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For me it was twofold. The change that made the biggest difference was increasing my electrolyte intake. Lucozade/Gatorade and the like can help with the dehydration and electrolyte imbalance some, but look for other electrolyte supplements. In the US, there's a brand of drink powder called Liquid IV that has helped me. More of the needed minerals and less of the artificial sugars and flavoring, and there may be something similar where you are (I noticed UK beside your user name). That being said, make sure that whatever fluids you are taking aren't diuretics that will cause dehydration. Coffee, tea, and drinks with caffeine can cause your body to flush more fluids out, and take electrolytes with it! If you do have to have a drink like that, be sure to balance it out with 2x the volume in water throughout the day. Like if you have 250ml of tea, try to aim for an additional 500ml more in water afterwards. The other change for me, while not as dramatic in reducing the dizziness, was that I was on medicine for high blood pressure. I met with my physician and he reduced my dose in half, and that seemed to eliminate the light headed feeling I had when bending down to tie my shoes. Other medications can cause this when its dosed in higher quantities than what your body needs, so as you lose weight, these may need to be adjusted. Good luck and hopefully you can get this resolved soon!

Hi Alex. Allow yourself grace. Yes easier said then done but your mind and body are all adapting to this new rapid change. No one is perfect! And you made the most important decision you could and decided you wanted to take back your life. And are giving yourself a great gift of adding years to live. I don't know if this will help but remember one minute at a time or moment at a time. We are human and mistakes are okay and you realized that and moved on. MLC3409- well said and I feel you both one all of that year robbing. I am 35 and have a 7,4,and 1.5 yr old and feel this as well. Especially the yoyo weight loss effort I took with the 7 and 4 year old. Robber time from them when I just ended up back at my regular weight again. But now we move forward with a better choice to keep this weight loss and enjoy life more. We are all here for support. Keep in touch!

Hey Alex! I’m so glad you took the steps towards a healthier life at 31. I have been struggling with weight for my whole life. I have raised two kids, limited with things I could do with them. Ji feel days I have robbed them of memories that we could have made together. Now here I am at 55 and I ,reading your post, feel everything you’re feeling. I now have two grandchildren and the first time I took them to the fair and I was not able to go on the rides with them. It was a flashback to not being able to do things with my kids. So I took the leap too. My surgery is 12/27. sorry got sidetracked, yes the liquid diet is hard. Don’t be so hard on yourself for a slip of having a piece of cheese. The important part is you didn’t binge! That slip up is in the past. What you do today is what is important. Start over. I have taken a new thought on food. Everything I ate yesterday is done. My choices and decisions today is what is important. Find something to keep you busy. If you feel like “slipping “ take a walk then come back. Take a drink of water, shake, or make a smoothie. I have downloaded some mind games that take a lot of thinking. I will sit and play the game and before I know it time has past and it is either meal time or bedtime. I am focusing on the restrictions are only for 8 weeks. Two pre and 4-6 post. I keep reminding my self it is 8 weeks out of the 8+years I have to enjoy my new life! sorry for rambling. Wishing you the best with your surgery

