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Have a look at Dr Matthew Weiner’s Pound of Cure website and podcasts. He has excellent information, books (incl the metabolic reset diet) and online nutrition classes you can sign up for. They also have support groups you may find helpful too. Personally, I wouldn’t go back to the pre surgical shake diet. (I’m with you, those shakes are disgusting.) Instead go back to how you were eating once your weight initially stabilised. That calorie load was appropriate for the weight you were so will be a deficit for what you are consuming now therefore weight loss will occur Focus of your protein goals eating protein first then vegetables and finally any complex carbs as you are able. Ensure you’re getting your fluids in. Aim for lowish carbs, low sugar (real, artificial or alternatives), lower fats & add a little fruit. Check your portions, try to eat regularly & watch snacking. Track your intake even from now so you can see where you may need to make adjustments. You can start slowly by focussing on one modifying one or two aspect s at a time then two or so weeks later add another change.

Hi everyone! I’m looking for an accountability partner who understands the journey of a 200+ pound weight loss—whether you’ve already achieved it or are working toward it now. I had gastric bypass 10 years ago and initially lost 200 pounds, but I’ve since regained it. I’m starting to lose my mobility, but I refuse to give up. I know I need to use my tool and get this weight off (again). I’ve found that having an accountability partner makes a big difference, and I tend to stay much more consistent. Plus, I’ll admit I’m a little competitive! I run a business, so my work life can get busy, but I’m committed to making myself a priority this year. Weekly check-ins (or more often, if that works for you) would be great. Ideally, we’d both be committed to our goals and help keep each other accountable. 😊

When you're on a weight loss journey, it's tough to balance everything, including habits like vaping. Some people find that it doesn't affect their weight loss much, while others might notice it gets in the way, especially regarding cravings or energy levels. Trying to quit or reduce your vaping could help your overall health in the long run, and you might feel even better about your progress. There's no one-size-fits-all answer, but focusing on what works best for you is vital. If you're looking for good quality vaping products, check out sites like https://fryd.us.com , which have various options.

I wish you a happy healthy journey on your surgery and weight loss. I saw April Laren on YouTube had the DS and was very honest about her first few weeks. She might be worth a look.

well, i'm sure im not in the minority, but i mean get along with almost everybody (at least i think i do...lol)...the few people (men or women) that don't become my best friend or fun acquaintance at first sight were probably having a bad day...or maybe i was. in any case, i don't dislike an entire gender, species, race, BMI range, hair colour, whatever...thats just unfair, no? when i was working, i also worked in a male dominated field (IT), and i was often the only woman in the room for decades. but i still had (and do) have many female friends, most of whom i've known since grade or high school, and some newer ones i met along the way to old age. all of whom i am forever grateful for as nothing compares to girl time! much like i get more attention from men the thinner i get, i do so with women as well (and kids even). BUT what i have noticed over the years (and actually brought this up with my own Kid on many occasions) is that i seem to be getting alot of positive attention for younger women, like my daughters age (20's) much much more than i did when i was fatter. i am often approached and complimented on my purse, my hair, my nails, my exercise regimen, what i'm eating, how loud i laugh, my car, my singing, my enthusiastic dancing...you name it. the Kid says its because i exude a fun approachable vibe, and Mr. says its because i'm the size of a pre-teen girl and they mistake me as so....hahhahaha.

I find myself more attractive after weight loss, so why wouldn't men? If some didn't want to be my friend because of my weight, yeah, that's a problem. But didn't want to date me because of my weight, I get it. Beyond physical appearance, when I was overweight there were things I couldn't or didn't want to do, hike, skydive, beach vacations etc.. People want partners that they not only find attractive, but that enjoys many of the same activities they do. I met my bf after WLS surgery. We have had many conversations about my weight, WLS etc.. He would not have dated me at my pre WLS weight. And that's ok, because I wouldn't have dated him if he was 100 lbs heavier than he is now either. As far as the "male gaze", I am completely unbothered by it. Having men do the double, triple take is sometimes amusing, but mostly I'm indifferent to it. I'm out there in public, let them look.

