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One week, then once or twice daily after that. I take 2 stool softeners every day on the advice of my doctor. Softener is not a laxative, so your bowels won't become dependent on it. Keeps things moving. I never have constipation but notice if I don't have my daily movement, my weight stalls.

There is a lot of conflicting information out there so I'm not going to argue. Even different surgeons say different things. I will say that all bariatric surgeries altogether have a high chance of reversing diabetes. I have not heard of anyone that still has type two diabetes after the sleeve unless they regained their weight. Maybe the 'punishing' term rang bad to you, but what I meant was consequences for carb dumping and overeating are usually more severe for DS and Bypass patients. So maybe punishing was not the correct term. I'm sorry you saw it as being negative for those with bypass/switch but that was not my intention. But I do view throwing up, foaming at the mouth, dumping, and general malaise as punishing. No one enters into these surgeries to feel that way but keeping bad habits does result in this outcome and I wouldn't call it a reward. It is a definitely and incentive for many not to eat badly. I have even read on here and seen in other places where people felt they need something really restrictive to keep their diet in check. It happens with sleeves (not the foaming bit) too but you can usually get away with more. This is why the success rate with sleeve patients are slightly less. Also you don't have to defend your choice in surgery to me or explain it. I am not saying any surgery is better or worse than the other. All surgery comes with risks and downsides. The original poster asked for the NEGATIVES and the positives for the different surgeries and I just told her what my surgeon, research, patients of all three surgeries have said, and some other bariatric surgeons I follow. Also I never said sleeve patients couldn't suffer from vitamin deficiencies. I said it is more common (easier) with switch and bypass, which it is. Sleeve is not a malabsorption surgery. Vitamin deficiency also occurs in non-bariatric patients. A lot of people are suffering from vitamin d deficiency right now who have never had surgery. I can point you to a bariatric surgeon who doesn't even believe that sleeve patients need as high as potency and 'bariatric vitamins' like bypass and switch patients but they set the standard and the industry is going with it. Also, weightloss is more rapid for switch and bypass generally which is why gallbladder problems is more common but as always it doesn't HAVE to occur. Which I never indicated this was a one shoe fits all for anybody. It's a risk. At the end of the day everyone must make their own decision on what is right for them. Be it sleeve, switch, or bypass. I commend anyone taking charge of their life and going through this difficult process to come out the other side happier and healthier.

I wouldn't double my workout. That's a pretty substantial change. Just make changes (if they're even warranted, which they might not be. I like the advice above that if you're eating to plan, you're good. If you're not, then get back to eating to plan) - anyway, if you're going to make changes, esp if they're warranted, then make ones you can live with long term. Yes - I could get back to my lowest weight - 138 lbs. But that would mean substantially cutting my current calorie level and/or really beefing up my fitness routine. Am I willing to do that, possibly permanently? I wrestled with this for a long time and finally decided no, it's too much of a struggle for me. My body seems to want to be where it's currently at. And I'm OK where I am. But it took me awhile to get to that point mentally. nevertheless, if you're eating according to plan, you may not be done losing. Those last 20 lbs are so are notoriously tough to get off. Remember I said I had months near the end where I was only losing 1-2 lbs a month, despite working pretty hard at it.

Just an update on my situation: On Wednesday evening, I emailed my primary care physician and asked her if she could look into things because I still had heard nothing. Yesterday, I heard back from her, confirming she had reached out on my behalf and the center was indeed closing. She was shocked I had received no information. This morning, I got a call first from the office of the doctor I had seen at the weight management center up until July, when I moved from the medical to surgical side. She wants me to come in Monday so she can walk me through things, and I think just to see how I am doing with all this because she's really nice and had been my doctor for 6+ years. A few hours later, I finally heard from the manager who was supposed to be contacting me. He told me the center is officially closing in February, so all remaining surgeries were cancelled, and he told me of three options for centers within the same hospital group (Beth Israel Lahey) that had agreed to help absorb the affected patients. He is supposed to be sending my information to the one I chose, Winchester Hospital, and I also left them a message this afternoon (their office closes early on Fridays so I just missed them). Praying that I'll have a better idea on Monday how big a delay this will cause and how many new flaming hoops I will have to jump through. Bottom line, reaching out to my primary care doctor seemed to get the wheels turning, so never be afraid to be the squeaky wheel! Also, I managed to keep my temper in check with the manager because I'm positive this is not his doing, but I would welcome the chance to express my displeasure to the hospital administration. A troop of poorly trained chimpanzees could have handled this with more compassion and competency, and I think that reflects directly on the upper management (upon whom I have been wishing many unpleasant afflictions this week).