Hello, My name is Alex and I am scheduled for the gastric sleeve procedure on 12/18/23. Growing up I never had a problem with my weight; as a matter of fact I was very thin. Due to changes in life and past trauma, I used food as a coping mechanism. I ballooned from 160 pounds at 18 years old to 475 pounds by the time I turned 31. I was "content" being overweight because I refused to deal with it. At the behest of my wife, I begrudgingly scheduled an appointment to be seen by a primary care physician for the first time in years at the height of the pandemic. At this appointment, I weighed in at 475 pounds and was diagnosed with high blood pressure... extremely high blood pressure. This made total sense as I couldn't walk very far without being out of breath, I couldn't go up steps without sweating and having my heart pounding, and I couldn't play with my nieces and nephews. I was prescribed blood pressure meds at 31 years old and told that if I didn't make significant changes and lose weight, I was staring down an early death. That was the kick in the ass I needed. I immediately got a gym membership, downloaded a calorie tracker, immediately made improvements in my diet and dove in head first. Over the course of the next year and a half I lost nearly 100 pounds through diet and exercise alone. I knew that to get to my goal weight though, that I needed more tools.... or a more powerful one. So I was seen by a bariatric provider and over the course of many months was approved for sleeve gastrectomy and was scheduled for surgery. I am currently on the liquid diet and I am struggling. I am dying for flavor... the protein shakes, cottage cheese, greek yogurt, and jello that have been my diet for the last three days are not cutting it. I've made a few mistakes... a piece of cheese here or a nibble of chicken there. I am striving for today being a good day.. but it has been hard. I am constantly cold, I'm less tolerant of daily B.S. than I normally am, and am just now starting to not feel as irritable as I have the last few days. I am looking forward to having this procedure done, but I am nervous that I won't lose enough. I'm nervous that I'll ruin it or some other nonsense I keep telling myself. After being overweight for so long its hard to imagine not being as large as I am. I am looking forward to a healthier life, the ability to play with my nieces, nephews and daughter, and being in more control of my life. Thank you for reading this very long post and I look forward to chatting with you on this journey!

How wonderful for you. And congratulations on maintaining your weight too - inspiring! I remember my mum saying how horrendous the pain was with her knee reconstruction (she had both done at once - yikes). She was on opioids for ages & iced her knees three times a day for a couple of months. Hope your pain subsides soon & you have a speedy recovery.

I wish I knew what they have planned. They are supposed to call me to explain, but so far the only person I've spoken with is the guy who answers the phone, and he probably wasn't supposed to tell me anything. He just said, "unfortunately, the center is closing, so..." The worst part is, I've been a patient there for almost 7 years, doing nutritional and medical weight loss. I love my endocrinologist there, and the nutritionists, the staff. If they are losing their jobs, I will cry. And they are always so busy I don't see how they can afford to close. I am so mad because I had a chance to move my surgery to right before Thanksgiving, but I had to pass because it was too last minute for figuring out the childcare. Now I'm kicking myself. Literally, my insurance approval is in and everything. I have a pantry of protein powders and a bookcase of bariatric cookbooks. I have watched every video on the planet. I just needed my final pre-test, which was supposed to be next week. My mom had booked a hotel in Harvard Square to be close by the night of the surgery and take me home the next day. The kids would be off school for winter break. Now I have no idea where anything stands. I will still have my insurance for January because my husband's job doesn't start until a few days into the month so we'll have paid the premium for January, but as of February it'll have to be the new insurance, and I don't yet know what they cover, or even which insurance company it is. Plus, my deductible starts over on Jan 1, naturally.

I had my RNY mid-September and while I'm in a weird headspace where I don't think I'm losing weight 'fast enough' compared with some of the stories I've read here (I know, don't compare, everyone is different; intellectually I get it, it's still something of a challenge sometimes...) I HAVE lost 55lbs. More importantly, the jeans I was wearing pre-op now fit like I'm trying to look like a 20 year old rapper wannbe, hanging half way down my ass if I don't cinch down a belt (which I've had to punch several new holes in and currently wraps around to my side when I use it), and I'm regularly wearing jeans that haven't seen the light of day since I blew up my knees (three months apart, one after the other in 2008)

That is fantastic! Just imagine how well you will be doing after the second knee surgery. A normal weight... such a lovely sound to those words! It makes everything easier - the possibilities are endless!

