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Sleeve Basics: GENDER, AGE, HEIGHT -- Female, 49, 5’5” 2. Total Weight lost in the 6 months BEFORE surgery (if any) -- 37 lbs 3. Weight on DAY OF SURGERY. -- 230.4 lbs 4. Weight at 1 MONTH POST surgery -- 219 lbs 5. Weight at 3 MONTHs POST surgery -- 289 lbs 6. Weight at 6 MONTHs POST surgery -- TBD 7. Weight at 12 MONTHs POST surgery -- TBD

I am not one that does well with being patient and therefore I am in a terrible place mentally. I never thought about having surgery as I didn't know the options that are available today. Meeting with my Dr, we talked about Wegovy and the lifetime issues I has had with weight loss and the continued failure to do so. He suggested sleeve surgery. At first I was not going to consider it thinking it wasnt for me. After weeks of research I decided it was the exact thing I needed in my life. This is where the impatience comes in. I met with a surgeon for consultation and I started getting excited about all prospects of life changing results this would bring. - Lowering bp and getting off all meds - recovering some kidney function - getting rid of sleep apnea or at least losing enough BMI that I could get an implant because I cant keep my mask on - Being able to become an athlete again - Not needing an extension on the airplane - Other benefits that are personal. I waited a week for them to run my insurance and it was denied. Now I am stuck saving enough money to try and get it in the distant future. I am not mentally doing well with that fact. I got it in my head that I was going to get on the right path for me sooner rather than later. I looked into financing but I am a teacher and can not afford an extra "car payment". So I need to save and wait...impatiently.

I agree 1200 calories seems like way too many at week 2! That many calories is usually once you are in maintenance. I agree with others, when your weight gets "stuck" get off the scale and stick to the plan. It can be very discouraging when you dont see the scale move and then it does a mental number on us. It makes us think why did i do this and give up all the things i used to love to eat if the scale is not going to move. That could lead to going back to old ways of eating. You do want to make sure you are eating enough though so you dont put yourself into starvation mode. If you arent eating enough, your body will hold onto what it can. As long as you are measuring yourself monthly and you see inches going down, you are on the right track. When i get stuck i stay off the scale for awhile. Do you have a nutritionist? if not i would consider getting one. They know more about food than the surgeon.

I won't be at three months until the end of January, but I am in a stall (two weeks now). I have been at the same weight (give or take a few ounces) since January 3. It is really frustrating, but expected. I have done really well otherwise. I have not cheated and sailed through the holidays (and Disneyland) without being tempted (well, I was tempted but did not give in). I am very proud of that (and my daughter has been making bread, cookies and muffins weekly--I have not had any of it). I think I am a slow loser, but am happy with what I have lost up until the stall. I need to drink more water and exercise more (though the last week we have had ice storm upon ice storm), but am getting in the protein. I am trying to concentrate on how to get a variety of healthy foods as opposed to eating the same thing. I also need to meal plan more. Is anyone tired. I get enough sleep but sometimes feel my energy is low. Anyone else having issues with that? I hope everyone is doing well. I too am curious to hear how everyone is doing.

I started taking my bariatric vitamins back when I got my original surgery date, in October, I think. I take the Celebrate One 45 chewable bariatric vitamin and 3 Celebrate calcium chews (fruit flavored, delicious!) per days, as well as lutein and omega 3 supplements that were recommended by my eye doctor (not weight related), and half a biotin chew because it can't hurt, right? I started early strictly to get into the routine. My memory is shite and I wanted to have it be second nature by the time I truly needed it. I do also add a scoop of collagen powder to my tea in the morning and I use retinol body and face creams, but that's more an anti-aging thing as opposed to loose skin prevention. As everyone has said, the loose skin and hair shedding is kind of unavoidable. The supplements, at best, are hopefully to ensure the new hair growth is as healthy as can be. I wouldn't go with expensive "miracle" products because they probably won't live up to the hype or the cost, but if it's in the budget to get a few things that make you feel better, it also can't hurt. I mean, peppermint and rosemary just sounds lovely. Even if it doesn't do a lot, it smells like heaven!

