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Yeah, I got a pack of these freezer safe glass 4 oz baby food jars on Amazon and they've been really helpful with portioning!! At first I could only eat about half of one, so about 1/4 cup total. A bit less if it was solid protein in meat form other than fish (beef, chicken, and pork sit heavier). That was it for about two months. In this third month my portion size suddenly increased to about 1/2 cup in total now! As far as meat and veggies are concerned at least. I have always been able to eat a little more of soft things like yogurt and pudding... But my PA told me that increase at 3 months is perfectly normal, and I could expect it to increase in stages throughout the first year or two, to not panic over it, hunger is natural and mine never went away from surgery, so I've really had to cultivate a healthy relationship with it. Because those stomach nerves are still healing, I watched my portion size carefully and really paid attention to discovering new fullness cues. For me those are a runny nose, hiccups, burping, and aggressive sneezing fits! Plus this building pressure or weight in the center of my stomach. These are all normal signals for bariatric patients, but we all get our own unique combination so be on the lookout for discovering yours! I think 2-3 shakes a day paired with things like yogurt and soft cereals seems really normal. It is great you are progressing so well! The problem with forums and support groups is we get used to seeing people post with problems and then we expect to have a slew of problems ourselves! And sometimes we do. But often times we don't... The majority of bariatric patients have no complications, progress their diets easily, and worry about eating too much and if their surgeon even did their surgery. 🤣 Your metabolism has been reset, it will handle calories a bit differently now. Just stay on the conservative end with simple carbs, as they can slow weight loss sometimes. Focus on that hydration and protein, and later on when cleared for all foods, on adding complex carbs like veggies, beans, and some fruit. Protein will help with the hunger, as does healthy fat and the fiber once it is safe for you to digest. My dietician told us to think more about macros than calories. So, to make sure things had less than 10 grams of sugar per serving, more than 20 grams of protein per shake, less than 10 grams of fat per serving, and keeping our total carbohydrates for the day under 50 grams in the early months...and that was their advice for all surgeries, with varying protein goals for each different one. Baritastic app has been really helpful with the tracking!

Thanks for the response. I've pretty much determined that RNY is off the table. I'm currently at a toss up between traditional DS and Sadi....each one has it's own pros and cons that push me to the other, so I'm really not sure which one I will choose in the end. I plan on talking with the surgeon as best as I can during my consultation and try to get a better sense of what would be the best option for me. I'm currently a sucker for chocolate; and I love carbs like rice (sushi / japanese cuisine is my favorite)....So, looking at this fact is pushing me more towards the traditional DS. I'm a bit nervous of the malnutrition potential; but I'm also more nervous that I won't lose as much with the SADI as I may lose with traditional DS. I am lucky enough to not have any major co-morbidities....so I'm hoping my BMI alone will be enough to allow for the conversion surgery. My mom had Gastric Bypass herself, and has pretty much also regained her weight; I can see her point, but I'm wanting a more drastic reduction, so I am really leaning on the DS surgery and the more youtube videos I watch, the more I'm learning and looking to start the journey again. I have already begun working towards making changes to prepare. I'm working on drinking more water and limiting or eliminating other drinks. I'm also working on changing eating habits, and foods. I'm referring to this as going back to Bariatric 101....and working to re-learn the rules of the tool, etc and implementing those changes. So far, I'm really not seeing much difference in weight. I'm with you on wanting to be able to be active and live a more active lifestyle. I have no energy most days, even though I want to exercise, etc I'm constantly just tired. At this point, if weight is what kills me, I'd rather die too skinny rather than be killed because I'm fat. My lowest weight was somewhere between 185 - 188 lbs at 5'3.....There are things that I noticed at that weight that I miss. The energy to go being one. You mention Bone Broth.....I absolutely love Dr. Kelly Ann's Bone Broth! As for protein drinks / shakes....Premier Protein is pretty much my go to. I've tried others in the past.....and they either have a bad after taste, or they just straight up taste like you're drinking chalk (I'm looking at you, Isopure!). As for vitamins.....I have never been consistent with taking vitamins; but, if it means I can drop 80-90% of my excess weight, I will put in the effort to take them.

