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I am doing great! Today actually marks the day 1 year ago that I decided to make that phone call and set an appointment to learn about weight loss surgery. I felt so sad and hopeless and out of control. Today I am joyful and hopeful and totally in control.

Hi friends. I had my gastric sleeve surgery on November 14th, and everything went smoothly. Pre-up was a breeze for me, I was excited, and generally my mood was good and looking forward to the future. Today, Ten days later and physically I am doing well, I think. I am having a mind over matter problem when it comes to “eating” well drinking my “food”, you know what I mean. Nothing and I mean nothing appeals to me accept really cold water and ice. I hate to sound so dramatic but I am repulsed by anything else, protein shakes, broth, etc etc. it’s not that I can’t keep it down or the taste is that bad (even if it is) it’s my brain. I see myself and I look different, I have definitely lost weight and that’s awesome but I have been really depressed. I don’t even know why, it’s not because of this reason or that reason. I feel lost is the best way to describe it. Like it’s not me here right. I don’t feel like I used to, I don’t even enjoy things that I used to. I feel really alone and like I am in some foreign place where I don’t even know myself. My husband has been supportive but when I try to explain this he goes into the “well this is what you wanted” lecture and I feel worse so I don’t really talk to anyone about it because well yeah this was my doing, my choice. No one wants to hear me complain. I was really curious to know if anyone else who is close to where I am in my “journey” have had these feelings. Maybe I’m just going crazy. Thanks for obliging me, it even feels better to type this out.

I just had my sleeve surgery on November 14th. Already see a difference. How I feel on the other hand is really hard to explain. The stress of trying to get protein in my system or anything for that matter other than water and ice is almost impossible. It’s in my head, everything is so unappealing to me to the point where I’m literally disgusted. I know it’s a bit dramatic but while I’m ecstatic for the weight loss, I am really depressed. I don’t know why. I don’t feel like myself, I feel lost. Has this happened to anyone? Or maybe I’m just crazy.

Both methods have a failure option. You go off meds & return to your old eating habits, the weight comes back. With the surgery, you go back to how you used to eat, you regain the weight. Both require you to do the work to change your relationship with food, make better food choices, become more active, learn to recognize real hunger from head hunger & learn about what drives you to eat & develop strategies to manage those drives like your food obsession voices. Neither routes are true easy permanent solutions without doing this work. The class you attended seems like it got you started on this & on the right path. The win of the surgery for me was time. The period of time when I wasn’t hungry or interested in eating, the change to my taste buds, etc. allowed me to start doing that work. I learnt what my body needed, how to keep my boosted metabolism going & to keep my new weight set point stable. Certainly worth conversations with your doctor & a bariatric surgeon to see what they think is the best way forward for you. Also ask for a referral to a therapist who specialises in disordered eating to support you through doing the head work. Many who’ve had surgery find therapy very helpful & contributed to their success & it would likely be helpful even if you choose not to have surgery. All the best what ever you choose to do. PS - I second the Dr Matt Weiner’s Pound of Cure you tube videos. He’s also on instagram & has some great books. Dr John Pilcher also has some great you tube videos on weight loss & surgery. Another consideration is I understand the newest weight loss med is supposed to less expensive & is expected to help push down the cost of the existing ones.

Congratulations on achieving your study & work goals & normalising your BP & diabetes. Whoo hoo! Though I am sorry you will be facing more surgeries. Okay, have to admit, I too wondered much weight I’d lose if I had my fibroids removed. Though they’re not as large as yours, cause me no issues (a benefit of being old & past it LOL!) so are leaving them for now. Don’t know if you’ve had a contrast CT scan before but they are crazy weird. After they inject the contrast you get a warm feeling a bit like a hot flush over your body (though mine was just in my abdomen & my ears), you feel like you’re peeing yourself but aren’t & my eyes rolled back in my head. It only lasts a few seconds but a crazy ride for those 10 seconds or so.

