Search the Community

Currently 10 weeks post op Vsg . Haven’t been able to reach my protein goals (can’t tolerate many foods) & just started reaching my water goals. Not sure if this has contributed to my stall but any advice or recommendations on how to break a stall ?

It depends on what your goals are. Fitness? Cardio? Building or toning muscle? I didn’t exercise while losing & still don’t in any traditional form. About 14 months or so again I began doing some stretching exercises to support my back & my oozy discs & improve flexibility & bought some resistance bands to tone my arms a bit. I do 4 x 5minute sessions every day. They call this exercise snacking. I actually enjoy doing it as proven by my doing it for more than a year now. LOL! And no gym memberships! My arms look great - muscle definition without bulk. And I had to buy new trousers as my thigh muscles have got a little bigger - not what I was hoping but … PS - Don’t rely on exercise just for your weight loss though. It only accounts for about 10% of any weight you lose.

I went with the bypass because it had the better chance of resolving my issues with hypertension, cholesterol, and blood sugar, and much better chance of not developing GERD. I also know the 10-year weight loss/regain numbers are a bit better for bypass. And, just a minor consideration, but I felt better not having part of my body removed. I know, I had my intestines rerouted and all that, but my stomach is still in there and somehow that made me have more peace of mind. 2 weeks out today and my recovery has been fantastic. My doctor moved me along to basically a regular solid food diet at my appointment, with just some restrictions regarding excluding beef/pork/lamb and raw veg for a few more weeks. I've had no issues, only minor pain the first few days, and I feel fantastic. I can walk for an hour or more at a time with no problem. My recovery has been much easier than my brother's when he had the sleeve several years back, though not sure if that has anything to do with the surgery type.

Quest protein chips are awesome! easy on the go and have 10-20g of protein per bag, protein shakes and protein bars. When you go to the restaurant just eat something grilled and deconstruct the meal. Protein first, veggies then if you have a room a little bit of carbs. You will be walking anywhere from 7-10miles a day! This might be an unpopular opinion but your at Disney! Enjoy it! if your group is eating churros or any of the other yummy things then ask for a bite, you don't need to indulge in the entire churro but in real life we should be able to enjoy everything in moderation. My hubby and I are going to sneak away to a kid-free Disney trip in a couple of months and he loves all the foods, I plan on being able to enjoy bites licks and tastes. I don't go to Disneyland everyday and eat like that like that everyday. I think one of the things I am most excited about is going on every ride and not panicking if I will fit!

Had my speeve done yesterday 3/5. Procedure was quick and uneventful. Woke up in recovery with no belly pain but an awful burning sensation in my chest. Nurse said this was likely trapped gas causing the pain. It has not subsided. I have been able to sleep, take liquid meds and walk a bit. I feel good about the surgery and curious how the next few days will go. I would say discomfort level is about 6/10. Not so much painful, just difficult to get comfortable. Will keep y’all posted.

Had my speeve done yesterday 3/5. Procedure was quick and uneventful. Woke up in recovery with no belly pain but an awful burning sensation in my chest. Nurse said this was likely trapped gas causing the pain. It has not subsided. I have been able to sleep, take liquid meds and walk a bit. I feel good about the surgery and curious how the next few days will go. I would say discomfort level is about 6/10. Not so much painful, just difficult to get comfortable. Will keep y’all posted.

I’d ask simply him why. Why he’s removing it & why he wants to do two separate surgeries. Lap bands have dramatically decreased in popularity over the last years & not many surgeons do them any more. Failure, side effects, effectiveness, etc. seem to be the reasons. Some studies say the life span of a lap band is only 7-10 years so you’re at your band’s end of life now. Not all surgeons do the removal & revision in one surgery. Maybe your surgeon is basing his decision on your current health status. Maybe he wants to give you a recovery period between the two surgeries to ensure you’re fully healed. May be he wants to give you time without a weight loss tool to see how you respond in regards to self monitoring your food intake, etc. Just throwing some ideas out there.

10 lbs a month is pretty normal, and so is 40 lbs in three months. Unless you're the size of someone on "My 600 lb Life", you need to adjust your expectations or you're going to be disappointed. I was about where you are at that point, and I went on to lose over 200 lbs. that said, you're eating way more than I was at that juncture...and I wasn't eating things like pizza and chips that early out, either. Maybe all of your activity is burning this off, but I'd be really careful and try to stick to the eating plan your clinic gave you. This is your big chance to lose a crap ton of weight - so take advantage of it!! Once your sense of hunger comes roaring back, it's going to get A LOT harder. P.S. the women at your Tuesday Talks are only partly right. People will typically lose 10 lbs a month for a few months, but it really slows down the closer you get to normal weight. I lost about 10 lbs a month for the first six or seven months, then it dropped down to somewhere around five lbs, give or take, and then after I passed the year mark, there were some months I only lost about 2 lbs, despite sticking to my eating plan 100%. It's because at some point what you take in and what it takes to run your body reaches equilibrium.