So today was day 11 and my symptoms are still that pull and tug or twist? When im drinking protein shakes or trying watered down soup juice ( cream of chicken thinned out with water then strained ). It feels like something squeezing my insides for a heartbeat then it finishes going down its uncomfortable and makes me NOT want to swallow anything besides water. A few of my incisions are healed up but puffy on the inside ( no pain or anything though ) and a few are painfully hard to ignore when im sitting up a certain way and sometimes when walking. I feel like the weight of my stomach is causing these aches because when i hold my stomach up with my hands pain is gone. Im going to see my surgeon for my 2 week follow up on the 31st so hopefully he can tell me whats wrong if anything. Also i still cannot stop spitting like it has decreased but not gone away completely it is SO annoying you have no idea. And i still get this pain at the roof of my mouth where the bone is right before your throat. Its not as painful as before but it still throbs on and off. I will update when i have news fingers crossed for me.

So far it has been ok I guess. The surgery was “text book” according to the Dr. I had no pain after and I started back to the gym for treadmill and low weight machines on week 3. I followed the plan. The last two weeks since I started soft foods has been hard. I’m 5 weeks out today. I am down 28 pounds since surgery. HW - 412 SW - 362 CW - 334 I have hit a stall. No loss in a week. I have had a couple of “slips” but nothing I can’t come back from. I unfortunately am not as restricted as I thought I would be. I was able to eat a whole filet of fish sandwich with no problem. Why I ate it is because I am still an emotional eater unfortunately. The good thing is I could only eat the one and now the huge chunk of food I use to. hopefully as the weather gets better I can be out more but I need to work on my “out of the house” food plans. I got my little cooler I just have to work on the best stuff to put in it. I can’t wait to go back to fishing !! here is my picture about one year a part. A total of 75 pounds difference

It takes a lot of calories to maintain that heavier weight & for the body to function at that weight (just moving with that weight alone requires a lot of energy) & so the calorie deficit has a greater impact. It requires your body to burn more fat to get the energy it needs to function so there is a greater weight loss. There is a percentage formula to help give you an idea of what weight loss you may expect (may not will) but I can’t recall what it is. Though I think they say you may expect to lose about 30% of your weight at three months. Say it says you’ll lose 10% of the weight you’re to lose in your first month. It you weigh 600lbs & are to lose 400lbs you might to lose 40lbs in the first month. Have a lower starting weight & are to lose 200lbs you might lose 20lbs. Well, that’s my understanding. 😁

Congratulations everyone on your weight loss! I had SIPS/SADI ON 8/15 I’m down 74 lbs and no longer diabetic!! I do still struggle with protein and water goals, I’m sure it will get better as I figure this new lifestyle out. Wishing everyone a Happy Thanksgiving!

First, a bit of confusion - have you hit your goal weight from surgery, as in 190 or so, or just some pre-op weight target and surgery is still in front of you? If you're still pre-op, then that is a fairly typical starting regimen, and yes, you should take extra calcium and iron above whatever the multi has in it - you won't be getting much nutrition from food for a while so you need the extra. If you are months post op and at your ultimate goal weight, then by now your labs will be guiding you and your doc as to what is needed - with a sleeve, a lot on that list will probably not be needed long term and will go away.

Obviously, I'm not a medical professional so take anything I say with a grain of salt. Tbh, during this weight loss phase, I would try to stay focused on losing weight. Continue to monitor your eating challenges, but there will be time to sort that out after you've lost the weight. As long as you're getting sufficient nutrition and calories, you'll be fine for now. Do your best to meet the protein goal, but if you fall short, it's not the end of the world. Listen to your body, and feed it what it can handle. I'm 19 mo post-op, and even now, solid foods can be a challenge. I generally still eat a soft(ish) diet. It works for me. Obviously, if you are continually getting sick, feel bad, and/or are unable to eat enough to meet your needs, that's an urgent problem. But if you can handle it, give it time and stay focused.