I finished my schooling and am officially working in my chosen field as a medical assistant!!! I got my certification and I'm working in a critical care pulmonary office. I'm absolutely LOVING it!! And even though I can look at myself and see the weight loss, and I can see my diabetes and blood pressure are normal now, I still have a hard time believing I'm physically able to do my job and do it well. Yet here I am....doing the d@mn thing!!! I have a CT with contrast on the 29th because my bariatric surgeon thinks I have a distal hernia (if you look at my stomach in my pic, you can see that area poking out a little). And I have my complete hysterectomy scheduled for March 6th. If the CT confirms the distal hernia, that will also require a surgery, but I have no idea when that will happen. I'm hoping before the hysterectomy because the hernia repair can be done laparoscopically (I think) but I have to have an abdominal hysterectomy because the fibroids are way too big to come out laparoscopically and I have to have EVERYTHING removed because I tested positive for the BRCA cancer gene (will need all of my breast tissue removed at a later date, but my insurance will cover reconstructive breast surgery, so YAY for a free boob job). This last 50 pounds still won't leave me, and it's absolutely driving me crazy. No matter what I do, I can't get it to go. I'm hoping the hysterectomy will help a little because the fibroids are so big, they're making my uterus the size of a 16 week pregnant uterus. They also said the hysterectomy should help somewhat with my PCOS, since that's likely what's preventing that last 50 pounds from coming off. So here's hoping this is end of my weight issues and the last of my surgeries!!!

Here are a few tips: Be Honest: Communicate openly about your challenges and efforts. Honesty is essential for building trust with your healthcare team. Explain Your Efforts: Describe the strategies you've been using to lose weight and any difficulties you've encountered. This might include changes to your diet, exercise routine, or other lifestyle adjustments. Express Your Commitment: Emphasize your commitment to the weight loss journey and your understanding of its importance in preparing for surgery. Ask for Guidance: Seek advice from your surgeon on how to address the weight loss goals moving forward. They may provide additional support, resources, or recommendations. Remember that surgeons are there to help guide you through the process and ensure the best possible outcomes for your health. While meeting pre-surgery goals is essential, the overall goal is to support your well-being. If you're experiencing significant anxiety, consider discussing this with your surgeon or a member of the healthcare team. They may be able to provide additional guidance, reassurance, or resources to help manage stress and anxiety.

Thanks for the recommendation! I will look into that YouTube channel. Honestly, I feel like I took Wegovy before I had admitted to myself that I was ready to undergo surgery. It had always been in the back of my mind, but I never thought that it would be something I would do. It's hard to give up the lifelong hope of being able to lose weight on your own. I took a class on weight loss where we discussed energy homeostasis and the different survival mechanisms our bodies have to prevent us from starving, i.e., stop us from losing fat storage so we don't die. It was very eye-opening to the types of changes that must take place for sustainable, long-term weight loss. Bariatric surgery has a ~75% success rate compared to the ~10% success rate seen in conventional weight loss attempts, and it's BECAUSE of the physiological changes made in your body due to the anatomical change made to it during surgery. That, paired with practicing healthy behaviors for both physical and mental health, leads to more permanent weight loss. I've been able to maintain my post-Wegovy weight loss for months now, but achieving additional weight loss has just been impossible.

Thanks for responding! No, wegovy doesn't work forever, and I had heard that as body physiology heals post bariatric surgery and normalizes (6-12 months post surgery) appetite returns. I'm more interested in that first 6 months when most weight loss occurs. I've been able to maintain my weight post Wegovy, so I'm not incredibly worried about when my appetite starts normalizing. I was just curious about the difference in how we feel post surgery vs medication.

Welcome to the forums. Let me try to hit everything in no particular order. Much of this is general stuff that may or may not be helpful to you, but may help others that read. Congratulations on your successes to date. Beer: Be very careful of transfer addiction, which is common when one coping mechanism, such as food, is taken away so we find another mechanism to replace it. Additionally, with a bypass alcohol is harder on the liver than with normies. Again, be careful. Muscle loss: Is very common and expected. Rapid weight loss such as we experience causes loss of fat, muscle, and in many cases organs (which is why rapid weight loss for too long is unhealthy). Additionally, it takes extra muscle to move our pre-op bodies around. As we lose weight we require less muscle to move less weight around. 6 meals: At a year out it's ok to make rational adjustments based on your experience and requirements. As an example, I'll share a personal anecdote: My plan is 3 meals a day of 3-4oz protein 1oz veggies. No protein drinks or snacks. This is my surgeon's hard and fast plan, period. At about 2 years post-op I decided to challenge myself to a 'Couch to 5K [C25K]' program that gets one to running 5K in 30 days. It turns out I enjoyed running so started binge running. As my miles per week increased my surgeon increased my meals to 4 per day. Then 5. Then 6. Then added a protein drink. I very much disliked 6 meals per day as I felt like I was always eating. When I stopped running it was back to 3 meals per day. Point of the story is there are times to make rational changes. In your situation, it may make sense to reduce your meals (and slightly increase meal size. Or if you want to stay close to where you are, 3 meals + 3 snacks. Or whatever works for you. I'd wager that the author of your plan would be on board with rational changes. Compliance: In the first several months patients will lose weight no matter what they eat or drink. Being compliant to your plan builds success with the positive reinforcement of losing weight. It's the new, healthy habits that keep you from regaining weight. Trying to start compliance when the weight loss stops too soon puts us into the same diet and fail cycle we lived pre-op, with the same results. Good luck, Tek

