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In the same vein as @hills&valleys, we all start out wildly different. The most comparable metric between people is percent excess body weight lost. Your "ideal" body weight is around 145 lb, assuming you're a man. You started with an excess body weight of 164 lbs and you've lost 76 lbs of that or 46%. At the 18 month mark, for RNY, you expect to have lost around 70% of your EBW, so you seem to be doing fine. I'm at about the 6 month post-op mark and I've lost 64% of my EBW from when I started my pre-op diet, and 79% of my EBW counting from my highest weight a few years before surgery.

My surgery date was October 4th. I had gastric bypass surgery. My liquid diet started on September 20th. My weight loss journey started August 3rd at 266lbs. Surgery day I was 236lbs. Today, 2 weeks post op, I weighed in a 224lbs.

I posted this on another thread about revision, but I had a hiatal hernia and bad GERD so it applies for this thread too. I want to preface that this is about to be a long message, but it's my journey. Thanks for reading. My 1st Bariatric journey started in 2009 (I was 26 years old). My heaviest weight was 250 lbs. I did a month liquid diet as my preop diet and got down to my surgery weight of 220 lbs. I had a sleeve done in Sep 1, 2009. I got down to around 175 lbs from my surgery weight of 220 lbs. I got down to a size 12. I did regain some weight years later, but that was my doing (not eating the best, not exercising as I should). In addition to gaining some weight back, i developed a 5/6cm hiatal hernia and had really bad heartburn and reflux. I started taking Nexium for years. Finally 14 years later (now 40 years old) in April of 2023 I decided to ask a doctor about taking daily Nexium (after hearing constantly from family that it wasn't good). My surgeon gave me 3 options. 1. Continue taking Nexium daily 2. Fix my hiatal hernia (but he did warn me that hiatal hernias are known to come back) 3. Fix my hiatal hernia and do a revision from Sleeve to RNY. Before any of that to make an informed decision I had to get an upper GI with contrast and an endoscopy with a Bravo study. I had the endoscopy done and the Bravo capsule placed on my esophagus. After the 1st endoscopy my GI doctor said she didn't even need to see the results of the Bravo study...seeing my esophagus alone was enough to see how inflamed my esophagus was and she confirmed the bigger sized hernia. Either way, the Bravo capsule was placed in and I did the 3 day study. The results came back and like my GI doc said...it was bad. The acidity in my stomach and esophagus was ridiculous. I use to take generic Nexium 20mg but my GI doc said that wasnt enough for how bad my esophagus was. I was told to bump it up to 40mg 2x a day. So I did that and it helped to heal the massive amount of inflammation I already had in my esophagus. To confirm that I had a 2nd endoscopy done. The Bravo study, the upper GI scans, the endoscopy was all completed so that I could make an informed decision on how I wanted to proceed. Which of the 3 options discussed did I want to proceed with. I decided option 3 was best (revision from Sleeve to RNY with a hiatal hernia repair). For me my insurance approved the procedure and it was fairly a quick process because I went the general surgical route vs the Bariatric route. I could have had the revision in July but I had a cruise planned in August and I wanted to be able to drink and eat and ENJOY my vacation so I opted to wait and had the revision 2 weeks after I came back from my cruise on September 11th. I was 215 the 1st day of my preop diet. I got down to 206 but then mother nature decided to show up the week of my surgery so as women we gain water weight during our cycle and the day of surgery i weighed in at 209. I was so pissed. I knew it was water weight because of my cycle but still nobody wants to see the number on the scale go up. Surgery went well. I had no complications. My recovery was A LOT smoother. I had BAAAAAD nausea and gas pains after my sleeve becauseof the anesthesia. With the RNY I had 0% nausea. I had a little bit of shoulder pain because of the gas and I did have another pain when I inhaled big because of the hernia repair, but it was all normal and pains of that nature were expected. I was just sooooo glad that I didn't wake up extremely nauseous after the RNY like I did after my sleeve. So now I'm 31 days post op. I've been at 195 since like September 26th. I hope that I've HOPEFULLY lost at least 1 pound now since I've been stalled at the same weight for 2 weeks. Btw I'm 5'4 for reference. My size 14 clothes button again and my 16s are getting a little loose on me now. I'm not swimming in my clothes or nothing but it's a small progress. I was wearing XL shirts and now Large shirts fit me a lot better. I feel less like a sausage in them lol! Oh and tonight I tried on this bra that I know for a fact a couple of weeks ago could not button or even come close and today it fit. So now a 38D will fit. Great non scale victory! I can tolerate all food and as long as I don't take huge bites and I chew my food well and eat slow, I'm good. Otherwise I've already had my 1st reminder of what it feels like to throw up because your food feels stuck. I had that happen after the sleeve sometimes too and it sucks, but it's a process learning how to eat again and reminding myself that I can't inhale my food. I am taking a daily vitamin with iron and then 3 calcium citrate chewable daily. My doctor also still wants me to take 1 Omeprozole daily for 6 months post op to give my esophagus and hernia repair time to truly heal. 1 month down....5 months to go. Then I'll be able to see if I don't have any GERD or heartburn without any medication. The weight loss is a perk and I definitely want to lose more weight and get down to 150 or at least my best sleeve weight of 175, but I always have to remind myself that my goal of this entire revision surgery was to not deal with heartburn and reflux anymore. So yeah...thats my revision story so far. Please let me know if you have any questions. I'll be happy to answer.

