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I’d question the fitbit too. You’d have to run for around four hours to burn 3000 calories & lift weights for about 8 hours. https://www.stylecraze.com/articles/how-to-burn-3000-calories-a-day/ Remember, exercise contributes to only about 10% of any weight you want to lose. Many benefits to exercising of course but don’t make it your focus for weight loss. I didn’t ‘exercise’ & I lost all my weight & more but that was because my body’s new set point was a weight lower than my goal. But I am an outlier & beat the average stats of losing about 65% of the weight you are to lose with a sleeve. I agree with @learn2cook’s suggestion to speak with your dietician & your surgeon may help too. All the best.

Agreed with what the others said. Be careful lifting weight, including the grandkids, before you are ready. It just takes overdoing it once to cause a hernia, requiring additional surgery. Other than that, the movement is a good thing, but listen to when your body says its tired. Balancing exercise and rest is very important the first month or two. Would you rather have a little more rest now periodically through the day while still getting somethings done, or overdo it and force yourself into a situation where you have to have repair surgery and risk several weeks on bed rest getting nothing done in the future? To prevent overdoing it, look into the Pomodoro Technique. Basically set a timer to do a task for "x" number of minutes, and then rest for "y" number of minutes. Early on, you may want 10-15 minutes of activity followed by 30-45 minutes of rest. Then as you progress, shift more time into activity and reduce the rest time, but its most effective keeping the entire cycle under 1 hour total. As far as the internal pain goes, its likely its still gas trapped and built up. Take Gas-X, and when you're walking around, do exercises with your arms lifted or over your head. I'm not sure exactly, but it has something to do with the blood flow being distributed to all of your limbs and helping breakdown and expel the gas quicker. I would have it go from my lower left side to up in my shoulders, and it was just a discomfort I couldn't shake. That movement and the medicine helped to break it up and would give me a few hours of relief.

I usually eat whatever I feel like. Today I had coffee with half cup of 1% milk and collagen powder (breakfast). For lunch, I had a 120g slice of bacon, egg, onion quiche (homemade). For snacks, my go-tos are crispy grapes and strawberries. I eat all types of fruit, and often changes depending how I feel. Like yesterday, I had some of a fresh cacao fruit. Other days, I love frozen durian. Not sure what I'll have for dinner, thinking of two black bean tacos (I like the black bean fiesta) but I may make some oxtail soup with veggies. It's good for prepping several little bowls for later meals. Before maintenance, during stalls, I would cut back my calorie intake on my weekly average till it breaks. To help, I use a lot of konjac noodles because they are basically calorie and carbohydrate free. In maintenance, if I gain a couple pounds, I do the same to get to my accepted weight range. I have no secrets, it's boring, I watch my calories. I have to unfortunately. My exercise is to live an active lifestyle by constantly moving wherever I am, but I don't ever do a formal exercise plan because I can't exercise my way out when I eat too much lol (As the saying goes) and it makes me more hungry anyway. I move for health, not to lose weight.

I know in the US, our requirements for insurance to cover the surgery (if you have insurance that does) is generally a BMI of 35 with co-morbidities (blood pressure, diabetes, etc), or 40 without. I've had similar struggles to yours, weight gain starting in my 20s blamed on thyroid. With diet and exercise I could lose a few pounds, but never enough. I hovered in the 190s until my late 20s, 210s in my 30s, climbing to 225+ in my 40s. I went to my weight management center that was connected with my hospital network for 6 years starting at age 43 and started with nutrition and lifestyle changes, followed by medical interventions (Contrave, Saxenda, Wegovy when you could get it). I never got below 204, and that was with a strict 1200-1500 calorie diet that I tracked religiously and 10k or more steps daily for a year (I never missed a single day!). As soon as I relaxed even a little, the weight came back with a vengeance. This summer, I hit 251 and also have hypertension and prediabetes (A1c of 5.9) . That was when my weight management doctor (an endocrinologist) finally asked if I wanted to talk to the team on the surgical side. I'm awaiting insurance approval now. It should be covered though I have no idea about out of pocket expenses. I don't really care at this point. I'll make it work. If you are considering paying out of pocket and concerned at all about going to Mexico (although my brother went that route many years ago and it was fine), I did see a self pay option here: https://www.poundofcureweightloss.com/bariatric-surgery-cost/ I know it's frustrating, and if there's one thing I wish, it's that I had dealt with this when I was turning 40 instead of 50. Wishing you luck!