I did gastric bypass + hiatal hernia repair June 6. I have had very few "issues"-- a couple of "one step over the line," one incident of the dreaded foamies, but generally, smooth sailing. I was at around 274 lbs and now am at around 206-7, depending on scale and time of day. That's crazy! I look at the stats for how much folks lose on average and this seems to be beyond the norm. I'm not complaining-- I not only walk, but got into a rigorous exercise regime with a trainer. His focus, for now, is balance, and "whole body"--I do some weights but the "balance" stuff has been a real blessing. I have checked the boxes with the M.D.s- my cardiologist has no problem with testosterone treatment as a means to build muscle mass. I need to get my surgeon to sign off on that, just to be sure. But man, this has been an amazing journey in a very short time. I'm way more mobile, fit into clothes I forgot I had (I used to buy really nice stuff, turned into a slob, and now I'm caring about my appearance again!). I'm closing in on 70 years-- and have not felt this vigorous in a long while. My taste buds have definitely changed. But it's worth the trade-off in health and fitness. And no more GERD!!!

CartyGirl98 you're not doing anything wrong. I just saw my surgeons PA yesterday and was told that in the first 2 weeks you will lose from 7-15 pounds. Sounds like you are right on track. I am just finishing up my last day of pureed foods. At the beginning of starting it, I gained 2 pounds. I am down a total of 13 pounds since surgery on 9/22/23. Hang in there. When is your follow up?