I'm huge on measuring everything, I make my family crazy. lol, but it is really necessary especially post weight loss surgery. I'm hoping the more progress I make, it will change my sibling's outlook on food being healthy, and eating clean. But right now I'm going to focus on myself and hopefully, they both follow suit. Best of luck to you on your continued journey, Again thanks so much!

I had a sleeve 3/9/2021. I was a lower BMI and on meds so the surgeon thought it was a good idea for me. I lost from 235 to 168 pretty quick, stalled there for a few months and then started gaining. For the start with the sleeve it felt like more of a diet. The only thing that made it a bit more successful was the fact that I didn’t have hunger for a while but as soon as it came back, so did the weight. I went back to the surgeon at 258 this time and he said that obesity is very complex and the sleeve is just not enough of a metabolic change for some people. I revised to the SADI 8/7/2024 and at three months post op I have lost 60 pounds with about 40 left to reach my secret goal. From day one I have known that this is different this time. I am able to actually enjoy some of the healthy recipes I am trying. I am making stuff from scratch and I have energy and motivation to exercise. Don’t get me wrong. I would love to binge watch my favorite show while eating a pizza but exercise also makes me feel great when I’m done and the healthy food doesn’t taste terrible so the healthy choices are a lot easier this time. For me, recovery was a breeze with the sleeve. I asked them the moment I woke up to take me off of pain meds, and I went home the next day forgetting at one point that I even had surgery. This was because I did not have any gas pains the first time around. After the SADI, however, I did have very significant gas pains and spent five days in the hospital because I could not get off of the pain medication that they did not want to send me home on. Once I finally was able to pass gas a few times, iI was fine, went home and did not need any more pain meds, other than Tylenol. It sounds like you already went through the worst gas pain so I can’t imagine the recovery being much harder for you. It’s the same basic thing the same laparoscopic incisions. Feel like you’ve done 1000 crunches. Take the second to go from sitting to standing or sitting to lying down but once you’re up, it’s not so bad. My doctor did not operate on the stomach, some do re-sleeve it, but he felt that resleeving carried more risk than it was worth in terms of additional weight loss. I was pretty nervous about that to be honest, but I am back to my pretty normal portions already but that’s not an issue because I am eating 100% clean this time. One thing with the SADI is, it’s fairly new in medical community time frame. I have seen a lot of specialist from different fields and not one has ever heard of the SADI. I always have to tell them it’s a modified duodenal switch and they get it. So your doctors may not be aware of it meaning you really need to understand the surgery yourself to make sure that you ask the right questions for future care. Another obstacle for me has been that the nutritionist in my area at least are pretty much worthless when it comes to the SADI. I have been fortunate enough that the nurse practitioner helped me work out my macros by viewing my Fitness app and my food log app and I have worked out something that is working for me. Aside from that, I could not be happier with my choice. I was told I could do SADI or Bypass revision. My surgeon did a gastric emptying study, endoscopy, and a barium swallow test to make sure everything was OK with my sleeve and to see what I was a candidate for. He ended up leaving it up to me because either would’ve worked, but he advised that the weight loss statistically is a little more and more durable with the SADI revision. it is pretty normal to be nervous at this point in your journey, but statistically this is a relatively safe procedure and honestly, the risk are far less than the risks of all the other diseases and conditions that will pop up eventually if you don’t do anything. I hope this helps. And good luck on your surgery.

possibly a controversial comment, but i'll say it anyway: i don't think we are the same people inside after massive weight loss. going through that kind of huge change so quickly, i believe has GOT to have some sort impact on our phscyes. for me at least, i know my confidence increased 100-fold, or to be more precise, i RE-GAINED my confidence from 15 years ago, plus added more for good measure. my personality changed form a do-nothing to a do-everything. my constant irritation, annoyance and exhaustion was replaced with patience, understanding and energizer-bunny level ability. i am NOT the same person i was from my obesity era. and that's a fact. so yeah, OF COURSE others will react to me differently, because i'm DIFFERENT.