Hi all, I had been on Wegovy for weight loss, and it almost completely silenced my food obsession. I stll got hungry and enjoyed my food, but I wasn't thinking about it all the time. My insurance no longer covers wegovy, so I've started on the bariatric surgery pathway. My question is, will surgery work in the same way? Will that voice be silenced? TIA!

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.

Funny thing ---- I was all bummed out about my 3 month long stall - I even Gained 4 pounds when I saw my doc a couple days ago. I finally did something I was so scared to do ..... I took out the tape measure. I was seriously shaking when I measured myself for the first time. I lost a total of 15" since this whole program started ! I knew my clothes were loose - but 15 inches ? ! ? ! Wow ! In fact ...... I feel SO GOOD ,this is the going to be the first time in YEARS that I'm putting up a Christmas tree The hell with that scale LOL !!! My mental and physical health is better than it's been for years and I stopped focusing on that darn number !

I've been reading it isn't uncommon to have to change shoe size when you are losing weight, especially if you carried any weight in your feet. I totally didn't expect that, it was the one clothing item I thought I could indulge in while losing weight! Now I know better. I haven't lost enough weight to change shoe sizes yet but I'm prepared for it now... LOL I hope you find some much comfier shoes, Skechers makes some nice slip on ones!!

Whoop, look at that weight loss!! Tearing it up BigZ! I'm so excited for you!

Yaaaaay!! As a fellow diabetic I am cheering you on!! Mine normalized after surgery too, I had the DS. Looking at those normal numbers feels way better than any food tasted. Such a relief. And wow on the weight loss! I don't know how much you have to lose but that's a massive chunk. Try to update your sidebar stats so we can see how far you've come!!

I'm so glad it helps, you deserve to be excited!! I believe @The Greater Fool and @catwoman7 both were near your starting weight, catwoman7 was 373 and I'm not sure what The Greater Fool was but I know they say they were too heavy for a home scale. Both had Gastric Bypass and did exceptionally well! I also have a friend who lost about 250 lbs with an old school bypass and maintained it for over a decade when I knew her... You've got this!!

I love your explanation @NickelChip! I've read it before in another group but you made it so easy to understand!! That is exactly what is happening during our stalls, especially the early ones. The body is just trying to protect us and make sure we'll survive. I believe during this time it also assesses things like set points, what the metabolism is doing, etc... Our bodies are hard workers even when the scale is sitting there staying the same. I too wish doctors would take the time to explain this to their patients, it is a major source of anxiety throughout the weight loss phase! OP, I'd highly suggest getting yourself a tape measure. Measurements are a fantastic way to track weight changes in our bodies and often when the scale doesn't move we lose inches, because we are actually still losing fat, we are just losing in stealth thanks to that water weight. A similar process happens when we start exercising, often the scale stalls or we even gain! But below the surface we are still changing our body's composition, fat is still being burned. Apps like Baritastic will track your measurements and show you over time how they are trending down, it is pretty cool. I only allow myself one weigh in a week. If I feel anxiety about the scale I don't even do that. It isn't worth the mental anguish... For the VAST majority of people, if you follow your plan, eat regularly, drink your water, and get some movement in, your body will continue that fat burning for a long time. There are always outliers, of course, and my heart goes out to them. But the odds are we won't be outliers... I remind myself of this every day, I'm 3 weeks out! You've lost the same amount that I have in less time, that's pretty cool!

