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Happy birthday! I had my surgery less than a week before my birthday, so I was still on liquids for my birthday. I didn't (and really couldn't) do anything food-wise for my birthday that year. What else do you normally do to celebrate your birthday? Do your friends and family give you gifts? You can still open gifts on your birthday. Maybe instead of going out for a birthday meal, you can find another (non-food-related) activity to do with your friends and family, like a movie or show, escape room, spa day, mini golf, etc. Something to consider with respect to a birthday treat is that you might have a bad reaction to it, so think about whether you want to risk getting sick on your birthday. Maybe instead you can find a bakery that makes sugar-free cupcakes, or a health food store that sells protein brownies, or make yourself a sugar-free protein mug cake.

I was barely eating 900 calories at 6 months (almost a cup of food for a meal depending on what it was & one snack) & at my goal weight. But my stats are different from yours. I’m likely older, definitely shorter & I wasn’t & still aren’t overly active. (I eat about 1600 now to maintain my weight.) You have every right to ask for greater guidance around calories, portion sizes, macros, etc. from your nutritionalist if it makes you feel more confident about your choices & comfortable about what you’re doing. If they refuse you may have to find another one who is willing to support you. Yes, I know calorie counting is considered out, but for us it is an important consideration especially until we feel more secure in what we’re doing & helps us to lose/maintain & maintain our health. We need that guidance now as most of us didn’t know what the hell we were doing in regard to appropriate foods to eat, nutrients our bodies needed, appropriate portion sizes, etc. We’re new borns about a lot of this in the beginning. If we knew it all & could do it we wouldn’t have needed the surgery. Honestly, I wasn’t given calories goals or specific macro except protein 60g for me. Just portion size, and low carb, low fat, low sugar. I was okay with that though I would still randomly check for my own interest. I did a lot of my own reading, and was very careful with what I chose to eat & checked with my dietician at every fortnightly appointment. As I said, you have to feel comfortable & confident about what you’re doing. After those first heady weeks of large weekly weight drops &, regardless of our starting weight, our rate of loss slows. One to two pounds a weeks is okay especially as you are on the homeward path now. Remember that 1-2lbs a week is generally considered a healthy rate of lose for anyone losing weight. Wait until you’re almost there & you’re losing ounces not pounds a week. Believe me, the last few pounds to lose are a b*tch to lose.

Some things I’ve learnt. I am cynical so be warned. Save your money on any supplements or creams to save your hair or tone your skin or reduce skin laxity. Of course any general body care & self care is always a good thing. My cynical self says just don’t put your faith & heart into believing all the miracle cure alls. The hair you lose is hair that you would have shed anyway - your natural shedding cycle is just accelerated for a couple of months. It’s dead hair & you can’t save that no matter how many supplements you take. Those that say it helped don’t know how much hair they would have lost & they still lose for the same 3 or so months as those who didn’t take anything or use special shampoo. Remember too your new growth hair is still growing just at it’s a usual rate. You & your stylist are probably the only ones who’ll notice your loss & in a year or so it will be as it was. How much loose skin you end up with depends on many factors - age, how long you were at your highest weight, how long you carried weight, how much weight you lose, genetics. The loose skin is skin that has been stretched too far & can’t retract any more like elastic in old knickers or an old well used hair band. Only way to get rid of it is through surgery. I’ll be honest. I weakened & bowed to social media & bought that Maey’s B cream range: see results in a month. Well 6 months later & no change. My skin was softer but any cream would have done that. Still had sagging skin & cellulite. Should have saved the $200+. Also did collagen powder & silica for months too. Any change? Nope. Best thing I did for my facial laxity was micro needling/RF. Not a miracle cure but I can see improvement. Did 4 monthly sessions a year ago & two maintenance sessions for this year. (Lipstick bleeding almost gone, acne scarring more shallow, jowls tighter, more defined jawline in general, don’t have to distort my face to see my cheekbones, skin velvet soft, …) See there are things I believe in - LOL!!! As for general vitamins before surgery, have a blood test first & find out what nutrients you may be lacking in & supplement those so you are in a healthier place before surgery. No point taking vitamins you don’t need yet. Many of them you simply pee out what your body doesn’t need. The better, more nutrient dense, balanced diet, being generally healthier, probably did me the most good. My skin isn’t dry anymore (even my feet), don’t have those little bumps on my arms, my nails aren’t as ridged, sleep better, etc. All the best - exciting times ahead for you,