A dozen years since my sleeve. Maintaining my weight... I am now 67 years old. I have been bone on bone on both knees for years. I finally had the first knee replacement. Let me tell you.... this is no joke. I am very stoic and don't get crazy about anything. The level of pain in the first few weeks was epic. However the thing that has me totally entranced is that I am now in Physical Therapy doing my rehabilitation. And getting stronger for the second knee replacement that I will get in late Spring... After 4 grueling sessions; I am walking, moving well, and have almost 100% function in my surgical knee. I can't get over the comments from the PT and surgeon - About how my "normal" weight allowed me to do so well. My weight is still high. I know that. But I am comfortable where I am, and this is where I have been for a few years, and is my lowest adult weight ever. HECK. NORMAL WEIGHT ? No one is commenting on me being super obese, or needing to lose weight. Instead the focus is on strength and eating well, and getting stronger . What a huge difference.

I called again this morning and the person who answered let slip that the entire weight management center at the hospital is closing. So, I am not the only person impacted by far. He said that a manager is supposed to call everyone to explain, but still nothing has happened. Maybe tomorrow? As for what happens next, I'm not sure. The hospital was recently acquired by another big Boston hospital, which has a bariatric department of its own. I assume they are trying to integrate all of the departments across the system to eliminate redundancies, but their communication so far has been appalling. Why they wouldn't have planned for this by shutting down the pipeline of patients months ago so that all surgeries were completed before the closure is a mystery. I attended my full day immersion class in August and completed all my requirements on October 6. At that point, they were booking 10+ weeks out and there was no indication anything was changing. This isn't an independent bariatric practice where I could see there being management or money issues, but a center that is part of a Harvard Medical School teaching hospital. I find it shocking to say the least. I've spent most of the day wishing whichever faceless bureaucratic suit responsible for this trips and falls into a fiery pit. Clearly emotional intelligence was not a job requirement.

Congrats! Sky diving is an awesome way to celebrate. I need to lose one more kilo to reach my goal weight which seems to be taking forever haha.

I am 4 months since I started pre-op. HW - 469.8, Pre Op Weight - 450.6, 12/4/23 Weight - 340.4 Pictures are Pre-Op to today (12/4/23) Down 129.4 Overall, 110.2 since Pre-Op, and 90.4 since surgery (Aug 15, 2023) Still have a way to go for goal (250).

I'm supposed to have my surgery on Dec 27th at Mt Auburn Hospital in Cambridge, MA, with pre-op tests scheduled for next week. Today, I get an automated message from my hospital to check MyChart. I did, and it showed my pre-test appointment as canceled. My surgery date is also gone from my upcoming visits. No explanation. Meanwhile, my insurance approval appears to have gone through. I called the weight management center's office and the receptionist mumbled something about surgeries being canceled and someone would call to explain. No one has called all day. I emailed, too, but nothing. Now the office is closed for the day and I'm so worked up over this, I won't get a wink of sleep. It wouldn't be such a big deal if it had to be delayed, except I am currently on an insurance plan through the healthcare marketplace as I am self-employed and my husband has been unemployed for a bit. But he starts a new job in January and I have no idea what the health insurance situation is going to be in terms of coverage. I am so stressed right now I could cry.

Y'all I DID IT!!! 1 YEAR AND 8 MONTHS POST OP AND I HIT MY GOAL!! 🤩 Now, I know my little "signature" doesn't reflect that, but my REAL goal which my surgeon and myself agreed on was 225 lbs and I AM THERE!! I am also very satisfied here, especially if the skin was gone. My "new/documented" goal is 210 lbs just so I can officially say I lost OVER 50% of my starting body weight! I am so excited!! NOW TIME FOR SKY DIVING!!!! As my personal reward, as soon as it gets warmer I JUMP!!!! SOOOO much has changed, I don't even know where to start! DO IT, DON'T WAIT- DO IT NOW! ZERO REGRETS!

WHOOOO! I needed a "formal" dress for a Charity event. I walked in, saw a dress I liked, grabbed a size. Tried it on an BAM! DONE!!!! Never in a million years would this happen. Normally it would be 45 stores, 2 weeks of looking and basically finding something I hate but fits.. WHOOOOO HOOO Also- I HIT MY FIRST "ORIGINAL" GOAL THIS WEEK! This was what my surgeon and myself agreed on from my initial appointment and I am perfectly fine here.. but my "updated" goal is just there to be able to say I lost half of my original body weight!