Thanks for all the replies, everyone. On the advice of my therapist and my surgeon's nurse practitioner, I stepped away from bariatric social media for a bit before my revision. The surgery went OK - it did take 6 hours, as my surgeon found a considerable amount of irregular tissue on my sleeved stomach that had to be removed and biopsied. Thankfully it turned out to be benign - probably was scar tissue from my sleeve surgery. I did have more pain and nausea immediately after surgery this time than the first time around and ended up staying a second night in the hospital until that was under control. It got much easier from there, and I only took 2 of the oxycodone they sent home with me (right before bedtime on the first two nights at home), and then minimal Tylenol for the next few days. I've been able to get all my fluids and protein in from the start. Pain is now minimal, my incisions are healing well. I'm starting to get my energy back albeit slowly. I'm now on soft foods and have tolerated each new food I've introduced without any problems, My biggest issue is constipation - I don't remember it being this bad after my sleeve. I'm using Colace, Benefiber, and Miralax. I wish I could drink coffee, that would help! 😫 My surgeon also left my pouch a little on the larger side, saying she doesn't want me to lose TOO much weight. I'm pretty disappointed about that, since I had 40-50 pounds to lose. I'm definitely already on the upper end of the amount I'm supposed to be eating at this point - 4oz. per meal (3oz. protein + 1oz. fruit/veg). I am down about 10lbs since surgery at 3 weeks post-op and just got back out of the OBSESE category. Hopefully I'll continue to lose at least something over the next few months.

So I freaked out a little bit last night. On Tuesday, I met with my Case Manager, was weighted at 5 pounds below goal weight, and set a date for my surgery on Nov. 30. Yesterday, I started the process at work of prepping for my absence. Put my medical leave on everyone's calendars, starting setting meetings with my direct reports so they are set for success while I'm gone, started figuring out how I'm getting to and from the hospital (I live by myself, and while my sister is coming to the hospital with me, she doesn't drive so I have to figure out how to get to the hospital, get her back to my apartment from the hospital, and then get me home from the hospital when I'm done with my stay a day or two later since I can't drive myself). For the first time last night it seemed like it was really happening and I started to get some anxiety for the first time. Until now it's all been academic but last night for the first time it seemed very real. And what do I do when I feel emotions that I'm uncomfortable with. I eat stuff I shouldn't. I didn't go on a full binge, but I definitely did the late night, head hunger, keep looking in the fridge and picking at the leftovers thing. How have folks with experience dealt with the tendency to self sabotage? At this point, the only thing to keep me from having the surgery would be if I show up on the day of over my goal weight. I'm trying to be mindful and stay on target, but I still have a few weeks and don't want to screw myself over.

Hi everyone I’m new here 🙂 I have decided to go ahead with the esg despite being scared of the procedure I’m desperate to reduce my weight mainly for health. I have such a love hate relationship with food, I like eating healthily and am an reduce my weight but then have periods of time where I just eat everything in sight and these periods last weeks or months and I gain it all again. I've completed hypnotherapy and done so much work on why I do this. I do think if I can reduce my weight and exercise again this will help, my biggest fear is that I spend this money which is such a huge amount for me, then I feel I can eat through the full feeling, is that possible? As long as I feel really full I think I won’t do that. I just really really hope I can do this and feel nervous as everything else has failed eeeeeek i hope this makes sense but it was really a big old waffle of what’s in my head. did anyone else worry that they would mess it up but it was ok?