I am a little over 6 months post op, how many calories are you eating now? I am getting about 900-1000 calories, 80g of protein, 50g of carbs. Anyone else have a starting weight at 360ish at 5'9", how much did you lose at 6 months? My surgeon doesn't offer an aftercare support team and the nutritionist (had to get a referral from my primary) that I am seeing doesn't like giving numbers. I also don't feel I can ask him as he will just refer to the paperwork he gave me at the start, which just says under 1200 calories and 60-80g of protein. I am very happy with the weight that I have lost so far, 100lbs since surgery, but it has been very slow the last 2 months or so. I still feel that I should be losing at a faster rate than I am which is only about 1-2lbs a week. Is this just an average weight loss when I weigh 263lbs at 5' 9", haven't been down to this weight in over 15 years.

Another thing to remember is a lot of nerves were cut during your surgery so signals to tell you things like you’ve had enough, eaten too much or doing damage just aren’t getting through or aren’t getting through clearly. You getting sick is a sign you’ve over done it. As I always say all because you can doesn’t mean you should & at the moment you really shouldn’t. It takes 8 weeks or more to fully heal & the staged return to eating is in place to protect your tummy & all those sutures & staples holding it together, & support your healing. It’s also important to follow portion size recommendations. Plans & requirements are different but double check how much you are allowed for a meal. I was allowed 1/4 - 1/3 cup from purée slowly increasing to about a cup at 6 months but that was my plan your’s could be different. You’re right about the head hunger trying to convince you you’re still hungry. You can always tell if it’s head hunger if you’re wanting to eat a specific food, flavour or texture. The desire for solid food or anything you can actually chew is a head hunger that is challenging for many from the liquid stage. Plus not being able to have something always makes you want it more. Recognising it for what it really is a big part of doing that head work & learning it to manage it Many of us find distraction helps with head hunger. Read, craft, play a game, phone a friend or family member, go for a walk, check social media or this forum, etc. Sipping a warm drink can be helpful too. (I could count green or decaf tea in my fluid intake. It may be worth double checking if you can count your decaf tea.) All the best.

I was in the large family that celebrated/soothed everything with food. Sad? Have a cookie you’ll feel better! Good grades? Have some ice cream! Birthday? Don’t forget the cake! Going to a reunion? Make sure you bring the potato salad and pink stuff! Oh someone died? Don’t forget the luncheon and the funeral potatoes and pie. But dinners most week nights were my responsibility after age 10 so we ate a lot of latchkey ability dinners- spaghetti, white people tacos (tortillas, ground beef, shredded cheese, iceberg lettuce and sour cream), and Mac and cheese with peas and tuna mixed in, and potato surprise (mashed potatoes, ground beef, peas, and shredded cheese). Now? I’m still the one cooking even for holidays and such. I don’t regret it but I do make better choices now that I know better…. Most of the time.