I had my surgery a day after you!!! I was also completely out of it for a few days. Haven’t vomited since the first day of the operation though. I weighed myself after a week and had lost 5lbs but I lost 20lb doing the LRD which was pure liquids for 3 weeks before my op!! I had a call from the surgeon today that said to not focus on weight for the first few weeks as it will constantly go up and down and then start to properly shift and stall and shift again when incorporating more textures and calories! I can have puréed food from next Tuesday. how are you incisions healing? I have a really awkward one that feels like a dent but it’s slowly getting there!!! hope your recovery goes well x

I agree with @NickelChip, this seems quite off. I've seen 800 calorie plans for bypass patients in the active weight loss phase, but most people are in the 1200 calorie range for maintenance... And your portion size will naturally increase a bit over time as you are able to eat more as your pouch heals. It won't be as much as a "matured sleeve" can eat, but it won't be a few tablespoons either. At the bariatric clinic I go to I attended nutrition class with sleeve patients and bypass patients, even though I'm a DS patient. We were all told to keep each meal to 10 grams of fat or less (general aim at 1 year out is 60 grams of total fat as per the ASMBS guidelines for a year out), and 10 grams of carbs or less, for less than 50 total grams of carbs a day, as they want us in ketosis during the active fat loss phase (this amount will double to about 100 grams of total carbs in maintenance). And protein varies for each group but bypass was to aim for 80 grams of protein a day, since they malabsorb some compared to the sleeve patients. NONE of us were given a calorie goal, only macro goals. We were ALL told to aim for 5-6 small meals a day for consistent energy, aiming for 4-5 meals if we go to bed early or get up late. So we were encouraged to eat about every 3 hours, allowing 2-3 hours between our last meal and bed. And told a fair amount of our carbs should come from high fiber, low carb vegetables and low sugar fruits, with a fiber supplement (SunFiber is amazing and non-bloating) and Miralax as needed to maintain regularity.

Hi there! Been on my surgery journey for a few years now and I'm finally coming up on my RYGB surgery date in a couple weeks. It might just be nerves but over the last couple of months I've started to rethink whether I'm making the wrong decision with the going with the bypass. I spoke to my surgeon about a week ago & expressed I might want to switch to SADI. She said it's ultimately my choice, but she feels like RYGB is a better fit for me personally as I have a history of GERD (currently mild) and that she's concerned I might lose too much weight with SADI - I need to lose 100lbs. I've been reading & watching a lot of posts from people that have had each procedure & I'm really concerned with the idea of throwing up & having to eat a couple of bites per meal the rest of my life. The thing is, I rarely see anyone post complications with SADI. They seem to eat small meals but not as small as restrictive as RYGB patients & while they experience diarrhea - I don't see posts about vomiting. I mean, does everyone experience vomiting & dumping syndrome with RYGB? Does anyone know people that have had poor experiences with SADI? Ultimately, am I making the wrong decision by not going with SADI?

I have been creeping around here for months and finally decided to create an account and share. First though, I have to give great credit to my wife and family. My wife has been so supportive and flexible through the whole process. She has always been by my side, but during this process she read and learned about the changes, as much or more than I did. She has gone above and beyond with her support and care for me, all while still running a busy household. My kids are a constant reminder of why I did this -- so that I would be around for a long time. I wanted to be able to participate in life with my family. I also have to thank my surgical team and the care they provide. It has been great and truly lifesaving. I weighed 514-lbs on 9/12/22. I was a big boy to say the least. Shockingly, I was not in horrible medical condition. I did not take any medicine. Did not have diabetes or high blood pressure. I did have swelling in my legs, constantly sore/bad knees, and was very quick to be out of breath. I lived a very sedimentary live and limited my physical activity. I wanted to be able to be more active and be around with my family for a long time. I finally got up the nerve to discuss with my wife and she immediately got on board. I went through the program without an issue. Checked all boxes and completed all steps. Surgery was on 2/28/23 and it went well. I was up and moving that night, because that was one of the biggest hurdles to clear in order to leave. I was able to sip and keep liquid down. Discharged after one night! Incisions were sore, as expected. Gas was the worst, and not the good kind of gas that can clear the room when expelled (yeah, I am a guy), but the awful painful surgical gas, which took almost a week to fully go away. I was basically fully cleared by the doctor and back to work (in a nonphysical job) one week after surgery. My process was textbook, none of the complications that many have experienced, and I am lucky for it! This process has not been easy but has not been impossible. I have followed my plan, with the support at home, and it is working. I feel physically so much better. I am so much more mobile and active. I have never been happier. I have made changes to my daily life to support the process. My diet has changed but not radically. I eat a lot less and that is the biggest driver of my weight loss. I walk and am active in live, but I do not have a detailed exercise plan. I am still learning exactly what works for me, but most importantly I want others to know there are many routes to get to the same place. I try to get the big stuff right and not sweat the tiniest of details. My blood work at my six-month checkup was solid. Protein was on the low end in the range, but still acceptable. I was encouraged to keep on keeping on (shout out to Joe Dirt). They were comfortable enough to set my next follow up appointment out to one year. I was scared and nervous. I have had good days and bad days (constipation is AWFUL)! Most importantly, I wanted to share my story and I hope it can help others in some way. I never wanted to be skinny. I could care less what my BMI is. I wanted to feel better. I wanted to be able to participate in life with my family. And I am! I am no expert and I still have a long way to go, but I am happy and glad I had this surgery. As I have seen here, over and over again, we are all different, so what works for me may not for others, but I still wanted to share, and I hope it might be of some benefit to someone else. The non-scale wins are just the best! When I started this process, I was so huge that home scales couldn't hold me, so I would go months without weighing, but I knew good things were happening because of all the non-scale wins. Cherish those! This is a long (probably too long) post, so I will wrap. I recently weighed on my home scale (yeah, that's right, it now holds me) and I was at 288-lbs. If anyone has questions or wants more details about my journey, please let me know. I would be happy to share more.

