated into two separate episodes. This is because early dumping symptoms blend into late dumping symptoms, seeming like an entire disease spectrum. In other cases, early dumping symptoms resolve before late dumping symptoms develop. Or, a patient may only experience late dumping symptoms. (4) Dumping syndrome can also lead to emotional symptoms. These symptoms may include anxiety and apprehension about eating, as the consumption of food and fluids becomes difficult because of the discomfort that follows soon after.

I took 2 weeks off work. The first week made sense. The second week was more of a precaution for myself as I work inside a prison and anything can happen. My doctor didn’t want me lifting more than 15 lbs for 4-6 weeks after surgery. But if I’m honest at 3 weeks I was picking up my niece at 25lbs carefully but no issues. I think it just depends on what you do for a living and what required of you to complete you day. Do what best for you!

I had a nice trip to Nantucket for the Daffodil festival this weekend. Lots of meals out. I had chicken teriyaki, poached eggs and kielbasa, smoked bluefish pate, mozzarella and beet salad, and scallops with bacon among other things. Got in lots of walking. Weight was unchanged this morning, but I'm curious if that is a mix of not enough water and too much salt from so many restaurant meals. So we'll see what a couple days of regular routine does for me. I'm grateful I have had no issues with foods for almost 2 weeks now. Hoping that means my stomach is finally healing properly.

Pic 1 - 388 pounds Pic 2 - 330 pounds Pic 3 - 290 pounds Pic 4 - 255 pounds Pic 5 - 230 pounds Pic 6 - 222 pounds (this week at work)

I was cleared for any and all exercise at 4 weeks post-op, and I haven't stopped. I am currently 5 months out from surgery, and I've definitely had a couple of stalls. But all of my fitness levels are rising and I feel great pushing myself to do more and more. At this point, I've noticed that my body composition is changing a lot more than the scale, and that is fine with me. I don't think I would be in the place where I'm at right now if I had to wait until February to begin exercising.

I completely understand your chaos and hope your surgery went well today! As to the constipation question - *absolutely* dealt with that during the liquid diet stage. I'm pretty sure it's the cutting out of almost all sugar and whatever they put in the protein shakes that does it. They had me taking 100mg of Colace twice a day during my liquid diet. I wanted to encourage you to ask for ice packs while in the hospital to help you manage your pain! I'm a week post op at home now and seem to have an ice pack against my abdomen probably 20 minutes out of every hour, still. It isn't that I'm hurting horribly, my pain is managed unless I stand for too long (NEVER would have thought merely standing long enough to cook breakfast would be so exhausting) but that ice pack and laying back at an angle is everything relief can be, at least for me personally. I'm very surprised I had to actively ASK for ice packs in the hospital; I wouldn't have thought to do so if I hadn't had a friend go through the same surgery and clue me in. Just remember the main thing about these surgeries is that there's a short road from your mouth to your belly afterward, and it has what I call a 'valve' toward the top of your stomach. You literally have to treat your belly like you would a baby and 'burp' yourself - walking helps, sitting upright and taking small sips, then rocking back and forth helps - but do NOT try to add more fluid until the tightness in your chest is relieved by a burp. It's like pumping gas into a car or like I said - burping a baby. There's a short tube from mouth to stomach and it only holds a few ounces. Until you burp and that tightness around your chest fades with the fluid being allowed to flow into your belly it literally is at maximum and efforts to drink more WILL make it come back up. I even waited to sip fluids if I knew I had to take medicine soon, to make sure I left room for the fluid it would take to get the pills down. Hopefully this helps you or someone else in recovery! I learned my lesson the first night after my surgery, one week ago - and the reflux / sicking up when I tried to go too fast did NOT feel good. I also 100% recommend getting up and slowly walking around as SOON as you can. THAT is what will make the pain start diminishing, because it rocks your body and works the gas they pumped in you for surgery back out. Best wishes! I hope it's going great for you! (ETA - Also, best wishes to your husband! I hope you two have someone on hand to help you out during your recoveries, and I will tell you from experience that it probably will feel like you're dropping more on the floor than ever before, simply because leaning down to pick it up would be painful! It requires discipline, especially if you tend toward being OCD like me, but trust me when I say trying to bend over to pick up a dropped 'whatever' is usually NOT worth it. Hugging an ice pack to your abdomen while you walk also helps tremendously at first.)

I am just starting Zepbound tomorrow! Ihave had a long journey. I was lapbanded in 2002. I lost 130lbs. In 2014, after not seeing any doctors for 5 years, I went to a local bariatric surgeon just for a checkup. He found my esophagus had expanded. My band was too tight and I was packing my esophagus..didn't even know..no pain. Immediately unfilled and gained 30lbs in a month..eating NOTHING! LIke almost! I was refilled after about 3-4 months and then developed an infection..and to cut to the chase..band was removed in 2018 and revised to sleeve. By then I was up 50lbs. Since then I gained another 50lbs..so the sleeve did nothing. Between covid, bad eating habits and menopause, I cannot get this weight off..I tried keto..lost a few lbs..tried intermittent fasting..lost a few more..but my body just won't move the weight down..so broke down last week and saw my new primary doctor and she prescrived Zepbound..well orginally Wegovy but that is harder to find and Costco had Zepbound. I will start this Saturday.

Instead of posting this as a new topic I’m hoping to get the attention of those who have already had this surgery so I’m posting here. I have a question about SADI vitamins but I think the experience of Duodenal switch is pretty close with vitamins. So I thought I had really found something great when I came across the pro care health Sadi/ DS multi with iron and ADEK. . Then I started googling and the 60mg of iron in them is toxic and potentially fatal for normal anatomy. I realize we won’t absorb as much of some vitamins but since we dont know exactly the degree of malabsorbtion would I be better to start with a little lower iron like 45mg and up it if my labs are low? I already ordered two bottles of those capsules because I had points from this forum and they sell them in the bariatric pal store but now I’m thinking I may just take them a couple times a week or something. Just curious what amount if iron others take who are a little while out from SADI or DS.

So during my online readings and searches I’ve pondered the thought of adding B-12 injections. My levels are low and lately I’ve just been sluggish and tired….all the time. Like consistent since my last bout of Covid about 6mo ago. anywho….I’ve come across this B12 + mic injections because if I can feel less sluggish and loose a few pounds, then why not. As a side note I’ve gained a few pounds from my lowest weight. Currently 147 @ 5’5….I’ve tried to convince myself it’s due to muscle gain 😂 but summer is coming and I’m being honest with myself. My workout schedule has gone from easily 6 days a week to maybe 4 on a good week. my work schedule has been crazy. also still have the lapband….if it was a relationship I’d list it as “it’s complicated” because I love and hate it 😂 enough rambling- let me know if you’ve tried it and your thoughts! also these are self administered once approved by the dr.

Ahhh, the lovely tier 3 programme! It took an absolute age just to even be considered for that to begin with, I really feel for you. Then the added issue of thinking you would be aiming for a certain month or period of the year, to then be told last minute it's being pushed back, again and again, is genuinely the worst of it. Being completely honest too, as someone who is self-employed, I just don't earn enough regularly to commit to paying it per month. I was working 6/7 days a week between two jobs and I was barely earning more than 22-ish thousand a year salary until the end of last year. I do have the comfort of earning a little bit more now, but only in the right seasons unfortunately. I did put in a complaint yesterday to PALS, and they very quickly responded which was good of them, but it was conveniently not the woman who caused the stress to begin with. They've 'provisionally' (and I use that loosely!) let me know the 28th of March could work depending on how many others they have to schedule. Just a waiting game I suppose. Thank you for your kind words, I really appreciate it x