Almost a year out, how are your goals going?! I am going to have my last appt next Thursday and I am starting to eat like crud, mostly because of the holidays but this post seriously helped with my mindset. I want to get back into HIIT workouts, running, things I did before I got this big. This is so encouraging! I am dreaming of the day where I coach my kids sports teams and I am running with them. I am so hoping that I can obtain this goal by end of next year. My daughter is starting to have weight issues and its my fault. I am encouraging good food choices and exercise but she sees me so how is that a good example? Way to go!

1. Basics: GENDER, AGE, HEIGHT F, 52 (at time of surgery), 5'3" 2. Total Weight lost in the 6 months BEFORE surgery (if any) 12.2 lbs 3. Weight on DAY OF SURGERY. 254.6 4. Weight at 1 MONTH POST surgery 235.7 5. Weight at 3 MONTHs POST surgery 216.7

The hospital administration continues to prove they have handled this in the worst possible way. I went to see my endocrinologist at the weight management center on Monday. She was fighting back tears as she explained the way news of the closure was handed down, along with a timeline to wrap up the practice by early February that frankly puts profits before patient well-being at every turn. I have left 2 messages and filled out a contact form with the new center but have yet to hear back from anyone. There has been no official letter from the hospital to explain their decision to disrupt my treatment only 3 weeks before surgery, no apology for having to learn of this through an automated cancelation notice, no indication they care at all about what this is doing to any of us who have been caught in this mess. Still not sleeping well, experiencing high anxiety, and very worried about how I will have to rearrange my work schedule to accommodate a new surgery date, but of course having no clue when that will happen makes planning impossible. On the bright side, I have confirmed my new insurance coverage that starts Jan 2, 2024 does cover bariatric surgery and the out of pocket for me will be comparable to my current plan, so I'm no longer worrying about that, at least. For now, all I can do is focus on healthy eating and exercise. My doctor offered to restart me on weight loss medication in the meantime, but I just think it's one more thing to have to juggle and I'd rather not complicate my life more than needed.

I didn’t tell anyone other than my sister before surgery, because I did the research and wasted years trying to do various diets that worked for a minute and then nothing! Trust me everyone else’s arguments had already been in my heads and I made my decision! They don’t realize living life at a high weight is just existing and taking up a lot of space! I am at the point in life that I don’t care what other people think or want for me! It’s me and God ! And now that I am 50# down and do go to the gym, don’t drink ANY soda or fast food (a weekly dessert is earned at gym) no one says “ you shouldn’t have done it”! Do it for you, your health and your chances to live a healthy vibrant life! It’s your journey and you have to deal with the consequences good, bad and otherwise! Love and joy to you!

I'm 9 months out from WLS and I've been following this forum since January 2023. I can't count the number of posts here of people struggling to drink protein. I consumed a lot of them before ever having surgery. Back in my weightlifting days. Maybe it's an acquired taste sort of thing but never had a problem with them except for a few premade ones tasting too sweet. Food/drink aversions are pretty common post-op though. taste buds change etc. I can't help but wonder, when using the powders... if tasting chalky, use a good blender. I have a Vitamix and even the cheapest protein powders taste good. I tried Walmart's Equate Whey Protein powder for $18/18 servings. If you are mixing with a spoon or shaking in a cup, even the best powders will taste chalky. I buy vanilla or unflavored powder so I can change up the taste by adding frozen fruit, SF various flavor Greek yogurts, peanut butter or cocoa powder, Crystal Light or stevia to sweeten. I like to use milk and ice. It comes out tasting like a milkshake. Strawberry being my fav. Experiment to find what you like. Variations are endless and beats drinking the same premade ones day after day. GL on your weight loss journey!!

Just checking in for the first time in a couple weeks. Surgery was on Nov 20, and doing well from that, however, I caught covid just before Christmas, so haven't been able to do much this week. It's still hanging around making work difficult, but luckily I can work from home. Just hoping its gone by next week because this sucks. Besides that, I had a stall with a 3-5lb regain for about 2 weeks before it started dropping again, but things are moving along again. That "week 3 stall" is real, so don't get discouraged by it, the weight loss will resume. @Meisha - I can relate, I had the Christmas + covid pity party, and ate chocolate and cookies I shouldn't have had, and I did not tolerate that well at all, lol. I guess in a way it was a good reminder to get back on track. Suddenly I wasn't as tired of protein shakes after getting sick from that.