Hi all. New here. Had my surgery on 12/18/23: DS/BPD. Spent a single night in the hospital, with discharge ~1pm the following day. Apparently I'm having a somewhat rare complication, which is severe hiccups. By severe I mean where the diaphragm spasms and holds for 10 seconds, during which you cannot breathe. Fortunately, this hasn't happened more than once per day, and today I got a scrip for a drug called Reglan which should moderate the hiccups until whatever is irritating my diaphragm heals itself. Aside from that, the weight is dropping off rapidly. Lost 11 lbs on the 2 week pre-surgery 1K cal/day diet, and am losing since surgery an average of 2.3 lbs / day, which is mind blowing. Cheers, Bruce

Congratulations on making positive decisions for your health. I had/have GERD. I got bypass and hiatal hernia surgery to correct it. I still need PPI but less of them, and only feel the burn or the flip of the esophagus once in a while like with eating nuts (high fat) or coffee. So, I avoid my triggers or have only very small portions. I was a slow looser, even lost half of total weight loss before surgery. I believe it was due to menopause creating such a dry environment in my throat. The research on gut health and menopause is still so new that I can only mention it without solid peer reviewed evidence. The research is still ongoing. I only know my experience with menopause caused worsening asthma, eye infections, sudden tooth decay, arthritis and GERD. The underlying commonality was a lack of mucus production ie. menopause. Maybe it’s Sjorgrens but it slammed into me at 45 and DHEA helps, and I never developed full diabetes, nor Lupus, nor non-Hodgekins Lymphoma which are hallmarks of Sjorgrens. I applaud your scientific curiosity. Keep letting us know what happens!

I saw a few relatives over the Christmas holiday that hadn't seen me since WLS in April. All were very supportive and complimentary of my 100+ weight loss. One gal who is overweight, was very interested and asked many questions, considering WLS for herself. Then she said, "I don't know... I'm not really ready to take the easy way out." 🙄 Uhhhh I didn't get mad because I knew she was just being ignorant, but I did say... "Honey... it's far from easy." No one had been rude or called me fat when I weighed 320 lbs. at my heaviest. But they didn't have to. The look of shock, to those who knew me before, said it all. Strangers all treated me like I was invisible. But now? I read someone on here say, if I wasn't good enough for them when I was overweight, I'm too good for them now. Kind of agree with that.