Happy New Year! And oh my goodness, yes the hair shedding has been crazy for me too. I am trying not to worry too much about it because I heard it is normal due to trauma of the surgery and the nutritional changes, and that it might come back in thicker than before. I also heard that some ended up with wavy hair who used to have straight hair before surgery. I am keeping my fingers crossed for some wavy hair, because mine wouldn't hold a curl for nothing! But at the end of the day as long as it slows down shedding and comes back a little fuller, I will be happy. I make sure to get my BCAAs/Collagen in at least once day, and of course my daily multivitamin. My 3 month blood labs looked good overall according to my surgeon's office, so I haven't added any extra biotin at this time. I do take a B-12 twice a week. Keep us posted how the hair shedding goes for you. Take Care, Maia03

I just had a revision from the sleeve to a bypass a week ago today. I'm already 16 pounds down. I had horrible stomach acid... the thing is, lifelong taking medicines for stomach acid is bad for you. Increases cancer risks, dementia risks, and accelerates bone loss. I did not want to be taking these meds for decades to come when science has proven how dangerous that is. I've had no vomiting or nausea while healing. This time around, the vitamins don't even make me sick which is a huge relief. They used to.

Honestly 3 days out I was in the zone! 🤣 I missed chewing things, and other people's food smelled amazing, but I had a variety of shake and broth flavors, prus flavored waters, so I was doing pretty good! I was nervous about the surgery but excited! I was working on getting my house in order for post op life and I spent a ton of time pinning recipes for the post op phases. 🤣 You are almost there!! Good luck!!

My god 3 more days seems like a lifetime away! Today i had a literal mouthwatering craving for one of my favorite foods. It came out of no where honestly and it took all my will power to tough out that episode. Thankfully it was also close to my next feeding ( thats what i call my "meals" lol ) and that definitely helped kick out that craving from my mind whew! But it was definitely a close one let me tell you. Also had to switch broth flavors because the same old really DOES get old after a while. How is everything going with those of you who are currently in your diets? How did those who have done it feel at this point in yours if you can remember back? Lol.

I had a thick head of hair, thankfully, however I've been shedding like mad for the past 6 weeks. (Surgery was mid August). I've been taking all my vitamins and one for hair skin and nails but sure doesn't seem to be working. My dietitian suggested to start taking collagen, she also said my hair loss should stop around 8 months. Unflavored beef gelatin is all collagen so I came up with a recipe for jello cubes and just started that. I'm down 87 lbs. My face has been breaking out something awful and I'm nearly 67. Wondering if anyone else has had this issue. I wish everyone great success.

I didn't realize how much the label "obese" bothered me until I stepped on the scale and found myself in the "overweight" category. I became teary eyed. It is sad that labels can mean so much. There is no practical difference between the two pounds more that I weighed last week and then the two pounds less this week. Thirty pounds ago my I lost my sleep apnea diagnosis (and CPAP!), forty pounds ago I went from Type-2 diabetic A1C to pre-diabetic (then to normal!) and fifty pounds ago I dropped my blood pressure meds and maintain a normal BP. Those are the most important "wins." But it sure feels good to be "overweight" (and not obese).

I am losing massive amounts of hair really picked up two weeks ago. Had some blood work done and was low on a few vitamins and minerals hoping getting those up helps considering cutting it all off to help hide the thinness

Today is 11 days post op and I’ve had serious cravings over the past two days. I started having a protein shake again which also helps the leg and foot cramps, then added a 4th meal a day. I also had a cup of broth in case I just needed salt. Yesterday it got so bad and I realized that I’ve been eating only yogurt and puréed cottage cheese so I got some smoked salmon and ate one ounce of it, that has set me back to rights again. Woke up feeling so much better this morning. It’s been an adventure, we live in the Midwest and lost power Friday evening, we’ve been in a hotel since Saturday. I brought my scale and a small container so I could portion out yogurt or cottage cheese but didn’t have any meat or fish. i don’t really feel hungry in my belly anymore, just a vague feeling of alarm that I need something. Most of the time I can just reassure myself but yesterday I knew it was hunger and that I needed something more substantial. The smoked salmon is very soft and I chewed it for forever, and I loved every moment of it🙂. (Note: I’ve been on purées since the day after surgery, tomorrow is my 2 week post op appointment, and I would have blitzed the salmon but I’m just making do the best I can with the snowy adventures. I also ate scrambled egg at Denny’s, I measured out 2 ounces and just fork squished the heck out of it and that went well too.)