my husband met me when i was a smokin' hot, 120lb-23 year old, married me at a decent sized 130lb-30 yr old, was by my side as i worked my way up to a morbidly obese, 235lb-45 yr old, and is surprisingly still around as i am now a 105lb-52 yr old (smokin' hot again, if i say so myself, lol). i say "surprisingly" cuz i'm ALOT. and i know it, lol. the man has the patience of a SAINT for effs sakes (i'm very lucky). while i can't say if my weight loss/gain changed his attraction to me (i mean he'd NEVER say so, and apparently his want for sexy times has not increased nor diminished this entire time...if anything, MY OWN want for sexy times is directly proportional to my weight....the heavier i got, the less interested i was, you know? now i'm like energizer bunny again like my younger days, which i guess Mr. is pleased about, but i digress.) as for attention from others (male and/or female), yes, i know it is also proportional to my weight/looks. but i mean, lets be honest, i get more attention when i'm fitter, because...well, i'm fitter. i am not one of those that get offended because the same person that hit on me now when thin again, didn't when i was fat. that person is psychically attracted to a certain type. and i may or may not fit that bill depending at what point in time you get me. yes, i have a stunning personality, but if i am not physically attractive to you, you may never get to discover that. oh well, that's just how it goes. truth be told, i am much more physically attracted to fit, muscular men (case in point: my Mr. has been a literal FIT SPECIMEN then entire time i've known him). BUT...once that initial attraction is cemented, if a dude turns out to be an un-funny, un-intelligent, boring, DUD, then, well, next. luckily, Mr. has the brain to match the body (I WIN! lol) if a sandwich looked unappealing? would you eat it? most would not. i think the physical attraction is what hooks people, but its the personality/vibe that brings them in. so i guess what i'm saying is that people are people, and we don't need to hang on to perceived offences if it does us no good. accept the compliment, bask in your awesomeness, and move on. (or stay if you want a little fun, ha!)

So I will definitely say that I am so oblivious LOL I stay in my own world so I really don't know, however I do have a great deterrent from men talking to me....my kids! LOL My boyfriend has actually had a hard time with my weight loss...there was a good point where he felt uncomfortable being intimate. He said that the change happened so fast that I felt and looked so different he felt like he was cheating on the old me. He also preferred me fluffy, met me at 240lbs size 16, then I blew up to 297lbs size 20 after I had our baby, and now I am 160 ish at a size 2-4, but he also understood I did this surgery for my health. I am getting my boobies done 12/30 so I k now that will be another hurdle I think, then I most likely will be getting more obvious blunt attention that both of us will have to get used to. Our relationship is strong and our communication is really good so we will be okay but its been a process lol

I would say that I've always been easy on the eyes I'm not sure why people feel uncomfortable saying they are attractive. Im a very blunt person. I noticed when I was much larger even with being easy on the eyes the MALE gaze was not as strong as it is now. Sometimes the Male Gaze was none-existent to be honest. The old me (date 5 and break all 5 hearts) wants to resurface. It astounds me now how men will literally make a 360 in a store, gas station, they could even be with a significant other. Where was this male gaze when I was hitting 313 pounds? What does this say about men and what they presume as attractive? How does your current spouses/boyfriends feel about your weight loss? Any breakups?

Today I am officially one month post op. I just had my follow up with the team and I've lost 11.6kg (25.6 lbs) since surgery. They said this total weight loss "was slightly above expected range." So I don't know if I lost more than they expected me to or less than they expected me to, but they seem happy with my progress either way. They've also said as soon as I have no abdominal pain, I can start cycling again! I'm so happy to get back on the bike. Especially since in total, I've lost 24.1 kg (53 lbs) so I should be able to go further and faster on the bike!