I would never have believed I’d ever be able to eat 1500 calories and not only maintain my weight but also not gain. I’d gain weight eating 1200 calories before surgery. It took me a good 2 months to barely lose 4kgs (about 8lbs) eating less than 500 calories with the last diet I tried! The boost to your metabolism the surgery gives you is amazing. You’ll have a new norm. How much of a boost is unknown. But the calculator will give you an idea of how much you may be able to consume - it’s still just statistics based on a narrow range of factors. Then it just depends on your body/metabolism, medications, genetics, etc. Use it as a guide & see how you go in practice.

No, no short term disability application. I'm disabled and don't work outside the home so no need for that! I don't get holiday pajamas but I did have a friend send me some boxes of beautiful clothes after her mother passed away. So once I get down to that size I'll have a full wardrobe which is really exciting!! I love that something sad will be made beautiful again... My closet also includes clothes from about 100 lbs of gain so I'll be wearing everything in reverse as I go down. Shopping my own closet will be an adventure! Plus thrift stores, TJ Maxx, and Ross... Ahhh, I love shopping. 😂

Hi all, I made my goal weight! Now I have an appt with my dietician and I need to have all my vitamins ready. I am so confused on what I need to take lol Below is what they told me to take but the multivitamin has most of the other components? Help? Complete Multivitamin, Multimineral with Iron  Vitamin B1 Vitamin B12 Iron Vitamin D Calcium Citrate

I'm sorry to hear you we're denied. Just keep pushing them. It amazes me that insurance companies refuse to pay for bariatric surgeries and weight loss drugs BUT have no problem paying for a lifetime for the health consequences of being obese. I know I'm going out on a ledge here for potential condemnation but..those same insurance companies will pay for gender reassignment surgeries AND reconstructive "cosmetic" surgeries for gender reassignment (that in the long run is cosmetic to align with how patient perceptions are - no different than skin removal mentally) but they won't pay for some just as necessary bariatric surgeries and skin removal surgeries! Both can be mentally debilitating! I always thought perhaps a class action lawsuit forcing insurance companies to pay for these things is what's needed. No one elects to be obese and insurance companies treats obesity as "its your fault" you're obese so they won't pay. I wish you luck, preserver and eventually you'll get it! Lastly, I'm told bariatric surgery is cheaper in some states if you have to pay yourself, so shop around and research research research making sure you have a good bariatric team! Also, make sure that if you do go out of state that they don't have a long travel restriction like mine did (90 days) first! Good luck!

I am 7 weeks out of revision. Things are getting better each day. It took 5.5 weeks before the pain went away. Additionally, I have stalled and lost over these weeks. However, I am at my lowest weight in 8 years. No GERD and no current regrets. I am 53 years old. Sent from my SM-G996U1 using BariatricPal mobile app

Hello all o/ I am hoping some of you can help me with some questions about life post SADI. I had RNY in 2013, and on 6/2023 I had it converted to SADI. This is a new procedure at my doctor’s office. They’ve never done duodenal switch procedures and I was one of the first people to have SADI. The Dietary information given to me was the same they give for RNY/Sleeve patients. There isn’t anyone for me to really talk to at the support group about it and while my nurses try to be helpful, it’s not the same as getting info from people who have lived through this. Ever since surgery I have been extremely hungry. I haven’t had any kind of restrictive feeling you would have with the original RNY surgery. My doctor said part of it was because when she reversed my RNY she left me with a bigger stomach than normal (to help prevent pressure on the suture lines and leaks). When people were eating 2oz of yogurt I was able to eat a whole cup, and my doctor told me it was fine, she wanted me to eat more with this surgery. The problem is she has never said how much is too much. She said just meet my protein goals (80 -100grams) and everything else will follow naturally. As the months have passed and I have been trying to eat more normal food, I have noticed that I am already slipping up. I am constantly hungry and find I am just watching the clock for when I can eat again, and I am overeating. And eating the wrong things. The amount of gas I have been experiencing is unbearable. I am having a hard time pin pointing exactly what is making me this way (the only two things I know with out a doubt seem to be potatoes and Onions… two of my favorite vegetables ) I was sick for 3 days after Thanksgiving from eating stuffing and mashed potatoes. I am so grateful that I work from home right now because I don’t know how I can be around people like this. I am ok until around 3pm, then the bloating starts, and the gas keeps me up all night. It’s not gentle, it sounds like warfare. The tiniest poop might come out with gale winds force. I can’t go in public. No amount of Gas X or Beano seems to work. I need to get a handle on this. I am taking my vitamins/calcium religiously. I am eating about 60-80 grams of protein a day, but found I am eating larger portions than I think I should be, snacking, and eating too much carbs. Just basically I’m off the rails. I am still losing weight, but probably not what I could be. I do plan on talking to the dietician again but would like to hear from people who have lived this life first. Can some of you share your experiences with me? Are there certain foods you must avoid because of the gas? Is there a certain number of carbs/fats/protein you’re aiming for each day? Does it get better? Can you eventually eat friend onions with your fajitas again? Did you struggle with hunger? I would love to hear everyones experiences and what has/has not worked for them. Thanks for the support!