WHOOOO! I needed a "formal" dress for a Charity event. I walked in, saw a dress I liked, grabbed a size. Tried it on an BAM! DONE!!!! Never in a million years would this happen. Normally it would be 45 stores, 2 weeks of looking and basically finding something I hate but fits.. WHOOOOO HOOO Also- I HIT MY FIRST "ORIGINAL" GOAL THIS WEEK! This was what my surgeon and myself agreed on from my initial appointment and I am perfectly fine here.. but my "updated" goal is just there to be able to say I lost half of my original body weight!

I've had this happen all the time now and I havent even lost all the weight i need to. I have men at work who were saying after surgery they want to date me. I told them no. lol But there are people who I never even talked to here saying hello to me now. its sad but I expected it.

Sleeve surgery 8/16/23 starting weight 279. Current weight 221. Pic is from 10/14/23

Birth control pills and eventually menopause took care of the PCOS for me. I went into vitamin and weightlifting mode in my 30’s to also manage symptoms and preserve child bearing abilities, and that was somewhat successful for me (I did have one child, yeah!) Others definitely have more serious issues and other solutions so there is only encouragement for you to live your best life. I was very undecided about sleeve or bypass but further testing in me confirmed severe GERD. Bypass was the only solution my insurance would cover. In a perfect world I would have chosen DS or mini bypass as a more reliable alternative for more permanent weight loss. I still keep an eye on how my clothes feel, and how my skin looks. I do not lift weights with the vigilance I used to, just a couple days a week to beat age related decomp. I still track vitamins because it’s easy to forget iron or the B’s, or proteins, then my hair falls out (not again!). I think of the changes and tracking I would have to do as a full blown diabetic verses now, and I chose the surgery and health every day. I am so grateful for bypass every, single, day! 2+ years now

I am now about 8 months post surgery (and stalled for a couple of months). Here are my stats. Age 54; height 5’3. Starting weight 210; weight lost prior to surgery (on liver shrinking diet) - 20 lbs. weight loss first three months 25 lbs. weight 8 months out - 160.

I had my surgery around 4.5 months ago in the middle of the summer. It was a gastric bypass and it went well. I've lost 23% of my bodyweight from surgery date or 350lbs to 270lbs. But I have largely been stuck at 270-280 since late September and it's now December. I'm a male and 6'2". I try to get my protein in but it's very hard to do. Not because it is too filling like some say but just because I don't like it very much. But I do try eating meat, cheese, protein shakes and bars. I couldn't tell you how many calories I eat a day. All I know is that I'm always starving. just after surgery I was starving and then it went away for a month but it's been back. It's something I struggle with because if I knew I had to have this much willpower I probably wouldn't have gotten the surgery. I always read people saying that protein is filling but to me it just isn't. I can eat an entire chicken breast that I overcook no problem. I eat it and I'm still hungry after. My sugar and carb cravings are worse than ever. i was never ravenous before surgery but now because I can't be satiated i just want want want. it's crazy. I try to stay away but one thing leading to another and I do end up having this or that cookie, cake or candy. I was hoping dumping syndrome would be bad and cause me to not eat poorly. But the threshold to make me dump is higher than the amount of sweets I'd normally eat before surgery anyway. I have dumped but it's mostly if I eat something really bad. The only thing that does fill me is carbs. That was true even before surgery. I'm just looking for any advice or wisdom on this matter. Thank you

I understand your disappointment with one more hoop to go through. The good news is that if it is obstructive apnea (not central apnea) you will likely be off of CPAP once you lose weight. I was on CPAP for years (after I hit 220 pounds) and no longer need it due to the weight loss! Hang in there...this is such a hard time...the waiting.

