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@Char V - Sorry to hear you've had to deal with all of that. Hoping they can resolve it for you quickly! @sisyfitri - Hope you're doing well! I know what you mean about the appetite. My head keeps telling me to eat what I used to, but my stomach definitely throttles my intake if I overdo it. I'm getting better estimating what I can eat in situations where I can't measure, but still haven't perfected it yet. @ZeeGee - Glad to hear things are moving along well for you! My surgery date was Nov 20, and I was hoping to start hitting the gym with the rest of the New Years Resolution folks next week, but caught covid on Christmas Eve and still super weak. Hoping to get my strength back soon and get back at it later in January.

I can't imagine why a single cocktail a few weeks before surgery would be an issue when you haven't been given any kind of pre-op restrictions. Seems like the right time for one final toast to the future.

I dont know what weight you are so its really guess work. I did a 3 week pre op diet and with 2 months post surgery weight loss, I dropped 40 pounds. If you do the same and bought your outfit, maybe your clothes would not fit. I really had a struggle with food after surgery. At 2 months I was just about getting the hang of it. I would not have eaten regular food. Soup, milk, yogurts and cheese were my staples at that time. If I had to go to a function I would pack myself a emergency pack, just in case. I had massive drops in energy and needed lots of little meals to pick me up. I still carry protein bars and a drink.

Has anything changed? New medication? Lifestyle change? Has a little complacency slipped in? Not as active? You’ve been through Thanksgiving & Christmas recently could they have contributed? Go back to tracking your food & fluids to check you’re meeting goals. Go back to how you were eating before you reached your lowest weight in regards to portion sizes, calories, macros, etc. Protein first, then vegetables & finally only if you’re able any carbs you’re allowed. Check in with your dietician to ensure you’re not missing something. Remember not everyone reaches their goal. The average weightloss at the three year mark is 65% of the weight you would need to lose to put you in a healthier range. You’ve got this.

Hi there!!! I have been summoned, I see lol Ok, so a little about what I've been through, and then I'll give any advice I can. I had the sleeve in May 2022. Initially, I was doing awesome. Lost a lot of weight, got off several meds, health issues corrected, it was awesome. Right up until it wasn't. Around 6 months post op, I started noticing some reflux issues (which I had never had before). It steadily got worse and I had to have a barium swallow (NASTY!!!) to see what was happening. I had severe GERD, gastritis, and esophagitis. I also had a narrowing esophagus. So I was put on Nexium (40mg once per day). The GERD steadily got worse and worse until I was put on 80mg of Nexium daily as well as Pepcid for break through (which I took daily). It still didn't completely help. I was on such a high amount of PPI for such a long time that I ended up developing an OBSCENE amount of polyps all through my stomach and duodenum. This year, I had 7 surgeries to remove all of the polyps, stretch my esophagus, and have a revision to a bypass. I also had to have the part of the stomach that's bypassed removed because that's where so many of the polyps were forming. When I had the sleeve, I had so much pain, trouble tolerating anything cold, trouble taking pills, trouble getting in enough water. It was completely miserable. With my revision to bypass, it was like the heavens opened up and the angels started singing to me. No pain meds at all beyond Tylenol. Up and around within 4 days. Was able to take pills from day 1. No GERD at all. No constipation like with the sleeve. Able to get my fluids in from day 1 (drank a 20 oz of water in the hospital within 2 hours of getting back to my room from recovery), no issues with temps of liquids. My only regret is that I didn't just get the bypass to begin with. Because of all the surgeries, my abdominal wall weakened and I developed a ventral hernia that was repaired 3 weeks ago. Still recovering from that one. I was freaked out at first at the thought of getting a bypass. It's why I opted for the sleeve to begin with. I was afraid of dumping, I was afraid of malabsorption, I was afraid of getting a stricture. Well, I only dump if I have too many carbs, so I just avoid them for the most part (I never even get to my allotted amount, I'm always way under). I haven't had any stricture, but if I do, it's a super easy fix (and after everything I've already been through, I'm not even a tiny bit worried). And malabsorption is only an issue with extended release meds (I don't take those now) and vitamins (take bariatric ones or double up on the regular ones). There was nothing to be worried about, but I let the chatter from those that weren't in my position freak me out and cause me to choose the sleeve instead of the bypass. My advice to you is to not listen to anyone else. You and your doctor know what's best for you. The revision will give you your life back. Being pain and complication free is worth its weight in...well...everything. When you look at everything you've been through up until this point, the recovery from the revision will be a walk in the park. It's better for your health (physically and mentally) and it will allow you to get back to your life. This surgery is supposed to afford us the chance to have the life and health we've always been meant to, and complications can really do a number on us. The revision will be a godsend to you, mark my words. I don't have a single regret.