Mine would if it wasn't so saggy now! "Has the Dr given any explanation? Any advice? My dietitian keeps telling me we are losing inches not necessarily pounds. I call BS. All I know is I have 17 more pounds to lose to get new knees. After that I hope to lose another 60 so my hubby can buy me a face lift (he doesn't know it yet) SURPRISE DEAR LOL" I see my doctor next month for my 6 month check in and in two weeks my blood tests. It will be with the dietician, to be honest she's seemed kinda pointless. Just says you're eating as you should...perhaps add some fruit, to which I explained again when I eat carbs my heart races and fruit is high in fructose soooo. Then she'll suggest something like those nasty palm heart noodles, boy those were a mistake..again texture issues. It was like eating a bowl of slimy rubber bands. She gave me a G7 to monitor my blood sugars after the fruit discussion oh joy! I agree with the inches vs. pounds being BS. Last time I checked fat or "inches" weigh something. You can't lose inches without weight - unless I'm packing on muscle (weighs 7 times more than fat) but I assure you that's NOT it! Lolol "surprise dear" face lift, I love it! 😆😂😆 17 lbs should go quick for you and you'll have new knees soon enough! Thank you for the laugh, at this point it is well appreciated!

I can’t speak on the diabetic side, but I had my Gastric Sleeve done 12/4/2023, and I don’t regret it one bit. Recovery was quick to my surprise. I was allowed to go home the same day of the procedure. Make sure you walk because the most discomfort comes from the air they pump you full with during the surgery. Walking helps it escape. I was feeling fine day 2. Day 3 I stoped taking pain and nausea meds. I retuned to work after 2 weeks. You’ll have a sharp pain in your side if you laugh or cough; don’t panic it’s normal and will go away. Just hold your side, it helps. Pros: - You definitely lose weight (down 50lbs) - I sleep through the night, and it’s good sleep!!! I literally don’t even move. I used to toss and turn. - My feet, and knees no longer hurt. - My self confidence has increased. - I can cross my legs and feel girly. - I don’t feel limited because my size isn’t a thing anymore. - Save money on food. Cons: - Not an easy fix (you’ll have to create good eating habits. I was a binge/emotional eater. Sometimes when I get bored or depressed I snack and then my stomach hurts) - Lose skin (if that matters to you) - Going out to dinner is a waste because you will only be able to eat maybe 1/2 cup of food if you’re lucky. (Leftovers will last you a week) - Buying new clothes gets expensive!! (But feels amazing, so not such a con after all) To be honest I wish I had done this sooner. I was impatient and went the self-pay route because I didn’t want to take the classes insurance requires of people, but if you are willing to wait I can see the benefits the classes can do for you. Good luck to you!!