You have just had major abdominal surgery, the body has to take a lot of resources to heal from that and some of the meds we are given can affect us for weeks after. Then you have to take into account that you lost a nice chunk of weight very rapidly, causing hormones to be released into your body that are not normally that high. This impacts mood a LOT for some people, myself included. Think of it like having PMS/PMDD from hell. Irritability is very common, higher emotionality as well, sometimes depression too. Major surgery can also trigger depression and in men depression most exhibits itself as anger. Talk to your wife and GP about this. If it continues to be an issue you might want to try a medication to even things out for while you are losing... I hate when people say they feel bad for eating around me. Eat your damned food!! LOL I'm not a child, I can handle my feels about it. It is nice when people are willing to eat (at least partly) what I'm eating so I feel like a part of the gathering instead of the one in the corner with a kiddie meal, but even if no one wants to join me, I don't need pity. I need empathy and time spent with the ones I love that doesn't involve food! Or that involves food without people feeling bad for their own food. I'm not here to food shame anyone. Are you tracking your meals in Baritastic?? If not, I highly recommend you do. It helps you keep track of your routine daily food and you can see what your macros look like and get an idea for when you have room to indulge a little and when you need to stay on the straight and narrow. Sleeve surgery is a purely restrictive procedure, which means it relies heavily on dietary restriction to help you lose the weight. You have to work with it to help it accomplish this. Make sure your first focus is WATER, then protein, at least 60 grams or whatever your dietician suggests, then some healthy carbs if you have room, and then if you still have room, a bite or two of a starch or something indulgent. You shouldn't have much room for straying right now. And you may need to talk to someone about the food struggle because the food you are eating right now IS "real food" and will need to become the foundation of your eating from here on out to be able to maintain the results you get from the sleeve's weight loss. I don't say this to guilt you at all, my indulgence is dark chocolate, always has been. But the DS requires me to adhere to a low carb diet, so I get a bite of chocolate in the evening after I've hit all my goals for the day! Hence the app tracking things. LOL Be kind to yourself, you are going through some huge changes, we all are, and our bodies are under a lot of stress. What it needs most is kindness and nurturing right now, not shame and guilt. ❤️

I've had the DS. I'm about a month post op and my highest weight was 320. At your starting weight I'd really consider the DS for its better weight loss and lack of regain, or go bypass if you have a lot of GERD issues. I have some GERD issues but it is controlled by medication pretty well and I needed the DS because I'm diabetic with high blood pressure, high cholesterol, sleep apnea. I had a hysterectomy for cancer. All in all so far it is worth it! I'm down 30+ lbs from my highest weight, off all diabetes medications, off blood pressure medications, my blood sugar is normal, my BP is normal, and I have more energy! I'm really glad I went with the DS. Its a riskier surgery but only by a bit, and the things you gain from it like disease remission made it very much worth it for me. I'd encourage you to read about ALL the various surgeries and then discuss it with your surgeon. They'll be able to tell you what will be most effective for your individual case based on their experiences. If you can, go to someone who can perform any of the surgeries, only certain surgeons can do the DS or Bypass.

I have had both sleeve and then a bypass revision. I had to get revised because of GERD due to the sleeve. If you've had any type of gerd in the past, go bypass instead and save yourself years of pain and suffering. Both are life changing as in you lose weight, and it stops you from binging, but other than that, once you are are completely healed, I don't really see it being any different than living as a thin person. You still have to watch your weight, watch the things that you eat for health purposes. Be aware that one can eat around the sleeve. You can't eat around the bypass though. I think the only thing that is different than life pre-surgeries is that I have to use a daily multivitamin patch (so I don't have to deal with a lot of pills). I added one chewable adek after I had the bypass. If I had to do it over again I would skip the sleeve. At the time, I was afraid of the bypass. I got severe gerd from the sleeve but please know that not everybody gets gerd from the sleeve. Now I realize that having a bypass was absolutely nothing for me to be afraid of. It's been a problem/side affect-free experience. It resolved all my problems I had with my sleeve.