I'm a year out from my surgery and at my last dietitian meeting we discussed maintenance calories which I have been looking forward to that discussion for forever but I was really shocked and I can't believe I didn't know this after all of my research before and after surgery. He said my calorie goals for life should be between 1300 and 1500 and I had no idea that was going to be so low. I honestly went into surgery thinking that the average calories a person eats is 2000 so I must be eating 3000 or more to be so over weight and I just needed to get back to normal. I thought that I would be able to use the surgery and lack of hunger to eat super low calories and lose the weight and since month 3 I've been at 1000 a day. My hunger is back and 1000 is a struggle now and I'm using all my years of diet experience to fill up on low calorie food as well as hitting all my protein and water goals. I thought that soon I'll be able to eat more so it's just a temporary situation, but now I'm worried about long term success. If I'm hungry at 1000, I don't think 300 more calories is really going make a huge difference. So now I'm wondering if the reason why so many people gain the weight back after surgery is because to keep it off we have to keep our calories so low forever? Also, why do we have to keep our calories so low? Why is the average calories 2000 but for bariatric patients 1300 to 1500 is the goal? I always thought that anything under 1500 wasn't a safe number but when I asked my dietitian all of these questions he didn't know. He just knew that to maintain the weight loss, that's the normal goal and that if I wanted to eat more I could exercise more. So did everyone else know that the calories after surgery were going to be low for life and I just somehow missed this important fact? Anyone know why our average doesn't match the so called normal average? I was really excited to be close to goal but now I'm scared because I can see now how easily it can all go away.

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!