Hi, my name is Krislynn, Kris, or just K., I'm new to this forum. I found it researching more about the duodenal switch. I turned 42 in July this year, and my highest weight before my first surgery was 536. I had the gastric sleeve in June 2017. The first year was a great learning experience in learning about healthy foods, changing my mindset, and what I needed to do to get healthy. That first year, I lost 221 lbs. But, then when I went back for the 2-year check-up, the surgeon that took care of me, had left the hospital and program and they informed me they had no one for me to see. But, then Covid hit shortly after that-- then I lost my job and ended up sitting home 2 years and gained close to 200 lbs back of what I lost and that was crippling to me because all my old health problems came right back. during all this happening, my mom and I chose to move from California to Indiana to be closer to my sister, I decided I couldn't take care of my mom who has declining health because of her weight too, has been type 2 diabetic for more than 20+ years at this rate with my health starting to decline again too. So I reached out to the weight loss doctors here, I spent 6 months Feb-Aug '24 taking off 70+ lbs by following their 1200 calorie diet, getting back into a healthy mindset. It's a struggle at times, and sometimes I take two big steps forward, and then I end up taking a big step backward, it's a daily walk. once I completed the mandatory 6-month medical weigh-ins, things moved quickly, I got approved by the psychologist, and then the insurance approved me to have the Duodenal Switch or SADIS surgery quickly, within a week I heard back. My new surgeon who's great, got me scheduled quickly after I finished all the required testing, and preop classes, this Monday, the 11th at 7 AM. I am feeling nervous because even though every test they've made me do has come back normal and negative, I am 7 years older and worry that something might possibly happen. I keep reminding myself, that I've already had the sleeve, so I won't be under that long, just long enough for him to do the switch. so basically, I'm going to go to sleep and then wake up on the other side of it. Can anyone who has had this surgery, give some advice or maybe just let me what to expect after this kind of surgery? The last time I woke up the only thing I remember is the immense pressure I felt on my chest from them feeling my stomach with gas to do the surgery. And The surgeon told me unfortunately I would be dealing with that again because it's something unavoidable. So, I'm prepared for that. Love to everyone, Krislynn☺️💜

I think you mean revision. A reversal would mean they rejoin your digestive system to what it was before surgery i.e. back to normal anatomy. (It’s high risk and your digestive system may not function the same or as effectively.) You can’t reverse a sleeve. But if you’re going from one type of weight loss surgery to another where they alter your digestive system further like sleeve to a bypass, or bypass to Sadi, etc, that’s a revision. It may change the responses you get unless you do mean reversal of course. 😊 Revisions aren’t uncommon, for various reasons, but haven’t heard of a reversal here.

I'm 21 years post-op. A sandwich that I could easily eat pre-op is 4 meals now. The thing is, my concept of 'standard' has changed completely. For this thing to work long term it had to*. In the years pre-op I could do any crash diet that came along with 100% compliance for months. I can do anything for a short time knowing the short time would end eventually. That's not change, that's will power, which most of us have in abundance. WLS is forever*. The early "honeymoon" period shouldn't be about losing weight as fast as you can*. It should be about changing "normal" and getting weight loss as a positive reinforcement for compliance*. Compliance + positive reinforcement + time = new normal*. My plan was to eat the way I would after I lost all the weight. Basically, I started my "maintenance" plan the day after surgery. I eat now pretty much as I have since about 3 months post-op, though now I complete more meals than I did at 3 months. There is no "after." This is my normal, the way I eat without thinking. WLS is forever is my opinion. Plenty of folks have done the draconian post-op diet and lost all their weight and even maintained it for years. Many track every morsel they eat forever. For me, that's no way to live. This is not how my surgeon wanted me to live. Good luck, Tek * Personal opinion.