A lot of things played into it, but honestly, it was when the doctor asked me if I would be interested in it. For background, I'm turning 50 next year, so yes, that milestone is in my head as part of it. My younger brother had VSG 15 years ago, and ever since then, I wished I could do it because he had such a great outcome. But at the time my BMI was 34, so I didn't qualify, even with high blood pressure. As my weight increased, my doctor referred me to the hospital's weight loss center. They started me on a non-surgical program, and it worked a bit for a while. And then it didn't, and I gained everything back plus some. I even tried Wegovy for a while, but I could never get it long enough to see if it would work because of the shortages, plus the discounts dried up and the out of pocket was crazy. But this past summer, my weight peaked at the highest it had ever been, tied with the day I left the hospital after delivering my second child. My BMI had reached 40. My body ached, my feet ached. I was bloated all the time. Nothing fit. My heart kept doing a worrying fluttery thing. I had to increase my blood pressure medication. With the pandemic, I had stopped going to the weight management center. My doctor told me to go back. This time, they asked if I would be interested in considering surgery, and I jumped at the chance. It was like the second the question was asked, I knew it was time. If they'd asked earlier, I probably would've done it then. But for such a long time I didn't qualify, and then I probably did but everyone seemed to think I should still keep trying on my own. When I found out my out of pocket costs would only be around $3k, I nearly fainted. I assumed it would be so expensive. My brother was self-pay and it was 10k. Instead, it's the same as two months of Wegovy! Now I'm just counting the weeks until my Dec 27th surgery date.

I’m with you. I lost 23 pounds by the time of my 2 week post-op follow up. The following week I lost an additional 7 pounds. Now I’ve been stuck at the same exact weight for the past ten days. Very frustrating indeed. I’ve also begun to question if I’m doing something wrong.

Going in for surgery on Monday for the exact same thing, I have Hiatal Hernia and severe GERD/Acid Reflux. I also gained back a bit of weight, so I'm definitely looking forward to having another chance at this.

Try exercise snacking. Multiple short bursts of exercise throughout the day. Each burst adds to your total for the day. So say 3 x 10 min sessions = 30 mins of daily exercise. Much easier to slot in your busy day. This is what I do. Try to add things during your work day like going for a walk in the your lunch break, walk/jog up any stairs you have at work. Hand weights, resistance bands are handy things to use at home at night. Some stretches (yoga based) can help you relax after work too & are great for flexibility. I have a mat on my living room floor in front of the tv. Put on Great British Bake off & do a session of stretches & bands. I also like wall push ups. (I stand about 90cm - 3 feet - from the wall & do 60.)

This is coming from a guy, so take it with a grain of salt. I had to go to an event requiring a jacket and tie last week, which was 6 weeks after the pre-op diet (4 weeks post op) weight loss began. When I put on my suit I wore previously in September, I looked like a little kid trying on his dad's clothes. I needed a shirt 3 sizes smaller than my previous, but only 1 size smaller pants. I would suggest waiting to shop until about 2 weeks prior to the event because its hard to predict where you'll be at that point. As far as the foods go, after having the sleeve done, I'm ok with some foods that I probably shouldn't be ready for yet (ground beef, salmon, high fiber/low carb bread which I have since cut back out since its not diet friendly), but others that I should be ok with are making me feel sick (leafy greens, broccoli, canned tuna). Again, I would just assess where you are a week or two out from the wedding, maybe ask them what is on the menu, but maybe plan to pack a diet-friendly snack in your bag just in case. Congrats again on your surgery!

this scares me but what scares me more is being so overweight never being able to there for my kids for anything. I have lost 100lbs gained it back, lost 40lbs gained it back, I have a very unhealthy relationship with food and self image. Now I am turning to surgery because I feel as tho is my last option to get my life under control. I am aware of the habits that I have will need to stop, the amount of food I eat needs to stop, the alcohol consumption will need to reduce. I am willing to this because this will help me in the long run. I am so sorry your going through this and this does make me more nervous about undergoing this surgery