Well, today I go for my first post-op appointment. Thinking I may be on a liquid diet just a little bit longer. I met my fluid and protein goals on Monday, but then yesterday I did not because I was so sick I was in bed for literally the majority of the day. We'll see what happens. I think I may have gotten overheated because we went out yesterday morning so that I could get a haircut after my husband's doctor's appointment, and while he was in his appointment I did walking laps around the parking lot. And we have a heat wave striking again. But we'll see what happens. I'll try to post an update after I get home from that. Oh, I did remove the CGM sensor that had blisters forming around it. Well, they also formed under it. And... it wasn't pleasant. I essentially have a large hole in my arm now from where it took quite a bit of skin with it. I have also had an uptick in pain the last few days. I had taken myself off my pain meds completely, but I've had to take one a day since Sunday. I'll be discussing that with the doctor today too. Has anyone else experienced that? Also, real talk - Cottage cheese has always disgusted me because of how it looks. So someone please tell me what it tastes like, since I'm probably going to have to learn to like it. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ @ShoppGirl I am allowed to use milks (lactose intolerant so non-dairy milks). I've just been adding water to the one shake because it's super thick. Like, imagine drinking a milkshake through a tiny straw. That kind of thick. I'm less worried about protein on that one because it's 32g per bottle. I just have to be able to drink it for it to matter lol. I am sooooooo sorry about your a/c. I can't stand heat and I would probably be living in a hotel if ours went out right now. But I do know what you mean. I can't do much of anything right now still. I've been pushing myself to at least do dishes when I can, but even that is a bit much for me sometimes. But we're gonna get over this hump and then we're going to get our houses back in order! I do hope your a/c is fixed quickly and cheaply. Update - Glad to see your a/c just randomly decided to start working again. Any chance that the outside unit had frozen? Splenda is a Godsend, honestly. I've had to be on it for years already with my diabetes. I was told I could use any artificial sweetner as long as I didn't go overboard with it. So that is good to know for when I start the puree stage! I'm curious to see how much my taste buds have changed since surgery. I know a couple of people who can't stand even the smell of eggs now. I really hope that's not me. I love me some eggs. I was also told post-surgery, fish is going to be a go-to meal once I can get there. Like at least once a week, kind of thing. As someone who used to work for an allergist - the prick test is just for contact items, like fur and dust. If you are concerned about food allergies, that would be a multitude of appointments for each one you ares scared of. Because they have you actually eat the food while you are there in the office, and then you have to sit there and wait to see if you have a reaction. "It's just me and my hubby and if it bothers him then he is perfectly capable of doing it himself." This, 100000000%. lol. Hubby has asked me what I'm cooking for lunch/dinner, and I just stare at him for a long few seconds before it clicks what he just asked me to do. Then he's like, "Oh, nevermind." I do need to be better about limiting my bending and such. I'm obeying the weight guidelines, but I'm also of the opinion that if I can do something, I should do something. My husband has a stressful job (911 dispatcher) with crazy hours. And he has taken over a lot of the things that I was doing pre-surgery. So I feel like I have to do what I can to help him out too. I've been on Pinterest a lot lately, saving recipes for me to try later on. I am going to probably have a fight with my husband on certain things - like ground turkey for tacos, I already know he isn't going to be on board with. But that might be a thing where I make my food ahead of time and am like, "Okay, this is what I'm having on this night. If you don't like it, you're on your own to figure out food." But that skinny scampi sounds like it might be delicious! You'll have to let us know! I hope the eye appointment wasn't too terrible for you. Kudos to you on making plans for a healthy rest of your life. I need to really sit down and start figuring that out myself. My fear is that I work 3 jobs. While I'm off for 2 months for 2 of them, I worry that any kind of set schedule I make for myself now will get thrown out the window when those get added back. Right now, I'm trying to walk in the mornings before the heat gets too bad. And I have a cycle machine that fits under my desk, so I use that throughout the day. Once they let me, I definitely need to figure out how to get some weight training in. I'm still pulling sticky stuff off of me after multiple showers. It's not just you. This stuff just doesn't want to go away, which was good for surgery. But now it needs to go. LOL I definitely do not like the sleeping the majority of my day and night away because it's preventing me from having a schedule. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ @Onemealplan You said you can only eat 2oz of food every 3 hours. Are you meeting your protein goals with that? My nutritionist said that even at the puree and soft food stage, I'm expected to supplement my protein goals with protein shakes still. I'm still in the liquid stage, but it takes me an hour to finish an 11oz protein shake. I have yet to feel 'full' but I do know when I've pushed too far because I start to feel kind of sick. The lack of feeling full terrifies me, honestly. Which, I know it's just my anxiety but at the same time I'm like, "What if I have already screwed my stomach up because I didn't feel full????" Hopefully I get some reassurance today at the post-op. But I do get that mental hunger thing. It's been particularly bad lately because I just want SOMETHING that isn't liquids. Hopefully as I progress, I can start kicking that to the curb. I have a vacation coming up in October that I'm trying to prepare myself for. I should hopefully be on soft foods by then. As for the servers, one of the audiobooks I listened to in order to prepare for surgery suggested heading that off immediately. Just telling them up front you recently had a surgery so you will not be able to eat while you are recovering. One of my husband's coworkers who had the RYGB just orders water when he goes out with his husband. Sometimes he'll sip on it, sometimes he just leaves it sitting there. All depends on when he last had a protein shake. They offered you a surgery video? I haven't heard that. I would be interested in watching it if that's an option for me, but it may not be. How big of bites are you taking at this point? I'm just curious so I can start mentally planning for that vacation in a couple of months. (Man, am I so ready for a vacation, even with the dietary changes.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ @Pepper_No_Salt I've also had extreme fatigue. If I was dishes, I'm having to rest for an hour. I'm not doing anything more than that right now because I just physically can't handle it. But yeah, there are lots of long naps during my daytime, which is also affecting my abilitiy to get fluids and protein in. Glad to hear that you've gotten better! I know yesterday was a bad day for me out of nowhere. I'm blaming heat, but I don't actually know what the problem was. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ @RRenaeL23 and @Pepper_No_Salt - Good luck at your next appointments! I hope you do get moved up to pureed foods! ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ @Hiddenroses Interesting! I was told they would not move me on to the pureed foods until I was regularly hitting 60g of protein daily. They said nothing about whether or not I was active. I'll be curious to see what is said when I go to my post-op today. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ @Meme Campbell I hope your surgery went fantastically and you are recovering well! I know that liquid stage sucks, but it's for a good reason. Just keep reminding yourself of that.