I wasn’t focussed on inches so didn’t take measurements either. Was just weight & also clothing size focussed. My goal weight was partly based on being a weight that meant I could wear Australian size 10/12 (US 6/8). Ended up at Aust size 4/6 (US 0/2). I generally find size guides using body measurements when buying clothes online completely useless. According to one guide I’m an Aust size 8 or 10 in their clothes but I actually buy their size 4 or 6 in store. And they’re not the only one. I found understanding how my body looked after I lost most of my weight difficult at first too. Body dysmorphia with a side of disbelief. Photos didn’t seem accurate and mirrors can distort. So crazy as it seems I used to google celebrity weight & height data so I would have an idea of what I might look like.

I am 10 years out from a gastric sleeve surgery. I lost 70 pounds and gained it all back plus some. I have suffered from chronic dehydration, despite drinking a gallon or more every day. I feel that it’s due to my stomach not absorbing enough water. Has anyone had issues with this?? I am also anemic and my doctor is playing around with multiple vitamin and supplement dose increases. I just started Zepbound to try to get the weight off again, and that makes the dehydration so much worse. I am just desperate for answers. My weight loss surgeon moved, and I am not established with any other practice. Thank you!!

Hi all, After my prior post regarding the complaint I had - I finally have my surgery date for the 28th of this month, after almost 5 years since my first GP consultation about the sleeve (yippee!). With that being said however, they gave me 4 weeks notice because they now want me to lose another 3.5kg pre-surgery. For context, I was 135kg at my highest, they wanted me to stay below 130kg, and I'm now 124kg. They didn't give me a reason why, I have always had ok blood test results, I'm not pre-diabetic or anything either. The last consultation I had in-person with my surgeon also said 130kg would be fine, so again, don't really understand the change. Believe me when I say, my diet is STRICT. I'm on 1000 calories a day, high protein, super low carb (less than 40g per day easily), lots of water (at least 2 litres minimum), and an average of 10-15k steps per day, with at least one hike per week. I've been doing this for the last couple of weeks, but I am really really struggling to get this last few kg's off beforehand. No sugar - no fruit, nothing. I really think my PCOS is not helping the situation, but I'm really worried in the event I'm not at the 121kg they want. I have been that weight recently, I was down to 119kg this time last year with the help of Saxenda, which I then had to stop taking in June because every pharmacy I could order from were sold out. I haven't been on it since, so the fact I have maintained this weight loss honestly I'm just pleased with at this point. If anyone has any ideas as to how I could lose this last 6lbs or so, I would be greatly appreciative. I've lost 0.5kg so far over the past 4-5 days, but I'm so stressed I'll get to the hospital and they'll turn me away. Thank you! x

I haven’t been very public about my surgery journey, but I’m not very public about any of my health stuff.  If people ask, I’ll ease in slowly and gauge interest, but usually keep things short. [[I’m okay- aka I’m still not great but not is particularly bad. We’re working on it- meaning my doctors and I Ah, it’s going, meaning it’s pretty bad but you don’t really care about it. ]] For my weight loss- I did it primary as a potential benefit to help my health issues, not particularly for looks. There were two people who pretty much immediately started commenting as soon as I lost like 10 pounds.  Other than that it was only in the past 1-2 months that I have started getting regular comments.  And I am struggling to figure out how I want to deal with them.  If it is strictly compliments, I’ll just say thanks and move on. [I’m still supperrrr awkward about it, but 🤷🏻‍♀️] [I also don’t particularly like the attention, and it makes me want to dress to hide the changes.] But when people continue and ask what are you doing or what’s your motivation or anything like that that’s where I am struggling a little bit more. My goal for the surgery was focused on my health. It also is a little difficult because my health issues are caused my genetic issues, and while weight loss likely will help in the long term, I haven’t really seen any improvements since losing weight.  So it can be awkward for those conversations if other women ask how I have lost weight or if I’m feeling better.  I don’t wanna tell anyone, yeah I don’t really feel better, because I know that for most people it would.  So for those of you who aren’t really sharing about your surgery, what do you say if people ask about how you lost weight? How do you respond when people compliment you? All of that…

Same. I also get the hic ups sometimes. They don't tell you its not a "normal" pre surgery full feeling, they should so we know what to expect. Then again most haven't gone through it who are dieticians/doctors. I just switched doctors (my old doctor decided to be inpatient only) and my new GP had bariatric surgery in 2019 (said she normally doesn't share personal info but figured it would be helpful) and she agreed, most of the bariatric journey isn't with practitioners who understand.