Oh, and as for your mother's concerns. They are valid. The unfortunate fact is that the same mechanisms that help us lose the weight and reverse co-morbidities also restrict nutrients and our ability to get fluids in when we are sick. Sometimes that means we end up in the hospital for fluids or electrolytes. But with a more severe illness sometimes it can lead to low protein levels or low vitamin levels and the body struggles with that, this can happen with ANY of the surgeries, but is of course a little more common with the malabsorption surgeries. This can complicate an illness with an already complicated clinical presentation. I can see how if it got out of hand and wasn't properly treated, it could contribute to someone's death, but it would be secondary normally to their originating condition. However, what I would invite your mother to consider is how pre-existing co-morbidities like diabetes, high blood pressure, and such contribute to severe illnesses as well. If you don't have these now, you probably will in the next 10 years. Those things can kill you too and can make your health much more fragile when dealing with an extra illness, like cancer or severe pneumonia. The only thing I can think of that would be originating from the DS that could kill you is severe protein deficiencies that go untreated, severe vitamin deficiencies that go untreated, and the possibility of bowel obstructions. All three of these things can also happen with Gastric Bypass. They are by no means common with either surgery, but they are a risk to be aware of and watchful for... My uncle was in his 40s when he had his first heart attack. It was also his last heart attack as it killed him. He had all the co-morbidities that I have. I thought long and hard about this before deciding on the surgery. I finally decided I'd rather trade a life of medications for a life of vitamins 4-5 times a day. And a life of being able to move and run and hike, and travel, for a life spent on the couch. And if at the end of my life I get sick and things get unbalanced and that malabsorption does me in, it will still have been a life MUCH better lived than if I had passed up the surgery. And it would (hopefully) be spared the heart attacks, diabetic and high blood pressure complications, possible amputations, etc.. Not everyone would think this way, but I like to go into things with my eyes wide open and I always have to think about the worst before I can let myself dream about the best... I wish you luck in your decision! ❤️

Hi KyahRose! I just had the DS surgery on November 1st. I considered SADI-S, Bypass, and DS when deciding on which surgery to go with. In the end I picked DS even though it is the scariest of the surgeries, because I wanted the benefit of my co-morbidities going into remission which the other two surgeries can do, but the DS does best. Plus I wanted a surgery that has a lot of studies behind it going out years, and while the bypass does have that, the SADI does not. I didn't want to have an experimental surgery, enough of my medical care is experimental. LOL The DS has a proven track record and is safe for the vast majority of people who have it. That being said, it IS a serious surgery. You can make yourself very ill if you don't follow the protein and vitamin recommendations, and even the vitamin recommendations from the docs are often not enough. I highly recommend going over to bariatricfacts.com and joining the forum there to talk to the DS vets. I'm over there as Shrinkingmytiara. These are people who have had the surgery 10+ years. They will tell you the good, bad, and ugly and make sure you understand the ugly and what you are getting yourself into. There is a wealth of info on that site about DS and some about the SADI. On FB there is a Duodenal Switch SUPPORT Group (there are a number of them, but I'm in that one) which also has a lot of vets in it. It has people with DS and with SADI. You'll read a lot of complaint posts from people who are having issues (common for any support group) but it'll give you an idea of what some of the challenges are post surgery. Again, your odds of having complications are quite low (though a little higher than the other surgeries), but it is still worth seeing what others are experiencing. I'm sure you could find the same for Bypass. I have had no major complications with my surgery so far. I had a lot of nausea and ended up in the hospital an extra night while we stabilized that and my pain levels. Once I came home I've only needed my nausea meds a handful of times and I didn't need pain meds. I wasn't able to ingest whey protein drinks for the first two weeks but my surgeon told me the body has stores for 3 weeks, so to focus on water and the rest would come. He was right! I can drink them now and am getting protein in what I eat now that I'm on soft foods. I've met my fluid goals every day, some days are harder than others. I've had some diarrhea on and off but my system tends that way even pre-surgery. I could drink lactose free milk and bone broth the first week so those are what kept me going. I actually feel more energy now most days than I did before surgery which is strange to me! I do tire out a little easy though because I'm still healing. My stomach did these spasms while feeling like it was turning in cartwheels inside me for about 2 weeks. They finally faded like the surgeon said they would. I'm diabetic. My fasting blood sugar now sits at 87 which is stellar. They told me to stop the diabetes meds. I had high blood pressure but they took me off those in the hospital and my blood pressure is normal! 105/76 when checked at my 2 week follow up!! I've lost 21 lbs in 3 weeks post surgery, for a total of 35 lbs from my highest weight. I can't wrap my head around that, it happened so quickly! I had a moment post surgery when I panicked over permanently altering my body in such a drastic way, but then I reminded myself that the way my body was pre-surgery was killing me, this was the only path forward to health that I could see. I don't regret it at all. I'm happy to talk with you more about it if you want, and you can feel free to message me if you want to keep in touch! There aren't very many DSers around here active anymore!