Thank you for your post.. a breath of fresh air! I'm also 1 month post op and feeling pretty amazing. Like you no more pain in my back, my knees don't hurt and I don't walk down stairs like a toddler. I'm 28lb down and was really concerned at the start that I wasn't losing enough weight. But everyones body is different and this is my journey, so I'm trying not to compare against others and just follow the guidance of my dietitian. I got annoyed with myself yesterday cause I ate a choc biscuit 🍪. I'm still on puréed food and don't even know why I ate it but I'm not going to beat myself up about it just try not to do it again. I want this to work for so many reasons so I just need to focus on those x. Well done on your 37lbs!! Good luck for tomorrow x

There are some good dieticians & there are some … well… lousy ones. Is there any way you could find another dietician? Telling you to go to back to shakes is a bad suggestion like @summerseeker said. They should have gone through what you’ve been eating & make suggestions from there. The goal is to be eating real food not highly processed synthesised shakes loaded with artificial sweeteners & such. Stalls are frustrating. No way aground that but they are an important part of your weight loss when your body takes stock of your new needs & adjusts digestive hormones, etc. Best advice is to stick to your plan. Don’t make changes & stress your body more. The stall will break when your body is ready. Good advice from @summerseeker too about going back to the basics of protein first, then vegetables & then low processed complex multi/ whole grain carbs if you can eat more. Make cause you’re hitting your protein & fluid goals. Calories are a bit of a touchy issue at the moment in the medical world. Some are anti some are pro. A lot is around a calorie is a calorie regardless of what the food source is versus nutrient value. Plus, caloric needs differs so much person to person - age, gender, activity, metabolism, general health, hormones, etc. all affect how many you need. Personally I think if you are eating nutrient dense food, having an idea of calories can help you stay on track & guide you if you’re sliding.

Yoga is great. Did it for years in my 40s - can’t remember which type but it was gentle & focussed on breathing & head/heart/body alignment. Kept me limber & boosted my general fitness. I enjoyed it & I really, really don’t like exercise. Just a warning. Exercise only contributes to about 10% of any weight you are to lose. So don’t expect it to benefit your weight loss greatly. It does help with many other things though like your cardiac health, muscle strength, bone density, flexibility, etc. Invest in some resistance bands too. Lots of seated stretches on You Tube you can do sitting. I do most of mine on the floor. Good for toning & muscle building. It’s not a great pxt but gives you a bit of an idea of what you can achieve. Now it’s summer here & my arms are on show I’ve been getting lots of compliments. My legs look pretty good too though my pant legs are getting firm LOL!