Choosing a surgeon and Days 1-3 It's Sunday night and my surgery was Friday morning (1/12/24). My gastric sleeve was 3/24/23. I lost almost half the weight before my Gastric Sleeve surgery. I chose to have my surgery in Tijuana, Mexico because of the cost and I have a friend who lives about 45 minutes away in Mexico and my father lives about 2 hours away. I started my research reading about medical tourism in general to get advice on what to look for and what questions to ask. I started my search with Realself.com and chose surgeons with 4+ stars,10 or more years experience, and who said they were part of the American Board of Plastic Surgeons or the American or International Societies of Aestetic Plastic Surgeons. I read all the reviews I could find, noting all the bad things said, and verified they were actually listed on the board or society sites. One of them wasn't. I made virtual appointments with 3 and chose Dr. Rodolfo Casillo Calderon, who is listed on both the American and International Societies. He originally told me I had to wait until a year after my surgery, but I reached my goal and my weight stabilized in early October so I was able to move the date up. I uploaded a bunch of pictures to myTouchMD and when we did our call he explained in detail what he would do, complete with drawings on my pictures. He explained possible problems and what could be included in my package and that I would have a patient coordinator to walk me through it and answer questions. I had told him I wanted a 360, breast lift with gummy implants, and a BBL (i've always had dents in my butt and got called board butt in high school). He told me he didn't think I had enough fat in the area he was working for a BBL, especially since some of the transferred fat would die, but he would see what he could do. I asked for the best medicine package and told them I didn't need transportation to/from the airport since my dad and friend would provide that). I also told him in the future, I wanted my inner thighs, maybe my arms if I could get a good price at the same time and a face-lift. He told me that was too much to do in one surgery, that the face-lift would be one and the thighs and arms another, and they had to be at least 6 months apart. He sent me a quote for the 360, breast lift with implants and lipo and said it included the mons reduction and lift but not the BBL. The quote included the surgery, labs, cardiology evaluation, compression garments, meds, hospital stay of 1 night, and 6 nights in a recovery home that has 24/7 nursing staff and food. $12,699. I paid a 20% deposit and paid the balance during my pre-op lab appointment. I also filled out paperwork and met my coordinator. When I talked to Dr. Castillo in person, he took the pre-op pictures and told me again that he didn't think I had enough fat for a BBL, but he would see what he could do. I was disappointed, but trusted his judgment. I woke up after surgery in recovery, and they took me to a room and bolstered me well with pillows. I had a catheter, so I didn't have to move. My right toes felt numb and I couldn't feel my left toes, The nurse said it was from the anesthesia and would wear off and it did. I could feel and move my toes again. I had good service ar CER Hospial and spent the evening eating, drinking and watching TV. I asked for a snack and they got me some crackers (the cafeteria was closed and I didn't want jello). The next morning (Saturday) Dr. Castillo came in and talked about my surgery. He put 320cc in my right breast and 240 in my left and explained it would take a while for them to drop. He also told me he did a little fat transfer to my butt and gave me instructions to reduce death of the fat and stressed that there wasn't enough fat for a ful BBL, but he did what he could and it mostly came from my hips. Then his nurse came in and gave me my meds and instructions for aftercare. My patient coordinator from his office also came in and told me I'd get picked up by Casa by Linda's driver at about noon and asked if I have any questions. Shortly before noon they took my catheter and IV out and the nurse helped me sit up and helped put the compression garments on me, then I got dressed. The drive was a bit scary. The driver said it was like driving in New York with people pulling out and changing lanes without enough room. He told me interesting stuff about Tijuana and prohibition, how the margarita came to be made, and about Rita Hayword's history, getting discovered, and changing her name. I was helped out of the car and to my room, which has a queen hospital bed. The head was inclined and my space was pre-padded. I got in bed and they explained the remote and how to call them and asked if I had questions, needed anything, and if I was hungry. They brought me lunch and my friend came with my backpack and snacks. I was able to get out of bed and put my stuff away. My laptop, tablet, and snacks are all in reach. Sitting up is the most painful. Lying down in my nest of pillows is not as painful, but hurts pretty bad. To get up, I put the foot of the bed down, the head up, and roll to the side, then use my arm to push myself up. To get back in bed, I get on the bed on my knees and position my knee at the far side of my nest, then lower myself sideways and roll into the in the nest. My breasts aren't hurting at all. The compression garments has an open crotch, so you don't have to mess with it to go to the bathroom. The staff here respond quickly to requests and bring me my antibiotics and pain meds, and so far the pain is tolerable and I've been able to walk. You walk hunched over and slow. Linda has come in several times to check on me and see if I need anything. She is originally from Canada and is a US citizen, married to a local. This morning, after breakfast, I took a shower. One of the staff helped me with my compression garments (it hooks down both sides) and got the water ready. There is a seat in the shower with the shower head within reach. I hosed myself down and she handed me a washcloth and put soap on it. I didn't have to ask her for help as I was able to bring my legs up to wash them (it wasn'teasy). After I rinced myself off, she put antiseptic on gause and applied it to my incisions. I dried myself and got into bed to wait for the return of my compression garments (they washed the blood out). When she returned with my compression garments, she put gause in my new belly button and over the incisions in the back that had bled, then she helped me hook the garments up, putting a square of gause over my nipples. Nothing else to report. Unlike Friday and Saturday, I slept most of the day.