I don't know where my other post went - I swore I typed one up earlier. Oh well - Here we go again! So, I'm at 3 weeks out exactly today from my SADI (Sleeve + Intestinal shortening) surgery and I'm definitely starting to feel less pulling and pinching with movements. I'm beginning week two of my puree diet, and I feel like it's going pretty well. During the Protein shake / liquid post diet for two weeks I did deal with constipation. It's still leveling out, but as I eat more 'regular' food (Even as a puree) that seems to be lifting a bit. I did still take some milk of magnesia yesterday out of caution because I hadn't 'gone' in two days, and didn't want to worry about it worsening. I'd say the hardest part for me continues to be the 'No drinking 30 mins before/after meals' but I use the Baritastic app to set a timer. I also use the timer to make sure my 'meals' take at least 30 minutes. Want to make sure I don't rush and end up feeling poorly afterward. Things that have worked well for me during my puree stage include egg drop soup, chicken/tuna salad made with puree chicken or tuna, light mayo, and sometimes a bit of relish, and for added protein a boiled egg or two, with or without the yolks per preference. (Dill relish is healthier than sweet relish). I did allow myself 2-3 saltines with those, usually about 3.5 oz of the tuna or chicken salad makes me feel sated. Other recipes that have worked include the ricotta bake and unstuffed cabbage rolls, pureed low fat/0 sugar yogurt or cottage cheese with Genepro powder and cooked, strained strawberries or blueberries (I added a bit of 0% Milk to make it more of a smoothie), Riccotta pureed with either a bit of fruit or avocado, small serving of oatmeal pureed with fruit (test yourself with an ounce or two less than you normally eat for oatmeal because it sits heavy and often swells - add some zero or skim milk to make it thinner if needed. Other recipes include homemade no-noodle chicken soup of sorts with rotisserie chicken, chicken broth, and pureed carrots w/a little bit of onion powder or diced onion. I also made a homemade 'philly cheese steak' filling of sorts with some sautéed bell peppers and a bit of diced onion, some roast beef lunch meat, and cream cheese. Others speak highly of pureed refried beans with a bit of seasoning to taste more like taco meat, adding either a bit of mild salsa or a combination of onion powder and perhaps a bit of cumin. That's a personal choice, and definitely suggest going slow with your seasoning due to possible heartburn. You could add a bit of shredded low-fat/skim mozzarella or even low fat sour cream to round it out. Today I made 'chicken pot pie w/no crust' which was basically just cooked carrots and finely diced celery and onions with finely diced rotisserie chicken with a can each of 98% fat free cream of celery and 98% fat free cream of chicken. I haven't had any yet because I'm a little unsure about the celery, even cooked, but pureed and in a small serving I'm sure it would treat me fine. The Ricotta Bake I made was super simple and I know there are a lot of variations to the recipe online. I made my own marinara sauce by peeling about 5 smallish tomatoes, dicing them, and simmering them with a little less than equal parts water, Italian seasoning, and a bit of diced onion. The ricotta mixture was easy; just used 8oz ricotta cheese, 1 egg, 1/2 cup of grated parmesan (I used the shaker but fresh is better) and 1/4 cup shredded mozzarella cheese. I put a layer of half the mix on the bottom of a buttered baking dish, topped it with 1/2 lb cooked and seasoned ground beef, then put the rest of the mixture on top. Poured about 3/4 of the homemade marinara over it then covered the dish with aluminum foil and baked at 400 degrees for about 20 minutes. It's basically a no-noodle lasagna. The Unstuffed Cabbage Rolls I made were equally easy - I used a rotary grinder (Works SO well, bought on Amazon for around twenty bucks) to grate half a head of lettuce. Instead of canned diced tomatoes I once I again peeled about 5 small/medium tomatoes and diced them, adding to the skillet along with maybe 1/8 cup diced onion and another 1/2 lb of the ground beef. For seasoning the recipe I used just had me add a packet of Italian Dressing Seasoning mix. The family enjoyed it and after pureeing the ground beef a bit I found it fine to eat, although slowly and very well chewed (same with the ground beef in my ricotta bake). Both it and the Ricotta bake probably make about eight 1/3 cup servings with about 22g of Protein each. I want to respond more to folks - @Pepper_No_Salt I hate that you're dealing with so much nausea! I absolutely second talking to your care team about that. There are some nausea pills that dissolve under the tongue and work more quickly for me than the Zofran, they'd probably be willing to call you in some. Things that made me feel queasy were taking meds or vitamins before my meal had hit bottom, drinking too quickly, not walking around after I ate, and taking calcium and my multivitamin with iron too close to my Calcium. Not sure if any of that helps - I am also taking Prilosec for heartburn in the mornings and they had me add Magnesium Citrate at bedtime to help with constipation. Sometimes when I'm due to pass gas or have a bowel movement working its way through my system I'd start to feel a little icky and not really nauseous but more anxiety / feelings of fullness. I found that for whatever reason putting an ice pack on my chest or low back helped. I hope you find some relief! Oh, I also found that as soon as my thirty minutes post-meal is up it helps me to sip on REALLY cold water or Gatorade zero, especially if I do it while standing and moving around a little bit. I equate it to the need to get the burps out after eating, just like I had to do post-surgery. @ShoppGirl - Thanks for all of your support and input. I continue to read your posts and while I'm low energy on responding right now I hope the details of my recipe for the unstuffed cabbage bake is helpful! @draikaina8503 - Congratulations on your walk! I still wear out quickly even at three weeks out, but I knew the first month or two would be a slog and do feel my energy is rebounding. @Onemealplan - Sounds like you're doing great and I hope you enjoy the heck out of your vacation! I second what you said to @ShoppGirl about trying the crab, and hope the meals you do get to taste on vacation treat you well. I think her advice to just explain you're recovery from stomach surgery should more than reassure any staff concerned about your small portions. @AndreaJD I'm so glad your sister has been supportive! My 'chosen' brother and best friend has likewise done the same. He's been on a Keto journey for about two years with great results and I worried at first that he would think I was taking the 'easy way out' and now that he's heard more he's been great in reassuring me that he does NOT think that is the case at all, and in fact believes I chose a great option for myself that moves things along quicker but certainly with a lot of sacrifice and hard work. I also completely agree with you on the 'mind hunger' vs 'body hunger'. I'm lucky that I do feel a bit of pressure in my chest that I now identify as a feeling of 'fullness' as opposed to anxiety and I'm less worried about my protein goals now that I have the Genepro protein powder. I love that it isn't gritty when I mix it in with things as long as I mix it with something room temperature FIRST. That's on the instructions, actually, as is the fact that for your macros to count it as like 30-ish grams of protein per scoop rather than the 'weight' listed in Nutrition facts of 11g/scoop. Just wanted to make sur eI mentioned that! Oh - in regards to weighing - I get on the scale every day or so to kind of 'reinforce' what I'm doing, but remember that sometimes you see more from your measuring tape at the waist, hips, etc than the scale will show. Also head's up, a lot of folks plateau for a handful of days around week three and it will happen on and off moving forward, so don't be discouraged by that! @RRenaeL23 - I hope these recipes and suggestions for your puree diet work well! I'm still finding myself comfortable eating no more than about 3-4 oz at a meal, and certainly am following the no drinking 30 mins before/after meals. It's absolutely easier for me to do if I make sure my meal is on the moist side, even if it means adding a little extra water. It's better to add protein powder (Can't speak highly enough of the unflavored Genepro) to hit your protein goal than to overeat to make it, that's for sure! I'm always eager for my 30 minutes to be up so I can sip on icy cold water or Gatorade Zero. @Meme Campbell - Best of luck to you on your surgery tomorrow! Don't hesitate to ask for ice packs and pain relief and take advantage of the pain relief to get some walking in, especially the first couple of days. The pain lessons as you walk because it works the gas out. I also strongly suggest sipping your shakes / water / propel sitting as upright as is possible and not laying back until about ten minutes has passed or you've burped a few times! Keep us updated! Most of us in this thread have already had our surgeries but if you read through the first 3-7 pages you'll get a pretty good idea of what to expect if you don't already feel prepared. It's a bit of a process but the pain WILL start to lessen in the coming weeks! Don't be surprised when you get tired super quickly and be gentle on your body. Across the board surgeons seem to agree that your #1 priority fresh out of surgery will be walking as tolerated, focusing on your hydration, and getting as much protein as you comfortably can. Don't let yourself go more than three days without a bowel movement - Milk of Magnesia works wonders for that. I let myself go 5 days post surgery and that was a somewhat painful and unpleasant process to reverse. Colace makes your bowel movements 'smoother' but is NOT a laxative. If you deal with heartburn talk to your team - they put me on Prilosec for now. We're rooting for you! Sorry for anyone I missed; not sure what happened to my other post. Wishing you all the best in surgeries and recoveries!