I used to be able to hold my phone between my thighs for whatever reason... tying my hair up. Now I can't, like at all. It's funny to me. I have literally never had a thigh gap in my entire life.

No! No! No! Besides why would you? Let’s be honest. We enjoy eating. The smell, the textures, the flavours, the look and sometimes the sound of food ( like the crunch of an apple) is appealing & gives us pleasure. We celebrate with food. We share food with loved ones. We give thanks with food. Why would you sacrifice that to drink a protein shake for every meal? Yes, you may be prescribed shakes in your pre surgical diet and you will be prescribed them for usually 2 weeks after surgery. The pre surgery shakes are to increase your weight loss to improve your surgical success odds & to shrink your liver so the surgeon can see the surgical field more easily. Post surgery it’s to support your healing & not strain your digestive system (remember all those sutures & stables holding it together). Short term reliance on shakes. The goals of the surgery include you changing your relationship with food and establishing a healthy, nutritionally dense, sustainable way of eating. Drinking shakes for any extended period of time is simply not sustainable. It’s not nutritionally sound, only gives more power to cravings, creates new bad relationships with food and will highly likely result in weight regain & poor health. Key word here is supplement. If you are struggling to get your protein in via the real food you eat, sure a protein shake can be beneficial as a supplement to your earring. Same with any vitamin or supplement. If your body is lacking in specific vitamin or minerals, sure take a supplement but they should never be what you totally rely on to get the nutrients your body needs to function unless you have a specific medical condition that means you can not eat real, solid food. I never touched another shake after I began purées (start of week 3). My goal was always to get all the nutrients I needed through real food. And I do. I don’t even take vitamins now (except in winter when I have a dip in my vitamin D - I feel the cold so hibernate in winter & rug up if I have to go out so little sunlight for me then). Ask your nutritionalist, surgeon & GP. I bet they agree with all of us.

I am asking for your help/advice. I am a physical therapist and I underwent my own bariatric surgery in 2022. I am looking to develop a unique bariatric program that provides exercise programs and support to people undergoing rapid weight loss whether from surgery or from medication. If you guys could answer a few questions for me it would be greatly appreciated and would help me build my practice! 1. Did you exercise before surgery? And what was your biggest challenge? 2. Would you have benefited from a preop physical therapy appointment to develop a customize strength training program that took into consideration your current limitations and orthopedic issues. 3. how were you educated on post operative activity and physical restrictions? Would you have liked a week by week guide on what activities you can return to and when? 4. Were you educated on exercises to maintain muscle mass through your first year postoperatively? 5. What kind of exercises did you do postoperatively in the first year? Did you hire a personal trainer? Join the gym? Search online? 6. Did you develop any new or worsening musculoskeletal pain as you were more mobile and your body composition changed? 7. Let me know if you have any other ideas on how having a physical therapist on your bariatric team would have benefited you both before and after surgery. Thanks so much everyone. I may be piloting this program with a few patients. Email me if you’re interested (I’m licensed to treat in N.C.) contact@localpointpt.com

I struggled to eat enough to slow my losing though not as much as you are. I reached goal at 6 months and was barely eating 900 calories. It took another year to get to about 1300 calories and for my weight loss to stabilise. To increase my intake I was eating all day long or it certainly felt that way. I had three meals and 5 or 6 snacks, predominately in the afternoon and evening. It took another year +/- to get to around 1600 calories which is about what I eat now to continue to pretty much maintain that initial stabilised weight.. And yes I still snack but only 3 or 4 times a day now to meet my caloric needs. So, yes, some of us do take time to get those calories up. But you are a more extreme case. If this has happened in rare other cases, what did they say what treatment was used in those cases? Can they stretch your pouch via an endoscopy or balloon? Have they suggested you incorporate those nutrient dense, high calorie smoothies like Ensure used for those with digestive and eating issues?