Surgon told me to do a liquid diet for a week & then make sure I measure my food. I’m 5 years out & still measure my food to not go over 3.5 oz. It took me 2 years to meet my goal, then I put back on 15lbs but this is where my body seems happy at. I got down to my goal weight with The Fast Metabolism Diet. Check it out.

Hi everyone, I am new to this, or any group. I had the gastric surgery in Feb 2006, weighing nearly 430 lbs. in one year, I lost 210 lbs. I gained about 50 lbs back the following year traveling every week for work. But I maintained the 160 lb loss for many years. Little by little I gained another 50 lbs back, but was still 100 lbs less. About a year ago, 17 years post surgery I began having many many problems with dumping, nausea, dehydrating and severe diarrhea. As a result I have lost about 90 of the 100 lbs I had gained. I have seen gastric doctors, Bariatric doctors and all types of specialists and nobody can find anything wrong, yet I continue not to be able to eat. Has anyone on here ever had these issues and if so, what did you do? Thank you!

If I remember correctly (it was 2017) the clinician told me immediately he would approve me and the official results were in my file within a week (this was before the hospital system I used implemented MyChart)

If I remember correctly (it was 2017) the clinician told me immediately he would approve me and the official results were in my file within a week (this was before the hospital system I used implemented MyChart)

I actually had made a pumpkin soup when I was wrong about being able to eat soft foods lol I thought on day 7 I can eat soft foods but it was really week 2, meaning 2 weeks post op lol 😂 but it was fine I took it down when I did eat. Yesterday I decided to get fancy and try and buy a smoothie that had protein I thought I read the ingredients right and girl I literally had what I think is dumping syndrome lol it was the worst within ten minutes of drinking literally like less than five sips I was just not feeling well. I read some people don’t get it from sugary things so I’m glad I do bc it will help later I’m an emotional reck too not being able to eat anything and wanting to sucks but it’s what I signed up for lol. I just got new protein powder to make a shake at home so I’ll be fine I’m basically supposed to be on a liquid diet til Monday but since I’m a little slow lol and read my diet wrong I’m going stick on it for a few extra days. I was backed up (sorry tmi) for a good week had to take miralax but I’m noticing now that I’m not my weight is going down and I can see my stomach going down. I’m not gonna weight myself til my next visit. im just sick of the same “food” also I was doing premier caramel but the smell of it disgust me now 😩 I’m definitely emotional but feeling my belly go down and my hips feeling a bit less wide and my thighs are feeling a little more thin makes it a bit better also binge watching tv 🫠hang in there girlie we got this! As for the yogurt I love the toasted coconut ones I forget the brand. also yesterday I went out and wore jeans high rises and my stomach did not like that 🤔I was in pain from driving w them bc they had dug into my belly. I had a hiatal hernia also so dunno if I am just feeling bad still from both surgeries but I’m certain that next month I am looking forward to that. To feeling some sort of normalcy. Also did anyone else get a cute little bear! It’s a cough buddy he literally has been everywhere w me lol