So I had my bypass on May 10th. I have puked and puked. They did a endoscopy everything was fine. So my surgeon had a ultrasound of my gallbladder done the same day. It showed gallstones and sludge. She said this is common with rapid weight loss. So last Wednesday I had my gallbladder removed and she repaired two hernias and I have one more hernia they are putting off fixing until I finish losing weight. I’m so frustrated, I was really excited because I made homemade chicken noodle soup with a little bit of Turkey sandwich. Well I only had a couple bites and puked that up too. I’ve lost almost 90 pds but I’m tired of being sick. I go for my post op check Wednesday maybe it’s just to soon.

I know this is an older post but it was so well done I had to comment. I'm having my POS band removed very soon I hate it. It doesn't work long term etc,, The first band was in 2008 and redone in 2014 since then all weight is back. 380 right now. Question? Why do I read all the bad things here about MGB? stalls, pain, GERD, ulcers, and can never use aspirin again? I chew a baby aspirin every day 83mg for my heart...MGB seems to be the best overall procedure. Thought maybe of the sleeve but heard even worse things about it. I'm confused as to what to do next as the Band has not proven a long-term solution for me. I'm 58 and don't want to go through this again. Also, does the stomach still produce hunger hormone which is removed with the Sleeve? Thanks and great post!

Hi friends. I had my gastric sleeve surgery on November 14th, and everything went smoothly. Pre-up was a breeze for me, I was excited, and generally my mood was good and looking forward to the future. Today, Ten days later and physically I am doing well, I think. I am having a mind over matter problem when it comes to “eating” well drinking my “food”, you know what I mean. Nothing and I mean nothing appeals to me accept really cold water and ice. I hate to sound so dramatic but I am repulsed by anything else, protein shakes, broth, etc etc. it’s not that I can’t keep it down or the taste is that bad (even if it is) it’s my brain. I see myself and I look different, I have definitely lost weight and that’s awesome but I have been really depressed. I don’t even know why, it’s not because of this reason or that reason. I feel lost is the best way to describe it. Like it’s not me here right. I don’t feel like I used to, I don’t even enjoy things that I used to. I feel really alone and like I am in some foreign place where I don’t even know myself. My husband has been supportive but when I try to explain this he goes into the “well this is what you wanted” lecture and I feel worse so I don’t really talk to anyone about it because well yeah this was my doing, my choice. No one wants to hear me complain. I was really curious to know if anyone else who is close to where I am in my “journey” have had these feelings. Maybe I’m just going crazy. Thanks for obliging me, it even feels better to type this out.

Just like it takes time for our heads to catch up with how we look so too does it take others. They have a picture of you in their heads so they also have to come to terms with as you are now & really see you. I had several people ‘helpfully’ tell me I had lost enough weight. I had people tell me they didn’t recognise me during the time I had lost down to around my usual weight range (mid 60s kg +/-). This was the weight range I had been most of my adult life (30 odd years). I was only my largest obese size for about 4 or so years. They should have easily recognised me. Now 2+ years later no one says a thing. Apparently the taller you are the larger the circumference of your bones. That’s the true meaning of being big boned. For e.g. woman 5’2” - 5’5” with a wrist measurement of 6.25” - 6.5” have a medium frame (mine is just under 6”). When overweight I used to be told I had a larger frame. It was just people trying to be nice & not say I was fat. Only about 5% of the population have large frames & the same have small frames. Everyone else has an medium or average frame. Initially my surgeon & his colleague were a little concerned I was still losing past my goal. Then one appointment, I remember his colleague really looking at me & then saying you really are quite small aren’t you. They never said a word about my weight after that. Doesn’t matter what others think you should weigh. I believe, you’re the only one who matters. You’re the only one who really needs to be happy. As long as your weight & maintaining it doesn’t restrict or limit you in any way (socially, lifestyle, etc.) & you’re healthy ignore everyone else’s ‘well intentioned’ comments & advice.

Absolutely this. I have never ever been cold before WLS, no matter how much weight I lost 'naturally'. These days I am permanently cold when others are hot. I dress in many layers so I can remove one or two if necessary (I rarely have to). It's one of the biggest mind shifts I've had to make.

It may help you, like it has for me, to focus on adding good habits as much or more as taking away your bad habits. When I first talked to my doctor about bariatric surgery, I spent several weeks cleaning out all the items in my pantry and freezer that I knew were not doing good things for me. Things like snack foods and highly processed stuff, and anything I know I will binge eat, like pretzels or chocolate. I also bought some WLS books, including A Pound of Cure from Dr. Matthew Weiner. I read through all his steps for changing your diet and figured out the easiest ones for me to do and started there. For example, I'm not a big fan of artificial sweetener, and Diet Coke was the only thing I was really doing that broke that "rule," so it was pretty easy for me to make the cut. Same with adding a pound of vegetable per day. That change alone has made a lot of other things easier for me, like cutting out bread and reducing dairy. I find I am so full after a green smoothie at breakfast or a salad with beans for lunch that I am not as hungry at dinner, and don't feel the need to snack as much. When I do snack, I've bought raw or dry roasted nuts to replace the junk I used to buy. I've lost about 16 pounds in 4 months, and unlike in the past when I've "dieted," I don't really feel like I'm missing out. Plus, I make exceptions a couple times per month and don't feel guilty about it. By focusing on the health aspects and not tracking the calories, it really helped me make changes that promote a healthier weight without feeling overburdened or deprived. I hope that helps!