I don't know if the OP was a troll but I think the post has merits for the reflections it has created. My partner sees a therapist that specializes in eating disorders. She seems to be rather WLS negative because she sees patients that struggle with it and regret it. But in talking about it I realized for most of these people the regrets are driven by unrealistic expectations or having food addiction issues they've never dealt with--they weren't prepared to say goodbye to their relationship with food like Babyspoons points out. The surgery is hard on our minds and if our head game isn't strong it will take us down! Unrealistic expectations are so damaging to one's long term happiness. I don't know if it is the individual's issue, or a combo of that and surgeons painting a fairytale picture, but I had pretty frank discussions with my surgeon and GP about what I could expect from the surgery. I don't expect to lose 50 lbs in this first month. I don't expect to ultimately get down to 130lbs. I've set a reasonable goal for myself and we all agree it is attainable if everything works right. Not everything works right all the time. But I picked the surgery that had the highest chance of giving me what I really wanted---a loss of my co-morbidities. I decided that if I could kiss my diabetes and high blood pressure and high cholesterol goodbye, it would be worth the surgery even if I don't lose all the weight. Of course I want to lose the weight, but I'm a pragmatic person and I had to really dig deep and decide how I'd feel if I never meet my weight loss goal. I didn't want to be stuck with regrets, I hate regrets. But I think most people don't do this internal work pre-surgery so they are left trying to reckon with it all post surgery when expectations don't meet reality. I think there is a lesson in that for all of us...

Thought to post my stats as I’ve been tracking my weight and on some what was going on with my body at that time. IDK about any of my female Pals but since pre op diet my cycles started to get regular. I am thinking due to the increase of protein and vitamins with iron. I missed a couple days weighing in because I wasn’t feeling well. I only did daily because I wanted to see how my body did with getting all that extra fluid and swelling out. Here Goes: Weight 200 on 8/22 pre surgery 194.88 on 8/29 doc Office 205 - 1st morning after home from hospital 8/30 (swelling & fluid) 202 lbs after surgery Friday 9/1 200.8 - Saturday 9/2 197.8 -Sunday 9/3 196.4 - Monday 9/4 195.6 - Tues 9/5 193.6 - Weds 9/6 192.4 - Thurs 9/7 191.8 - Friday 9/8 192.4 - Sunday 9/10 190.0 - Monday 9/11 189.6 - Tuesday 9/12 189.4 Weds 9/13 190.6 Saturday 9/16 187.2 Sunday 9/17 189.4 Mon 9/18 started cycle yesterday 187.8 Weds 9/20 heavy cycle 186.8 Thurs 9/21 185.2 Fri 9/22

I signed up on here awhile back and waited to post anything until now and hope I can give some of my experience. March 1st of this year I had my gastric sleeve. I went in with a weight of 363 pounds and am 6’1. As of today posting this I am 225 pounds. Definitely was one of the smartest decisions I ever made for myself. Everyone’s journey is different. I was met with immediate energy following my procedure, like waking up everyday and ready to take on the world. And it’s still like that. For whatever reason for me, my eating habits and likes and dislikes immediately changed. I hated fish my whole life and now find myself craving it. Once loved ranch dressing, not it makes my stomach feel yuck. You hit these plateaus where your weight doesn’t change, sometimes for a couple weeks at a time, it’s easy to get discouraged but trust me, stay the course, don’t go back to bad habits and then bam! Next thing you know, you’re dropping a pound or two a day, followed by another plateau. This will happen repeatedly. For me I’ve noticed that walking 4 or 5 miles a day and being as active as possible REALLY makes it come off even quicker and maintaining a diet with no sugar for me has seriously helped. I treat myself to a little bit of carbs daily but mainly all proteins and it has worked great for me. Again, these are just the things that have worked in my journey and no two are the same. I’m fortunate that my job is pretty active so I keep track of my steps climbed and steps to get my exercise minutes in while I work. I also find a reason to be active when I’m not working. I wish everyone luck that is or has had this procedure done. And like I said, it’s the best thing I ever did for ME.

Awww, I'm sorry you have one more hoop to jump through! My advice for dealing with it is to let yourself honor that it sucks, that it is a frustration you don't want to deal with. Be mad about it! And once all the feelings ease, then put it in perspective. You'll lose weight better if you are getting better sleep. You'll have more energy with better sleep. You'll have your CPAP in the hospital with you in case you need it in recovery instead of having to use a hospital machine. And this need for CPAP is one more reason this surgery will be good for you and your body. Using it now is good caretaking and will make it that much sweeter when you can say goodbye to it because you don't need it anymore.