Yes! In fact, my entire weight loss since surgery has been slooooow. I don't recommend kicking the scale - it hurts 😋 I even talked to my bariatric "team" who just didn't seem concerned. It only added to my anger..to go through all this to lose 4" lbs a month 3 months in and still at 6 months! Where did my honeymoon period go?? Only 80 lbs since starting the pre surgery weight loss portion... 80 lbs in 9 months, that's less than 10 each month! 😠 So yeah, I understand your frustration. I at this point wouldn't be to worried, you retain lots of fluids for several weeks following surgery, plus the standard response you'll read on here is the "your body is going through a lot and could be doing a self check reset reevaluating" at this point. I'd give it at least a month and as long as you're hitting nutritional goals and nothing feels off you'll be fine - (sigh) slow or not..its a downward trend. 😀

I know I shouldn't complain because I'm feeling great and hitting my protein and water goals every day since I got home from the hospital, even tolerating soft proteins really well. If it weren't for the incisions and the lack of hunger, I'd almost forget I had anything done. But man, I would check my scale for bad batteries if I hadn't just changed them. My preop diet was a very exciting time as I was dropping weight like crazy. 15 lbs in 14 days! I was 238.8 on February 7, and the day before I went to the hospital, February 20, I weighed in at 223.4. I stayed off the scale after getting home because I knew I had IV fluids and all of that to flush out of my system. But I weighed myself today, 10 days post-op, and I'm down exactly 1 pound at 222.4. Color me underwhelmed. I know it's probably just an early appearance of the "3 week stall." Logically, I understand all the reasons for it to happen. But it doesn't stop me from wanting to kick something, specifically, my scale. My body will never miss an opportunity to mess with my head. Anybody else have a slower start after surgery than you were expecting? How long did it take to pick up the pace?

So I am 5 years and 2 months post-op RYGB. I made it beyond my goal weight of 170lb to 160lb. Technically I was as low as 145lbs because I was very sick in 2020 then again in 2022, but after getting better, I stabilized at a steady 160lb. Last July I started online streaming/socializing with people. I started snacking more because of nerves and also began drinking quite heavily because being silly tipsy in front of strangers is fun! I had NO IDEA how many calories was in alcohol. Over the course of 5 months, I gained 20lbs. Even more, I noticed that I can eat almost a "normal" plate of food the same size as my family's. I broke the rules and had started drinking fluids with my meals. I think I thought I could get away with breaking rules because I was at a stable 160lbs. Now I am FREAKING out! I hate exercise. I never did it, even with my prior weightloss. I am using a tracking app my husband's VA dietician told him to use called Fat Secret. I am trying to stick to 1600 calories, which is super hard. I feel hungry all the time now. I think I caused pouch dilation. I refuse to be heavy again. My clothes are already getting tighter than I like. I was doing research today on weight gain after years post-op. I basically am reading that I need a bariatric reset. I am going to do a 2-week "Pouch Reset Diet." It's not to make my pouch smaller, but it's to retrain my body to feel full with smaller portions again. I need to go back to the basics, and it's really hard. I also don't get DS with sweets like I used to. Don't get me wrong, I still get sick, but I noticed that my sugar tolerances have changed. It really worries me. 40% of bypass patients fail and bounce back to within 10% of their original weight pre-surgery. I will NOT be a part of that 40%. My support system at home is tricky. On one hand, my husband does support me outwardly. But he himself weighs 415lbs and isn't doing much about his weight. He watched my struggles and drustrations and outright refuses surgery for himself. He's on some stupid intermitent fasting diet, but he still eats way too large portions at meal times. My 15 y/o son is pushing 285lbs, and his only exercise is video games. For me, it's like living around all these food temptations is a struggle. It's like being an alcoholic and living at a bar. I just ordered a crap ton of protein powder so I can jump start this Pouch Reset Diet. I started to push myself on working out at least a little bit. I have a mini stair stepper and an eleptical bike. Anything is better than nothing. I am just wondering if I am alone in my struggles?

Short update: I had my gastric sleeve procedure done in November 2019. I lost around 85 lbs and then stalled eventually regaining around 50 lbs back and a horrible case of GERD. I had never had symptoms of GERD before my surgery and about 3 months later, I had to begin taking omeprezole daily to deal with it. If I forget a dose I can tell by the afternoon. During the first year post surgery, I lost my husband (not unexpectedly but it DID happen 10 days post-op for me), moved across country from Florida to New Mexico, bought a new house and started a new job. My daughter is 1 year post-op and lost approx. 150 ibs on the DS. l just started the process to obtain a revisional surgery. Will be discussing the benefits of either the DS or ByPass. I had the upper GI completed which showed a small hiatal hernia with evidence of GERD. It also showed mild cricopharyngeal hypertrophy. Any suggestions regarding which of the 2 procedures would help with the GERD and to help lose the 130 lbs. that I still need to drop to get to my goal weight?