I think I will use them more once I’m out of weight loss phase but I want to incorporate some now just to get the variety of nutrition that they offer. Got my labs back this morning and they are good so far. I would like to keep them that way.

@ms.sss 😂😂😂 yasss the clearance section I miss it 😩😩😩! That is definitely a win! Thanks 4 tha compliments! Crazy how sometimes the face changes drastically after weight loss. Before my poor cheeks looked like a puffer fish 😂. Meh life

Wow, I seem to have a good portion of those symptoms, especially "was snapping at everyone and I had a general unwell feeling and I started to get back pain" Then my blood pressure dropped low. Along with extreme fatigue and hair loss. I have all of the above. Thank you for sharing, I think I need to bring this up when I go in for my check up. Thank you! I really hope you start to get better soon!

BlondePatriotinCDA- I have been tracking my food and beverages until yesterday I was eating 500-600 calories a day for the last year waking up at night is the only way I am able to increase my intake. My symptoms aside from low calorie intake was severe hair loss, extreme fatigue like I could only be awake for a few hours at a time. I have epilepsy with medication I typically have 1 seizure a month, suddenly I was having severe a week. My mood also changed I am usually a very happy bubble person and my thoughts and emotions started going to a very dark place. I lost the ability to think clearly, could not even watch a 30 min show without losing g focus. I was snapping at everyone and I had a general unwell feeling and I started to get back pain and upper stomach pain. Then my blood pressure dropped low.

You definitely have a serious issue, but I don't think it's your weight. Your weight isn't going to kill you, at least not at the size you are right now, but your mental health might. And it certainly is robbing you of the joy in life that you deserve to experience. That's tragic. And unfortunately, surgery or weight loss isn't a cure. Gaining weight can take a toll, both mentally and physically. I understand, because I went from 5'6" and 127 lbs at age 16 to weighing 225 lbs by age 32 and hitting 250 lbs by 49. I tried many diets. I exercised. I worked with a dietician for about 7 years and tried many medications, including Saxenda and Wegovy. I developed high blood pressure and became prediabetic. For 33 years, I gained weight, lost a bit for a while, and kept gaining more. But I also lived a fairly happy life. I got married, bought a house, had two children, started a career I enjoyed, traveled to lots of places I had always wanted to see, learned new hobbies, spent time with friends and loved ones. Was I frustrated that I had to buy clothing in the plus department? Yes. Did I sometimes look in the mirror and feel sad at how I looked? Absolutely. But that wasn't my identity and it didn't dictate what I allowed myself to do or experience. Feeling like your life is destroyed, that life is a cruel joke, and reaching a point where you do not wish to continue living is an extreme and unhealthy reaction to gaining weight. It's a huge red flag that something else is going on with your mental health. That, in my opinion, is way more pressing to take care of right now than reducing the size of your body. I had surgery because I knew it was what I needed for my health. It would clear up physical issues and help me live a longer life with more activity and less pain. I did it because I loved myself and I knew I deserved to get every ounce of joy from life that I could. But a year ago, 80 lbs heavier than now, I loved myself exactly as much as I do today. I don't love myself any more now because I'm thinner, even though I do love how I look. And I love myself now way more than I probably did when I was downright skinny in my youth. There's no magic number on the scale that makes you worth loving. You're worth that at every size, shape, and age. I'm not saying to give up on losing weight or on getting weight loss surgery. If it's important to you, you can find a way. There are some amazing and affordable self-pay surgery options available in Mexico, for example. You could start saving a little bit of money each month now if it feels worth it to you. I hope this won't happen, but if you continue to gain weight, you will eventually qualify for surgery through your health care. In the US, it's at a 35 BMI with comorbidities and at a 40 BMI based on obesity alone. I assume the standards in Canada are similar. But no matter what you do, I would encourage you to find help with your mental health and self-image. You deserve to be happy with who you are and not to have how you feel about yourself be based primarily on something as arbitrary as a number on the scale or the tag inside your jeans.