Doing well here! Down almost 60lbs, but like some others I have added a few too many carbs. I am still losing weight consistently and feel good but need to clean things up after Thanksgiving. Oh, I tried some fried chicken and fries a while back. My new stomach DOES NOT like fried food.

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

My dietitian explained the reason the diet progresses so slow is because there are a lot of sutures holding your stomach (and intenstines) together and you want those raw edges to heal together without the obstruction of bits of food getting in their way irritating them. You want nice, smoothly healed suture lines. I don't think you've done irreversible damage from going off plan, but I agree with the others, I'd examine why you felt you needed to go off plan, and I'd return to it. If you feel you've healed faster than others and should advance, call your team and talk to them about it. They might let you advance sooner, or they might tell you to stay the course. This surgery and the aftermath take a lot of willpower. We can choose to stay with the guidelines we've been given from our team, or we can do our own thing, but there will be consequences for each choice. If you bend the rules for earlier food progression, will you bend the rules when it comes to what you should eat as you begin to lose weight? Will you go off course throughout your weight loss phase because you don't feel like adhering to it? We all have those moments, it is understandable, we are human. But we have to be willing to confront ourselves when we do have those moments and look deeper into what is going on there that caused us to make those choices. Because one choice is one choice, but one choice made repeatedly is a pattern, and a pattern can either heal or hinder us.

When working with clients I would ask them a simple question Do you want to lose 20 lbs or do you want to look like you lost 20 lbs? This always helped me get a snapshot of their thoughts in the fat loss zone. Which is more important to you - The scale weight or a smaller pants size? After my surgery I had a lot of mental work to do on this! That weight can come off so fast at first but when I added strength training, I have been able to increase my metabolic rate which will help me maintain my losses in the future.

I was 118kg back then till 27th Jan 2024. 10 days prior to my surgery, the liquid diet plan was quite challenging but managed well. I lost 5kg at Day 10... I was discharged from the hospital 26hrs later as 12hrs after surgery i started to walk with the support of my wife. Im on support of Multi-vitamins, Calcium Citrate + D3, blood thinning injection for 1 month, and Gastric medicine for 2 months. All vitamins or medications need to be crushed from solid pills to compound or powder base before consuming. This has to be for only the first 1 month of post surgery. Being just on liquid diet, plain water for the first 2 days, 3rd & 4th day took young coconut water, 5th till 7th day took sieved apple orange beetroot carrot & celery juice (200ml every 2 hourly) and by end of Week 1 post surgery, i lost another 6kg. Week 2 post surgery, continued with liquid diet by consuming protein milk shake 100ml at 8am, 10am, 12pm, 2pm, and 6pm. At 8pm and 10pm i take same sieved juices 100ml only. By end of Week 2, i lost another 6kg. However, this is my Week 3 post surgery, continued with liquid diet by consuming protein milk shake 150ml at 8am, 10am, 8pm and 10pm. At 12pm and 6pm i boiled small piece of cabbage and cauliflower, then i air-fry a small piece of chicken breast with 4 small slices of egg-tofu. Total weight of my lunch(12pm) or dinner(6pm) meal is within 80 to 100 grams only. This will be the diet for my Week 3 & 4. I weigh myself on a weekly basis. So let’s see by next week how much i lose again…😁😁😁