I'm having a food slump! I in no way get the water in each day I'm supposed too.. I'm not thirsty and to be honest I really hate going to the restroom 20+ times a day IF I do get close to the required 64+ oz a day. Plus, I don't understand why I need to, I didn't drink that much beforehand, so I don't understand why suddenly having a smaller stomach requires a sudden huge mandatory increase in water consumption!? Plus, I am sooooooooooooooooooo burnt out on the same foods over and over and yes over. I detest eggs (always have) and have always preferred something like avocado toast for breakfast and a cup of coffee. I detest cooking so I tend to eat the same thing every single day - something I can cook in quantity. Lately its been turkey chili with added protein powder. Chicken breast with veggies is boring/bland... Then there's the chicken of the sea - white fish with veggies..again just not my thing. So, I just eat the same thing over and over. I have to admit, I miss sauces, thai noodles and pizza and foods I can dip! I have a food texture problem so it leaves quite a few things off my plate..plus I'm hypersensitive to carbs - racing heart feeling jittery so I eat very low carb (under 25) low sugar, low calorie in other words low taste (to me anyway). I do what I have to to lose the weight and become healthy.. But its taken a lot of joy out of life, the holidays just plain suck now...all the family traditions came to a stop because of me (we used to all get our favorite restaurant dishes and share pot luck style for New Years), bake cookies with a Cookie exchange (no one wants my healthy protein balls - I eat them because I need protein, not because they're great tasting). I know I'm suppose to eat for fuel, but, we all eat for joy - if people didn't there wouldn't be different foods, cooking styles and spices, we eat at get togethers, social times, celebrations - I can't and don't want to inflict my eating restrictions/requirements on everyone else. I fight that siren song and battle it every week, anyone else? Anyone have any reasonable suggestions? (I added reasonable because my dietician suggests things like - " you want crunchy "eat a celery stick" you want noodles try palm noodles..etc. NOT even close. I think dieticians in bariatric clinics should have been a bariatric patient themselves so they'd understand their suggestions suck. Perhaps I'm asking if anyone else is or has gone through this...slump.....I find its easier to just not eat than eat another healthy bland boring food. Sorry for the rant.

I'm a little different because I had the bypass (8.5 years ago), but I started out at almost 400 lbs, so weight-wise, we were in similar starting positions. The first year seems like a huge life change, but sitting here years out, the only thing that's different is that I average about 1600 calories a day rather than 3000+. When I go out to eat, I eat maybe half the entree and take the rest home in a to-go box (or sometimes I'll get something like an appetizer or soup rather than an entree if I'm not that hungry). Other than that...??? Oh - I take vitamins regularly now. But other than that, not that much different. But again, the first year or so - yes. But you'll be doing quite a bit of prep work before that. For example, my insurance required me to do a six-month diet with a registered dietitian, and she kind of eased me into the type of diet I'd be following after surgery. She had me eating 2300 kcal/cay (which now would seem like a ton - like Thanksgiving day - but at the time seemed like a diet - although enough calories to be at least tolerable). She also had me gradually decrease my carb intake and increase my protein intake. I focused on healthy foods (although I ate a pretty healthy diet even BEFORE surgery, I just ate way too much). She had me start taking a multivitamin every day and getting some exercise about 3x a week. My surgeon also didn't want us drinking caffeinated beverages for the first six months after surgery (although some surgeons are fine with caffeine), so she also had me gradually decrease my caffeine intake. So basically, I was as prepared as I could be before they rolled me into surgery. I don't have PCOS and have never had a hysterectomy, so I can't address that, but I know WLS patients who've had both. Hopefully someone will respond to you on that.