I actually had made a pumpkin soup when I was wrong about being able to eat soft foods lol I thought on day 7 I can eat soft foods but it was really week 2, meaning 2 weeks post op lol 😂 but it was fine I took it down when I did eat. Yesterday I decided to get fancy and try and buy a smoothie that had protein I thought I read the ingredients right and girl I literally had what I think is dumping syndrome lol it was the worst within ten minutes of drinking literally like less than five sips I was just not feeling well. I read some people don’t get it from sugary things so I’m glad I do bc it will help later I’m an emotional reck too not being able to eat anything and wanting to sucks but it’s what I signed up for lol. I just got new protein powder to make a shake at home so I’ll be fine I’m basically supposed to be on a liquid diet til Monday but since I’m a little slow lol and read my diet wrong I’m going stick on it for a few extra days. I was backed up (sorry tmi) for a good week had to take miralax but I’m noticing now that I’m not my weight is going down and I can see my stomach going down. I’m not gonna weight myself til my next visit. im just sick of the same “food” also I was doing premier caramel but the smell of it disgust me now 😩 I’m definitely emotional but feeling my belly go down and my hips feeling a bit less wide and my thighs are feeling a little more thin makes it a bit better also binge watching tv 🫠hang in there girlie we got this! As for the yogurt I love the toasted coconut ones I forget the brand. also yesterday I went out and wore jeans high rises and my stomach did not like that 🤔I was in pain from driving w them bc they had dug into my belly. I had a hiatal hernia also so dunno if I am just feeling bad still from both surgeries but I’m certain that next month I am looking forward to that. To feeling some sort of normalcy. Also did anyone else get a cute little bear! It’s a cough buddy he literally has been everywhere w me lol

it's actually very common to have a rebound gain of 10-20 lbs during year 3. There was a dietitian once on Unjury's online support group who said in her clinic, they don't even consider anything less that 15% of the person's lowest weight to be a regain (so in your case, they wouldn't consider anything under a 21.6 lb gain as "regain" - it's just more-or-less expected). Granted, you're up more than that, but only by about 10 lbs. You can always lose weight again by getting back on track. If it's really tough to do that (and it can be..), maybe just make one or two small changes at a time until they become a habit. Start with something not super challenging - like logging your food intake - or taking a walk 3x a week. Or whatever...just anything that seems achievable. It all adds up in the end... A lot of people have dealt with this, so you're definitely not alone.

Hi a little on what’s happened to me. 16 months ago I had to have gastric sleeve as my hiatus hernia and other issues had strangled my stomach. I had the hiatus hernia repaired at the same time. 4 weeks later I had to go in for a stretch as I couldn’t stomach soft foods. 3 months later I was still on purée and soft soft foods. We did more testing and surgery again to fix the hiatus. Things didn’t progress past the purée. I was sent to our state capital to see the head surgeon. After running more tests they found more issues. My stomach had moved above my heart. Causing most of my eating issues. I had surgery #4, 8 weeks ago. After a 3 Hr operation they repaired the hiatus, fixed my Nissan fundoplication and had to staple more stomach away as I had a pouch. I was on liquid for 3 weeks, purée for 3 weeks. But a day after starting soft foods I am back to liquids/purée as everytime I ate it felt like an air bubble was blocked and I was vomiting. now everytime I drink/eat/swallow saliva I get a sharp stabbing pain. The surgeon has said I may have to have bypass. how has everyone coped with GB and any tips for me please?

Ouch that happen to me last week Sunday trying to get everything for Christmas I was so bad at the end of the day had been out from 5am til like 3 definitely pushed my limits that day. I dunno how I found this forum but glad I did I was beginning to feel so alone! Basically I plan to just get weighed once I go back to my doctors office at this point. Rest up and happy loosing for you take it easy I’ve been binge watching tv but admittedly it gets kinda boring lol. Thank you for your responses I hope to hear about your next few weeks :)!

That’s sounds more understandable I went into the office today and to my surprise I was 228 he said I misunderstood the diet plan lol I was not to start soft foods til two week after the surgery not on week two which makes me feel so much better because it’s easy to drink but wasn’t as easy to eat those puréed foods. my incisions are fine the biggest one I’m assuming is where they took the stomach out is bumpy also lol 😂 I feel fine to get up and walk about but after a certain point it’s over doing it this week I’m sick of being home so I’m heading to the mall today to exchange shoes for my kids the walking should be okay. Doc says walking only til week 6 post op. Which is a bummer bc I have a workout bike I set up last night too excited to use lol