I’d be making an appointment with your surgeon too. Best to rule out a medical reason for what you’re experiencing. Water can feel heavy & be difficult to drink. Try other fluids (green or herbal teas, sparkling water, home made yoghurt drink, etc.) but I’d avoid the capri suns even the no added sugar ones. Even without added sugar, juice still contain natural sugars. It also doesn’t contain all the nutrients a piece of fruit does. Consider how many oranges you need to produce a 250ml glass of orange juice. Would you eat that same number of whole oranges in one sitting? A piece of fruit is always better than a glass of juice. Generally simple carbs like rice, breads & pastas (includes all noodles) are off the menu while you are trying to lose. They are filling, can sit heavily in your tummy & stop you from being able to eat your vital protein. They also are more heavily processed & contain very few nutrients. In time you’ll e able to add complex carbs - multi & whole grains. Some plans allow a small portion of these while losing. I was allowed rolled oats. Focus on eating your protein first then your vegetables & only after those any complex carbs you may be allowed if you can. Almost 5 years out I still can’t eat bread, pasta, rice because how heavy they are in my tummy. I used to eat a lot of them before my surgery but I really don’t miss them. Yes, some people struggle with certain proteins. Chicken, steak & eggs seem most common but others can just be a no for your tummy too. Most find in time they can eat those proteins again. Do you keep your meats moist so more medium rare than medium or well done? Do you include a sauce or jus or gravy with your meats? Often foods that are too dry or coarse can cause the foamies as well as if you eat too much or too quickly. Out of curiosity do you track your food? Maybe find a dietician vs a nutritionalist & go through your tracked food diary with them to see if you’re missing something. I wondered if you’re not eating enough too or not eating enough nutrient dense foods. But certainly see your surgeon to see what may be going on or consider other options such as surgery, medication, etc. All the best. PS - While exercise has many benefits, it’s only contributes to about 10% of any weight loss you are to lose. I didn’t exercise while losing & still really don’t now. I upped my everyday activity (stairs not lifts let escalators, park further away from where I was going, etc.). About a year ago I started using resistance bands (for a little toning) & doing some stretches (flexibility & for my back) & that’s all I do. Wouldn’t burn 30 calories LOL! There are lots of online videos to guide you through using bands & other activities you can do if you struggle with your mobility.

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.

Just ALT. AST is high end of normal. I had an ultrasound about 10 months ago because of the ALT. "Probably fatty liver" although it also said it was hard to read because of excess gas....I'm think of asking for an MRI-spectroscopy.

Hi and thanks. My ALT value is 53. 10 months ago it was 48. It's been up and down for many many years.

Hi Nancy! I've had a high ALT value since my 20s. They said it could be from fatty liver, but I also have arthritis and the bone/joint degeneration from it can cause levels like that too. How high is high? Are we talking a little bit out of range or quite a large amount out of range? I highly recommend you go over to bariatricfacts.org I post over there regularly and there are a number of vets there who are 10+ years out from DS surgery who will probably be much more helpful about this than anyone here. There just aren't many DS people here who post or read the forum... Also, there is a FB page with a ton of DSers, including a number of 10-15 year+ vets who could might have some experience with this. https://www.facebook.com/groups/1799552573392212

i know several people (including myself*) who have used Ozempic and/or Mounjaro, all with great results (read: all lost probably an average of 10-15 lbs with little reported effort. From an observers point of view, it *looks* like most slowly gain weight back when discontinuing use. but some seem to keep the weight off (but it's early still so time will tell). *i seem to be part of the latter group. i took my mom's leftover Ozempic for a month in April last year (shes a diabetic and takes less than she's prescribed cuz she doesn't like how it makes her hate food...and yes i know i shouldn't be taking someone elses meds! dont judge me! it was in the name of science, ok??? 😂 ) i lost about 7 lbs by the end of it, and gained back 2-3 lbs a couple months later. to clarify, i was 122 when i stated in April, 4 weeks later i was 115, and i've hovered between 114-118 since then to today. long story short, the stuff WORKS. but you will likely experience regain without significant lifestyle changes when u stop. or not. who knows? 🤷🏻‍♀️

My surgery is scheduled for April 10! I both excited and nervous at the same time! Has anyone else experienced these feelings??

I crushed my thyroid pill and emptied the omeprazole and ursodiol capsules into a little bowl and mixed all three with 2 Tbsp of applesauce. It took about 10 minutes to get that down. I'm going to need to check with my primary care doctor because my blood pressure the morning I left the hospital was 92/54, so I have not been taking my blood pressure med since they told me to stop it the day before surgery. I need to go check it at one of those machines at the drug store later today.