I just had surgery on 1/4/24 and I am struggling. I never used to be obsessed with food and now it's all I think about. I am so sick of the Protein drinks and jello because everything tastes too sweet for me now. It feels/tastes like I am drinking sweetened condensed milk from the can. I am limited with broths I like, so that's an issue. I couldn't take it anymore, so I broke down and has refried beans yesterday (I'm not supposed to start pureed food until Tuesday). I regret having the surgery, and am resentful about not being to eat the foods I want. I have been on the liver shrinking diet 1 week before Christmas, which was awful watching everyone eat all those delicious Christmas treats, while I just watched. I think between that and the liquid diet post-surgery has broken me. I am emotional and miserable. Am I the only person to feel this way?

January 8th!! 1 week post op ☺️

I’m about 2 1/2 almost 3 weeks out of surgery. My doctor said to go ahead and move onto the purée stage for about a week. My concern is that I have no problem eating. I can eat 4 ounces without any hesitation I can drink an 8 ounce glass of water without any hesitation. it almost feels like I didn’t have surgery. Now if I drink too fast, or I tend to eat something, maybe a little bit more than I should’ve maybe like 5 ounces I will get sick. Or I will just feel sick. I guess that’s how I remember that I had surgery and I’m not supposed to eat so much. It just seems so weird outside of surgery so soon that I feel like mentally I could sit and eat a burger and fries. I know physically I can’t eat a burger and fries but it’s getting my mind to correlate with my body. I know there’s a lot of mental work that has to be done after surgery and I thought I got myself prepared for that before surgery. so I guess I just need to work harder on the mindset of eating 4 ounces every couple hours to keep myself from being hungry. Because I do feel hungry at times. I do however recognize when I’m just bored hungry. So I’m hoping I can start moving out of that board hungry state And into not being hungry even when I’m bored. I know this week I noticed that I didn’t lose as much as I had been losing and I think a lot of that has to do with moving onto the purée stage and actually eating food. Also, I noticed that I didn’t get all my water in. The most I’ve been able to remember to drink has been like 48 ounces instead of 64. So I have to be better focused on getting my water in .