I had my surgery a day after you!!! I was also completely out of it for a few days. Haven’t vomited since the first day of the operation though. I weighed myself after a week and had lost 5lbs but I lost 20lb doing the LRD which was pure liquids for 3 weeks before my op!! I had a call from the surgeon today that said to not focus on weight for the first few weeks as it will constantly go up and down and then start to properly shift and stall and shift again when incorporating more textures and calories! I can have puréed food from next Tuesday. how are you incisions healing? I have a really awkward one that feels like a dent but it’s slowly getting there!!! hope your recovery goes well x

Hey loves! I had my surgery 12.18 I’m about a week and half post op now. I have my follow up appointment today although they literally wanted me in there the day after I was discharged I was in no condition to go so I had to reschedule. Anesthesia hits me really hard every time so I was out for the first two days for the most part. My surgery experience was pretty good they found and fixed a hernia that was interesting to hear. I started out at 240 and im down 10 lbs now but for this week im been bouncing back from 229 to 230 :-/ I have been following the diet the doctors recommended if anything im not able to eat all they recommended per meal. I have experienced being backed up so would recommend anyone who hasn’t had their surgery yet to have miralax ready. Overall I’m fine I haven’t had any vomiting or anything else weird happen. I do feel a little frustrated bc last week I was dropping a lb a day. But my doctor said to introduce purée food this week so I’m assuming that has to do with the hold up🤷‍♀️. I have been walking daily and last night pulled out my workout bike so I will see what happens next. Sending you all prayers and congratulations to those who’ve had and are yet to get their surgery. I heard of the 3 week stall but I feel like I’m already there on week 2 :-/! Anyone else dealing with that? Is 10 lbs good? I’m 5’4 and started at 240 when I began my journey to get this surgery I was 234. In a week and a half I’m down 10lbs.

Think that’s normal and very natural. Changing your life is difficult. I’m nervous, had my pre op assessment today and my BP was through the roof, purely because I was there. I’m also frightened of being dependent upon people for even a short while. I take comfort knowing they do the surgery 3 times per week and people come through the other side. speak about your doubts. Bringing them into light might help.

Hi all. New here. Had my surgery on 12/18/23: DS/BPD. Spent a single night in the hospital, with discharge ~1pm the following day. Apparently I'm having a somewhat rare complication, which is severe hiccups. By severe I mean where the diaphragm spasms and holds for 10 seconds, during which you cannot breathe. Fortunately, this hasn't happened more than once per day, and today I got a scrip for a drug called Reglan which should moderate the hiccups until whatever is irritating my diaphragm heals itself. Aside from that, the weight is dropping off rapidly. Lost 11 lbs on the 2 week pre-surgery 1K cal/day diet, and am losing since surgery an average of 2.3 lbs / day, which is mind blowing. Cheers, Bruce

Everyone recovers differently. One friend was back after a week, another was three weeks while I was four. Is it possible to extend your leave if you need, or return part time or with reduced daily hours? Can you work partly at home? Better to have a plan in place your employers are happy with just in case you need it. All the best with your surgery.

Dr Weiner resources are great as are Dr John Pilcher’s. Bounce back regain is always a possibility in the second & third year. I believe the average is about 10lb/5kgs so that could be a possibility. This regain can be from not being as vigilant, how you were eating wasn’t sustainable (too restrictive) & didn’t allow you to live & enjoy your life as you want, a change in medication, & your body & new weight set point resettling. And yes, muscle weighs more than fat so some of the regain could be from that too. (Maybe have a dexa scan to compared your fat & muscle mass.) Start by making one or two changes to your eating & then in a week or two make another change or two. You can start small. Maybe track your food to begin. Then up your protein & fluids if you’re not meeting your goals. Adjust your portions if they have become larger. Then drop some of your sugar or carbs or swap the highly processed refined carbs for low processed multi or whole grain options. Etc. Small changes are often easier to adopt & adapt to than large all encompassing changes. Doesn't matter how long it takes you to get fully back on track.

Thanks fornthe heads up. I have plans to cooked broccoli cheese soup next week. I will let you know if it was a no go for me.