Hi guys, I’m 9 days post op and doing great. I keep down most things. I’m struggling with eggs and getting fluids in. I’m wondering if I will ever be able to eat fries again? I’m a sandwich lover too so what about bread? Is there Bariatric friendly bread? also, I’ve gone from 117kg to 101kg in a month but how do I actually lose weight after the bypass? I’m still struggling to walk long distances without feeling dizzy and exhausted

Thank you for the replies. Summerseeker : "Food should not be boring. I just do not live to eat it anymore." I don't Iive to eat, I never have, but good food contributes to a good life. "Variety is the spice of life" variety I can't have. Yes, I knew this goes into this but, it doesn't make it any easier! What I was attempting to say is its boring because; 1. Unlike you I detest cooking so the thought of sitting down to think out my weeks meals sounds tedious and time consuming (even if necessary) I really wish I had the time and inclination to do it and I'm jealous of those who are willing and able.. I just don't want to add yet more measuring, weighing prepping to my day off since I do enough of that weekly in very exacting details (down to microns) 😛 Perhaps its also the lack of options..see #2; 2. With this new way of eating and my intolerance of carbs it makes my options very limited. After all there are five food groups and I've eliminated 3 of the five as it is - grains, most dairy unless you want overly processed artificial dairy and fruits. Add to that my food texture issue (symptom of ADHD) ..this leaves me with low fat beef, fish and chicken for proteins and veggies (non starchy). I do track everything I eat and drink as well although I love your way of if you get your proteins in and still want a "biscuit" and a bite of noodles you have it. Perhaps, I'm being overly controlling of my diet out of fear of regaining the weight and its causing me to feel this way. Arabesque: I understand why drinking water and peeing is important and your body should adjust to more water consumption, but, after 9 months I still go 20+ times a day - very inconvenient when I work managing a pathology lab - I have to remove a lab coat, gloves and mask, then go through decontamination processes each time I exit the lab and then upon entering resuit up and on top of that no drinks allowed in the lab - so in order to get my water in I have lunch time and when I get home OR leave the lab for my sip. So, this means working 10 hours a day it gives me a very short window to get my water in especially since I can't drink large quantities at once. I should have explained better (but my post was already long). My apologies. I guess my lack of "thirst" has developed from years of training from this job and my last. I just worry about not getting the required amount in. Anyway, its just me whinging. I'm just finding it difficult and quite frankly tiring (getting up several times a night to pee doesn't help).

While I agree that selecting the right tool is important (right for your needs, health & medical considerations, lifestyle etc.) getting your head right is equally as if not a more important part. Not everyone loses their appetite after surgery & if you do it’s temporary. We all say, the surgery changes your body but it doesn’t change your thinking. It doesn’t stop your cravings, emotions, habits. They’ll still be there when your appetite returns. You have to do the head work as well. It is possible to eat around your tool, to make poor food choices & then not lose or regain your weight. Changing your relationship with food, understanding why you eat (habit, emotional support, craving, boredom, etc.) are essential. It’s like getting a gym membership or buying a treadmill, how successful you are depends upon you changing your behaviours & actually using the treadmill or going to the gym. Many people find working with a therapist extremely helpful in understanding & developing strategies to manage what motivates or drives our eating & the food choices we make. Unfortunately, life does tend to throw crap at us at times, & knowing how to manage the emotional turmoils that usually come with it & not fall back on old eating behaviours will help you continue your weight loss & maintain in the future. As @NickelChip said, Dr Weiner & Dr Pitcher have amazing resources but I do encourage you to consider seeking counselling. Your doctor, surgeon & team should be able to recommend someone with experience in disordered eating & bariatric patients. (Many insurances require at least one visit as part of your approval anyway.) All the best.