I’m three weeks out of surgery. I’m feeling kind of the same way technically. For my tracker I weigh twice a week on Sundays and Wednesdays. I noticed this week from Wednesday to Sunday I didn’t have the weight loss that I was kind of expecting. I’ve also started the purée stage where I’m actually eating stuff now. One of the Support groups that I’m in there is a woman there and she said that this is normal and I talked to my doctor and he said it was normal so I guess it’s normal. I know I’ve heard of the stalls that happen within the first few months. you’ll have stalls as your body adjusts to the new eating habits. Just make sure that you’re eating your protein, getting your water, taking your vitamins, and eating foods that you should be eating, such as puréed vegetables, or soft foods, or whatever that are healthy. Your body will adjust as time goes on and will all feel these kind of oh my God moments. But we got this we’ll get through this. I’m not gonna start worrying about the stalls until I’m six months out and not losing any weight by then, your body should be on the role of losing. I hope that helps.

Be gentle on yourself. You’ve never done this before so of course you have doubts & worries & questions & … Walk, walk, walk for gas pains. And yes arm movements will help too. The surgical gas is in your abdominal cavity (not in your tummy or intestines so gas-x doesn’t really help & neither does trying to burp or fart it out) & rises to sit behind your lungs putting pressure in nerves causing the shoulder pain. The gas is then absorbed into your lungs where you breathe it out hence why the activity is helpful. It’s usually all fine within a week. While you are healing (takes about 8 weeks to fully heal) & while you are losing, it’s important to follow your plan. You’ll have the best success that way. And ask questions of your team (or here) if something doesn’t make sense to you or you’re confused. Go slowly with your eating & drinking (sip, sip, sip) especially now & for the next months. Your tummy is healing. It’s very sensitive. Yes try different temps - I found warm drinks more soothing as cold drinks made my poor tummy cramp. You may find for a few weeks your tummy is very fussy & doesn’t like certain foods, flavours or textures. Even the smell of somethings can turn you off. It’s temporary & passes after a couple of months. In the long term you may choose to eat a lot of your old favourites. Smaller portions, less frequently, or variations of a favourite (ingredient swaps or changed cooking methods). That’s up to you & how you want to eat in the long term. In a few months you’ll look back & realise what you’ve achieved & how worth it it’s been. All the best.

The first year is where you will have the most success setting a new baseline weight, so avoiding excess sugar is important. I will say from personal experience, and recovering from Type 2 diabetes, if I have sugar like I did over the holidays (cookies, egg nog, cake), I would start to crave it constantly. It would take about 2-3 days of avoiding it to stop being "hangry". If I didn't make myself focus on high protein and savory foods, I would crave sugar, bread, and starch constantly. For special occasions you can have some after your restrictions are lifted, but just be aware it will temporarily make you crave more, and can get out of hand if you let it.

Hi Sleeve to Bypass. good to know I never got the bypass. I was so worried cause of you saying the weight loss and all. I ended up in Emergency NYE as I couldn’t intake anything. I was in so much pain and extremely dehydrated. They went in and found I had to perforations. One just above the fundoplication on my oesophagus and the other in the stomach. A week in hospital on intravenous meds and now 1 week home and I am feeling so much better.

Hi all. When I was on round one journey this came From the dietician when I had my stall. The stalls are normal. A lot of you are getting active and building muscle. You’ll notice more in the measurements then the scales. Spoke with the Dr this morning and he said I can try soft soft diet. So I got off the phone and went straight for the scrambled eggs( haven’t been able to stomach them in the last 17 months) oh they were a delight and how I missed them.

4 weeks post and can’t handle more than 2 slices of deli sliced American cheese.

Hi all. Glad to hear so many doing well even with little bumps along the way. I overindulged a little in sweets around Christmas but have otherwise been doing good in keeping to the plan. I’ve been tracking weight each week and have had a few stalls but things are in a good direction. I’m down about 70 pounds from the start of the pre-op diet and 40 from surgery. I’m about 100 pounds down from my heaviest ever weight before diabetes meds, etc. It’s been about 8-10 inches in waist size on my pants. I’ve been trying to exercise more but we’ve had so many sicknesses in my house and I can’t really exercise much while coughing. My biggest goal is to get more consistent with my weekly exercise. I got a Bowflex to try to get more toning in at home.