I'm a sleeve to bypass conversion. I had a hernia, that complicated matters. I'm over a decade out from the horror of that sleeve. I'm just over 3 months out with the bypass. The hernia caused issues and the longer healing time was due to it. If I have any pull or ache, its in that area. For 3 months gone, the reflux (was like yours, actually worse, I had carafate to eat anything) is gone. I've had 1 time where some stuff came up like reflux. A mild little one for the 2nd time it happened. That's it. I control how much food goes in. When I dont, I throw up. I've had a bean get stuck (wow was that painful), couple of times I've swallowed 3x instead of 2 for liquids and it was too much. I've thrown up but nothing like before. If I'm really really careful, watch the time and amount of food at one time frame, I'm good. Stay at 2 swallows, I'm good. After the misery of before, this is great! That having been said, I dropped to malnutrition level because of some other medical problems. As of end of last week, I am 8 pounds from being overweight for my BMI. 36 pounds from being normal weight. So I don't think I'll be dropping it like I did my sleeve. I dropped 27 pounds the first month, and that was 27% of the excess body weight.

I highly recommend looking at the videos on the Pound of Cure channel on You Tube, which go into detail about how to eat to lower your body's metabolic setpoint. Foods that are ultra-processed and high carb push your body's setpoint, the weight it wants to maintain, higher, where nutrient dense foods like leafy green vegetables, beans, nuts, and seeds, make your body want to maintain a lower weight. As I have been preparing for surgery, I found the Pound of Cure book on Amazon and implemented many of the basic changes it recommends, such as cutting out processed foods, breads, sugar, and artificial sweeteners, and eating more vegetables, fruits, and beans. I lost 15 pounds in around 3 months without counting calories or ever feeling hungry. And I can also say that in the past several weeks, as the holiday treats have infiltrated my house, I have not been as good about eating that way, and to no one's surprise, my weight has shifted upward. I will be returning to better nutrition as soon as the last of the ham, sweet potatoes, and pie from Christmas dinner is out of the house! I recommend starting with these videos that I've linked below (and then, if you're like me, binge watching the rest of Dr. Weiner's channel). I find his advice to be a common sense approach to nutrition that you should be able to implement long-term without a lot of pain. Hope this helps!

The reason for erratic weigh-ins (and the infamous three-week stall) is that in the early stages of running a sustained calorie deficit, your body does not burn much fat. Your body worked hard to store fat and considers it a precious commodity that it does not want to part with for no reason. For extra energy to make up for a lack of calories in the short term, your body first burns glycogen. 1 gram of glycogen is bound with 3 grams of water, so as you burn it for fuel, you also flush out this water weight. Only when the glycogen reserve is used up does your body turn to burning fat. The first few weeks after surgery, you were probably lucky to get in 600 calories per day. Your body was burning glycogen like crazy. When the numbers first dropped on the scale, that was almost entirely water weight. Now that you're a couple weeks out, you're allowed to have some pureed food, and you can probably get closer to your protein goals with your shakes. With a few extra calories coming in (still nowhere close to what you need every day to power your bodily functions), your body is at least reassured you are not in imminent danger of starvation. It's taking a look at your empty glycogen reserves with horror and doing its best to fill them back up with the calories you are giving it, like a squirrel storing up acorns for winter. For every gram of glycogen your body puts into the storage cupboard, you've got 3 grams of water tagging along for the ride. Meanwhile, you can rest assured that your body is also burning fat to keep your engines running. However, when you step on the scale, it can't really tell you that you've burned 4 pounds of fat and also stored 7 pounds of glycogen and water. It's just going to tell you that you've gained 3 pounds. But you've done nothing wrong. This is your body doing what evolution programmed it to do since humans lived in caves and constantly had to battle short-term food shortages. Once you've restocked that glycogen, you'll start being able to see the fat loss on the scale again, and in your measurements. As long as you keep doing what you're supposed to do, your weight will move in the right direction. But not as a straight line. Weight loss looks a lot more like a staircase with drops and plateaus, and a lot of small fluctuations that have nothing to do with fat. Try not to let it drive you crazy!