When I went to my 6 week post op consultation ,I happened to sit in close proximity to a woman who had also had the Gastric Sleeve .She thought she looked wonderful - I thought she looked terminally ill ."I'm nearly at my wedding weight " she said proudly .I smiled and said nothing .She was the opposite of how I wanted to look .Her hair was thin and lack lustre , her skin sagging and dull .I listened in horror as she explained she was still trying to lose weight .I thought she summed up the very look I never wanted to have .Her slimness did nothing to inspire me .So I am 3 months post op .I can now walk freely , breathe better ,and I fit into my favourite jeans .I am not at my ideal BMI but if I don't lose further weight ,I'll be content .I eat more healthily and do more . So I suppose that is my story and I'm happy with it .

Thanks! We'll see as more weight comes off. My surgeon was on board with the extra 10 lbs.

hiya! and congrats on the weight loss and 18 year maintenance! thats awesome to your questions: (1) can't really comment for U.S. surgeon recommendations as i'm up in Canada and had mine done up here. though sometimes when i read U.S. prices posted on here, it seems like prices up here are cheaper than the U.S., and its in Canadian dollars so thats like monopoly money for you guys. 🤷🏻‍♀️ (2) I had a breast lift in 2019 no implant nor fat transfer (a had an arm lift and tummy tuck as well...all 3 in one shot) and i actually stayed the same bra size before and after surgery...the bras just fit differently on my lifted boobs. I technically should be wearing a 28D (my torso circumference is on the small side of normal), but since 28D is like finding a unicorn in the stores, i mostly have 30Cs in my closet. so while the bra size remained the same, i fill them out better now....i used to just stuff all my boob material in the cup of a full coverage bra. Now, i can wear those demi-cup style bras without looking like im carrying two bowls of jiggly pudding on my chest ahhahahha. And i can wear those triangle bikini tops and NOT look like i'm spilling out the sides NOR do i have the separated-elongated cleavage look anymore, if that description makes sense. AND i can go commando and not wear a bra at all and still remain relatively perky. good luck! ❤️ p.s. i'm curious as to the reasons why you are not pleased with your thigh lift?

Wow - what a fantastic set of comments. Thank you all for your support and understanding it really is quite a comfort to know there are so many other people who are fighting the same demons and feel that the way the majority of people treat the obese as if we have chosen to be like this so why don't we just make a different choice. @BlondPatriotinCDA your comment re insurance and cosmetic surgeries was interesting compared to the UK system. As you no doubt know we have the National Health Service (NHS) here which is supposed to cover all our medical needs and by and large it is a wonderful thing. Having said that WLS is one of the areas where if you need help you have to meet so many different criteria and jump through so many hurdles that it is almost impossible. I have a friend who has been trying to get WLS on the NHS for 5 years and despite being heavier than me and with a higher BMI and having the same issues with Yo-Yo dieting she still has not "Qualified" At our starting weights there is a 6 1/2 year difference in life expectancy between those who have a Gastric Sleeve and those who don't. I am lucky I could afford to "Go private" and pay for the surgery. She cannot and that will mean that the quality and length of her life will be lessened.

I agree with the others. Your rate of loss is fine. I also agree with the concerns about your eating during this losing period. It seems more like how you may chose to eat when you are in maintenance. When we choose how much & how often we have foods like pizza, chips, sweetened drinks, etc. When we decide what foods we’ll to add back into our new way of eating or ones we’ll avoid. When we look at alternative ingredients, or different cooking methods. I also worry about you changing your way of eating so often, going from one extreme to another. (Not including Ramadan in this.) Are you sure you’re meeting your fluid & protein goals? Are you sure you’re getting in a range of nutrients from nutrient dense foods? This is so important when we are only able to eat smaller portions. We all say & are told to stick to our plans for a reason. You mentioned you had a difficult relationship with food/bad eating habits & these current behaviours do seem a continuation of this. Do you still see your dietician? Your therapist? If not, at the very least I’d seek a reference from your surgeon/team to a therapist who specialises in disordered eating. Many find therapy very helpful in changing these behaviours & their relationship with food & identifying strategies to mange them. All the best. PS - Don’t believe the calorie burn on your Apple Watch. It’s known to be inaccurate & tends to inflate the stats. It only uses your height, weight & age & not your individual metabolic rate, your optimal heart rate, the amount of energy you are putting into the activity, etc. Use it as a guide/approximation only.

just wanted to check in and see how everyone is doing had my one year followup this week and the doctor said Ive lost 94% of excess weight!