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!

IMHO, you've made a good decision. Let me share a bit of my story to convince you to put the scale away... period. When I had surgery I was too large by far for a home scale. The only time I was weighed for about a year and a half after surgery was at my surgeon's office at monthly follow-ups. Because of this, I never saw a stall in my weight loss. At my follow-ups my weight loss was never the topic of discussion unless I brought it up. The discussion centered on how I was feeling, how my plan was going, life changes, how was I emotionally, any issues or concerns. I learned valuable lessons in these appointments. Eventually I was able to weigh on a home scale. I practically lived on the scale for a couple weeks until the novelty wore off, then I never used it again. I knew how I was doing by how I felt, my plan compliance, how my clothes felt, my health, happiness and a number of other considerations. These are still my measurements. We don't need a scale to follow our plans. The number on a scale does not tell you how well you are following your plan. In some cases, the number on the scale may tempt you to change your successful plan. It's great not being ruled by a number on a scale and simply paying attention to the important stuff. Good luck, Tek

I was curious what causes the 3-week stall, and this is what I found out in doing a little digging. When we experience calorie deprivation, whether a diet or after surgery or just not having the usual amount to eat for a bit, our bodies first turn to our store of glycogen to keep things running. Glycogen is a form of stored sugar, and for each gram of glycogen in the body, it's bound to 3 grams of water. So, if you burn a gram of glycogen for energy, you lose 3 additional grams of water as a bonus. Your body will always burn glycogen before it burns fat because that's how we've evolved to handle brief food shortages. Which means most of the weight you lose right after surgery is not actually fat, but water (and that's fine!). But after a few weeks, your body is low on glycogen and you still haven't hunted down a wooly mammoth to eat, so now it starts burning fat to keep running. At the same time, it does what it can to replenish those glycogen stores with whatever calories you have coming in, because it's a little worried you won't survive the next famine. Glycogen makes me think of the $100 cash my mom always kept stashed in her sock drawer for an emergency. If she used any of it, as soon as she got more cash, she replenished that first before putting anything in her wallet. Remember, each gram of glycogen comes with 3 grams of water. So you might burn 4 grams of fat, but also replenish 1 gram of glycogen (along with the 3 grams of water that tag along for the ride), and the scale shows you the same weight. Now you feel like nothing has happened and start to panic. But you still lost fat, which is the goal. And once your body does what it needs to do to replenish that glycogen, it'll start showing on the scale again. I really wish doctors would explain this process to patients before surgery! Some mention plateaus in general, but they rarely explain what causes them, and the 3 week stall is the type of thing they really should explain in detail so we know what's going on because it's basically a given.

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.

major complications are really rare. I think it looks like they're more common than they actually are because people who have them get on this and other sites to ask for support and advice about them. People who have no issues don't generally broadcast that fact. They just go on with their lives. I did have a complication - a stricture. The PA at my clinic said that's the most common complication of bypass (well, other than dumping, which affects about 30% of us and can be prevented by not eating a bunch of sugar or fat at one sitting, which none of us should be doing ANYWAY). Strictures, the most common complication according to him, happen to 5% of bypass patients. I wouldn't call something that happens to 5% of patients "common", but that gives you an idea of how "common" complications are. And strictures, like most other complications, are minor and can be easily fixed. They did an upper endoscopy, stretched it out, and I was good to go. I honestly don't know anyone who regretted having weight loss surgery, and I've volunteered for my clinic, been very active on national internet forums, and attended national conferences. Yes, the first few weeks can be tough and a lot of people have "buyer's remorse" during that time, but once they get beyond that initial phase, when they can eat more, have fewer food restrictions, feel fine, and have kind of figured out this whole deal, you're not going to find many people who regret it. Personally, it's the best decision I've ever made. My life is completely different than it was 200 lbs ago, and I wouldn't go back there for ANYTHING. I would have this surgery every year if I had to! I'm in my mid-60s and had my surgery over eight years ago - I could kick myself for not doing it sooner!