1. What was the best part of surgery for you? The jumpstart to weight loss was obviously amazing, but I was surprised how quickly my usual body pain & aches stopped bothering me. My knee problems have basically vanished, and the lower back pain I had gotten so used to living with has gotten so much better. I can breath easier when doing things that used to have me out of breath -- going up 2 flights of stairs, for example. 2. What was the worst part of surgery for you? The pre-OP shakes -- I'm lactose intolerant and have trouble with stevia, and there were no shakes my care team could find for me that didn't have one-or-both things, so I spent a good 8-9 days barely keeping anything down. The surgery itself went off without a problem, and the pain wasn't as bad as I thought -- other than the car ride home! If you get WLS, bring a pillow to clutch to you afterwards!! 3. Did you have any complications (minor or major) during or after your surgery? Nothing during, nor after -- but I'm only 10wks post-OP tomorrow. 4. How has adjusting to your new life been for you? I too am on SSRIs for long-time depression & anxiety. Most days have been awesome and cheery. Even during the initial aches and pains of recovery, just knowing that things were going to start changing for the better improved my mental state. I still have bad moments / days but once I started seeing all the improvements to my life it makes it easier to push through. It certainly helps to have a good support system -- people in my life, but also honestly this forum. TBH I was in a #$%& mood all day and feeling lethargic, but logging in here I know that everyone here understands and it just makes me feel more settled. 5. How long did it take you to feel comfortable eating food? I am currently having a ton of problems with chicken breast. I hate 'dark meat' poultry, but tried chicken thighs recently and it's not too bad but still leaves me with a heavy feeling in my stomach -- still better than the stuck feeling in my chest that the white meat gave. I feel like no matter what I put on it or how I cook it, it's just clearly a No for now. That said, for the most part everything else has gone down well as long as I eat slowly, and make choices consistent with my care team's plan / schedule. Going from puree to soft foods was probably the hardest for me physically, because it felt so different in my stomach. 6. Is there anything you can’t eat anymore that you used to enjoy? It's early on for me, but the changes in my body's hormones seems to have stopped most of my cravings. When I'm having a rough time emotionally, I still have momentary yearnings for old 'comfort foods' but honestly just the thought of some of them will turn me off within a few minutes. (For some reason if I think about fatty oils too long, I just get nauseated). And many of my old comfort foods have just updated into healthier things I can eat. Instead of my mum's Dutch mashed potatoes, I have a smaller bowl of healthier mashed potatoes (or cauliflower, or heart of palm) with a scoop of bone broth powder to up the protein. Instead of spaghetti and meatballs, I have homemade meatballs and extra sauce -- or a ricotta bake instead of lasagna. 7. What was your recovery like? Any vomiting or dumping syndrome? I've had one instance of dumping syndrome so far, and it was 100% my own fault. I knew what the culprit was immediately (white-flour leftover tortilla and more difficult chicken breast). I won't lie, I seriously wanted to die for probably an hour, and then slept the rest of the day away. It's horrid. I'm hoping that I've learned enough to take better care / caution and avoid any more instances. Other than that, recovery has been pretty smooth. All my incisions healed up without issue, the gas pain only lasted a few weeks and then there was just a strange tightness / mild soreness on one side of my body for the first 5-6 weeks. 8. How long did it take you to feel semi-normal after surgery? I want to say 2-3 weeks. Around the time I started eating puree (week 3), my energy levels started bouncing back much more rapidly -- which let me walk more easily. 9. Did you experience higher energy level post surgery? 100% yes. NGL, sometimes I feel like skipping even though it's not suitable for someone my age, LOL. I feel like I've been more efficient at work post-OP just because of the energy improvement, and physically I notice the increased stamina every time I go on an errand or for a walk with my dog. (I tire her out now!) 10. Did surgery affect your mental health? For the better. Some of it is because the energy and the physical improvements make me feel better about myself in general, but part of it is kind of a trickle-down effect. I spend more time making good, healthy choices for myself, spend more time being mindful whether it's while I'm eating, or making a grocery list, cooking, etc. It's so much time spent on self-improvement and self-care. So I have less time to worry about what other people's secret thoughts or judgments might be and take people more at face value. I have less time to waste on people that bring toxicity to my life or can't respect my boundaries. It's like this microcosm of self-care made by investing my energy in my current journey has expanded it's hooks into the rest of my life. I feel like for the first time in my life, I am actually one of my top priorities. 11. Do you regret it? Would you recommend it? I had moments of regret during dumping syndrome, for sure. But as soon as I recovered from that one bout, I was still happy I'd done the surgery. I think it definitely forces us to take ownership of our own health and making the best decisions we can towards that. I would recommend it to anyone who has struggled with weight loss and can honestly look at their life and see themselves living in this framework for the rest of their lives. By all accounts it seems to be incredibly important to keep it all up -- the vitamins and supplements, the healthy choices and portion sizes, etc. I would NOT recommend it for anyone looking for a magic pill. This takes work, will continue to take work.