Congratulations on reaching your goal weight. Yay! I’m going to push a different view. Do you need all of those vitamins (& yes we have different needs)? Do your blood tests show you are lacking in anything? Or do they say you have more than enough of any you are taking? Find out if you need any specific ones & then take those. Remember excessive amounts of some vitamins can have side effects & other we simply pee out what we don’t need. Yes, some do have issues absorbing certain vitamins & minerals though it isn’t as common with a sleeve as with bypass. I only had to take a multivitamin & briefly vitamin D while I was losing. My surgeon said I could stop them at about 8 months by which time I had passed my goal. My blood work was great & still is 4.5yrs later though we did eventually pick up with my regular blood tests that my vitamin D levels drop in winter so I take a vitamin D mid autumn to mid spring. I do have a malabsorption issue with protein which began after my gall was removed. Malabsorption after gall removal can happen but with protein is unusual.

I can't speak on this from personal experience as I went through my own insurance, but a friend of mine did hers several years back on Healthfirst Medicaid. She had to do 6 months of nutritionist meetings however she was already doing those prior to seeking out surgery. So between that and her other health issues (which is why they needed her to drop weight quicker), she was approved pretty quickly. She got the thumbs up that she was a good candidate in May and got her official approval in July and had surgery in September. I think it depends on how quickly you get the required appointments completed which aside from nutritionist meetings could be gastro, pulmonary, cardiologist and for sure psych, pcp and bloodwork.

Congrats on finding out what was wrong and having it treated! I hope you can progress normally now and have no further issues. Yay for being on target with your weight loss!! That has got to feel really good despite the challenges you've been having.

major complications are really rare. I think it looks like they're more common than they actually are because people who have them get on this and other sites to ask for support and advice about them. People who have no issues don't generally broadcast that fact. They just go on with their lives. I did have a complication - a stricture. The PA at my clinic said that's the most common complication of bypass (well, other than dumping, which affects about 30% of us and can be prevented by not eating a bunch of sugar or fat at one sitting, which none of us should be doing ANYWAY). Strictures, the most common complication according to him, happen to 5% of bypass patients. I wouldn't call something that happens to 5% of patients "common", but that gives you an idea of how "common" complications are. And strictures, like most other complications, are minor and can be easily fixed. They did an upper endoscopy, stretched it out, and I was good to go. I honestly don't know anyone who regretted having weight loss surgery, and I've volunteered for my clinic, been very active on national internet forums, and attended national conferences. Yes, the first few weeks can be tough and a lot of people have "buyer's remorse" during that time, but once they get beyond that initial phase, when they can eat more, have fewer food restrictions, feel fine, and have kind of figured out this whole deal, you're not going to find many people who regret it. Personally, it's the best decision I've ever made. My life is completely different than it was 200 lbs ago, and I wouldn't go back there for ANYTHING. I would have this surgery every year if I had to! I'm in my mid-60s and had my surgery over eight years ago - I could kick myself for not doing it sooner!

I'm taking stock of everything I do, and don't do, every day to see what might need to be tweaked a bit. I already write what I eat everyday. I track my calories, carbs, protein, and fat. My doctor asked me if I wanted to try Metformin for a bit to see if that helps, and if it doesn't, I could try one of those weight loss shots. But I really don't want to do that. I know I can get my body to cooperate, I just have to figure it out. If I need the shot to lose the weight, my body will depend on it, and once I stop, the weight will come roaring back. I know there's a way to get this last 50 pounds off, I just have to figure it out.

Have you checked your calorie intake? If you’re reducing your fat & sugar intake you will have reduced your calories which would explain your weight loss. Why are you trying to reduce your pancreatic enzymes (which are produced naturally within your body & are needed for digestion & absorption of nutrients)? How does cutting fats & sugars stop the production of the enzymes or are you doing that for a separate reason? I take pancreatic enzymes because I don’t absorb protein well (side effect of my gall removal) hence my questions. I worry that reducing your enzyme levels may be causing your weight loss too because your not absorbing nutrients well.

Congratulations! May I ask after you gained into the two's again, did you find that when you refocused and lost those 60lbs, was it the same, easier, or harder than when you had tried in the past prior to surgery to lose the weight?