Thanks for updating us and I'm so glad you are slowly feeling better. For about the first week, I had to sleep on my back and I am a side sleeper. It was such a struggle!!!! I hated it and definitely woke up several times a night. Whenever I wanted to try to side sleep, the weight of my belly pulling down where the stitches were was not fun. However around my second week or so, I was able to sleep on my sides with just gentle maneuvering. I also used a C pillow which helped with support. And before I knew it, I was able to sleep as I had before. It might take a little longer for the stomach sleeping more so because the inside stitches will take longer to heal and it might not feel comfortable, but side sleeping should be closer around the bend.

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.

Oh yes the hunger returns. It was around a year for me too. Think you’ll find developing a better eating routine helpful with more complete meals. Ensure you’re including some vegetables or other food group with every meal. Will help ensure you’re meeting all your nutritional goals too. Maybe find a dietician to help with meal planning & menu ideas. They’re way more qualified than a nutritionalist. I know it’s easy to grab a few nuts & jerky for a meal but each are really just snacks. And I’ll put my hand up, I was guilty of grabbing a chicken tender I’d pre cooked from the freezer & reheating it for lunch while I was losing. It’s likely why you feeling hungry after you’ve eaten. Differentiating between head & real hunger is an important learning. Are you craving a specific food, flavour or texture? That’s head hunger. If you’ve eaten recently it’s head hunger. If you do something to distract yourself (go for a walk, water your plants, read, phone a friend, craft, check social media) & the hunger decreases it as head hunger. If you have a warm drink (like tea) & the hunger decreases again it’s head hunger. If your tummy is rumbling (hunger pangs) that’s usually head hunger too. Real hunger feels vey different to me. I feel restless like something is wrong. Don’t crave or want anything specifically. Takes a while to realise I’m hungry. And there is always a logical reason why I am hungry. I reached my goal at 6 months but lost another 11kgs in the next 11/12 months. The weight loss got slower & slower until I was losing grams a week. So don’t give up yet.

I am 39 years old and have been in a relationship with a narcissistic 50 year old who doesn’t work because he chooses to, for 7 years. He does always have dinner ready and the house clean when I get home from work. Our relationship isn’t on the best of terms and when we argue he calls me fat all the time. He feels like he’s right all the time, he puts others down, blames me for everything etc. This year my company switched insurances and now the surgery is covered!!! I’m so excited. But, I have a feeling this relationship will go from bad to worse when i lose the weight. He said he would be supportive but I don’t know. I’m to my wits end almost and thinking of kicking him out of my home that I own. He’s verbally abusive to me and does it in front of my kids, one of which is his. I don’t know if it’s my low self esteem that won’t let me do it or what!! I’m just afraid things will get worse for me after the surgery.

One just has to look at how much weight people really lose on these drugs. Many people will most likely just be "less obese" but not "no longer obese", even if one could afford taking the drug for life. Those drug won't "end obesity" - just as WLS never did.

Oh yes I get the comparing yourself to others. That is REALLY HARD. I say celebrate the 18lbs in 2 weeks (when have you ever lost even close to that on any diet?), get to know how the three week stall hits almost all of us (and can last a few weeks) and then settle into your programme and enjoy the big losses to come. 3lbs gain in a month is nothing to worry about - honestly. I am really surprised that you're allowed bread at such an early stage. My plan was protein then veg and no carbs for many months. When I did start earing bread it sat in my stomach like a lump of lead - so did pasta and rice. Less so 2 years on but I honestly only use them like a weapon in certain situations - not for daily consumption even now. I wish you all the best

Good to know- I'm in Oregon and I'm on Medicaid. The big thing I have been told that has to be done is six months of a medically supervised diet where I either lose or don't gain (the surgeon requires weight loss).

I think if you could get back to tracking asap that might be helpful. Also - could you revert to your immediate post-op diet plan and always go for protein first, veg second, carbs last (or not at all)? That seems to help some people reset. I am sorry that you have so much guilt about what you eat. Get all of the carbs out of your house (especially sugar)? It's really hard to stick to weight loss plans with or without surgery to give us a hand. Please be kind to yourself. You're doing the best you can xxx Your side bar is saying lap band 2009 and I'm thinking you've clearly had something else in the last year so if you could update your stats that would be really helpful to target advice/support better 🤩