Hello there! I want to preface that this is about to be a long message, but it's my journey. Thanks for reading. My 1st Bariatric journey started in 2009 (I was 26 years old). My heaviest weight was 250 lbs. I did a month liquid diet as my preop diet and got down to my surgery weight of 220 lbs. I had a sleeve done in Sep 1, 2009. I got down to around 175 lbs from my surgery weight of 220 lbs. I got down to a size 12. I did regain some weight years later, but that was my doing (not eating the best, not exercising as I should). In addition to gaining some weight back, i developed a 5/6cm hiatal hernia and had really bad heartburn and reflux. I started taking Nexium for years. Finally 14 years later (now 40 years old) in April of 2023 I decided to ask a doctor about taking daily Nexium (after hearing constantly from family that it wasn't good). My surgeon gave me 3 options. 1. Continue taking Nexium daily 2. Fix my hiatal hernia (but he did warn me that hiatal hernias are known to come back) 3. Fix my hiatal hernia and do a revision from Sleeve to RNY. Before any of that to make an informed decision I had to get an upper GI with contrast and an endoscopy with a Bravo study. I had the endoscopy done and the Bravo capsule placed on my esophagus. After the 1st endoscopy my GI doctor said she didn't even need to see the results of the Bravo study...seeing my esophagus alone was enough to see how inflamed my esophagus was and she confirmed the bigger sized hernia. Either way, the Bravo capsule was placed in and I did the 3 day study. The results came back and like my GI doc said...it was bad. The acidity in my stomach and esophagus was ridiculous. I use to take generic Nexium 20mg but my GI doc said that wasnt enough for how bad my esophagus was. I was told to bump it up to 40mg 2x a day. So I did that and it helped to heal the massive amount of inflammation I already had in my esophagus. To confirm that I had a 2nd endoscopy done. The Bravo study, the upper GI scans, the endoscopy was all completed so that I could make an informed decision on how I wanted to proceed. Which of the 3 options discussed did I want to proceed with. I decided option 3 was best (revision from Sleeve to RNY with a hiatal hernia repair). For me my insurance approved the procedure and it was fairly a quick process because I went the general surgical route vs the Bariatric route. I could have had the revision in July but I had a cruise planned in August and I wanted to be able to drink and eat and ENJOY my vacation so I opted to wait and had the revision 2 weeks after I came back from my cruise on September 11th. I was 215 the 1st day of my preop diet. I got down to 206 but then mother nature decided to show up the week of my surgery so as women we gain water weight during our cycle and the day of surgery i weighed in at 209. I was so pissed. I knew it was water weight because of my cycle but still nobody wants to see the number on the scale go up. Surgery went well. I had no complications. My recovery was A LOT smoother. I had BAAAAAD nausea and gas pains after my sleeve becauseof the anesthesia. With the RNY I had 0% nausea. I had a little bit of shoulder pain because of the gas and I did have another pain when I inhaled big because of the hernia repair, but it was all normal and pains of that nature were expected. I was just sooooo glad that I didn't wake up extremely nauseous after the RNY like I did after my sleeve. So now I'm 31 days post op. I've been at 195 since like September 26th. I hope that I've HOPEFULLY lost at least 1 pound now since I've been stalled at the same weight for 2 weeks. Btw I'm 5'4 for reference. My size 14 clothes button again and my 16s are getting a little loose on me now. I'm not swimming in my clothes or nothing but it's a small progress. I was wearing XL shirts and now Large shirts fit me a lot better. I feel less like a sausage in them lol! Oh and tonight I tried on this bra that I know for a fact a couple of weeks ago could not button or even come close and today it fit. So now a 38D will fit. Great non scale victory! I can tolerate all food and as long as I don't take huge bites and I chew my food well and eat slow, I'm good. Otherwise I've already had my 1st reminder of what it feels like to throw up because your food feels stuck. I had that happen after the sleeve sometimes too and it sucks, but it's a process learning how to eat again and reminding myself that I can't inhale my food. I am taking a daily vitamin with iron and then 3 calcium citrate chewable daily. My doctor also still wants me to take 1 Omeprozole daily for 6 months post op to give my esophagus and hernia repair time to truly heal. 1 month down....5 months to go. Then I'll be able to see if I don't have any GERD or heartburn without any medication. The weight loss is a perk and I definitely want to lose more weight and get down to 150 or at least my best sleeve weight of 175, but I always have to remind myself that my goal of this entire revision surgery was to not deal with heartburn and reflux anymore. So yeah...thats my revision story so far. Please let me know if you have any questions. I'll be happy to answer.

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.

I have chronic fatigue and fibro. I'm having surgery Nov. 1st. The surgeon said the surgery may help in terms of being less weight to carry around and less inflammation in the body, which may result in less pain, but it really depends on the person and the cause of their disease. I'm hopeful things will improve a little, even if it is just letting me move better on my good days, you know? If I can be more productive on my good days then I can accept my bad days on the couch with a little more grace. LOL

I used to take that years ago for migraines. I don’t remember losing a bunch of weight when I took it. But it was a long time ago.

The dizziness is likely orthostatic hypotension or in simple terms drops in blood pressure with postural changes - getting up after sitting or lying down. You can get it reaching up too. It’s pretty common in the first weeks after surgery & I think aggravated by the low calorie intake but for most it’s temporary. (I had a tendency to it before surgery & now I have it everyday.) Keep your fluids up. Add a little more salt to your diet if possible. Get up slowly, in stages & wait before moving. When I do move I generally try to keep near a chair, table,wall, etc. so I can grab it & ground myself if my vision narrows. Even been known to grab a person too - LOL. Depending upon how much weight you’ve lost so far, your upper body pain could be from your body finding it’s new centre of gravity. Your body used to hold itself in a certain way to compensate for the weight you carried. Now it doesn’t have to & your muscles at relearning how to hold yourself when standing, walking, etc. And yes it’s pretty common & can be experienced at different time while you’re losing.

I used to take that years ago for migraines. I don’t remember losing a bunch of weight when I took it. But it was a long time ago.

Stalls are nearly a guarantee at some point. I wouldn't worry too much about it at this stage. Your body is just adjusting. I am currently 6 and a half months post op and had a few stalls last about a week or two and then a loss. I was the same weight for 2 weeks and then lost almost 5lbs, then stayed at that weight for 3 weeks and just lost 4lbs. Different things might affect it - could be as simple as sodium intake or not having a BM or your body just trying to adjust for the changes. Not too much you can really do to break a stall. Your body will move when it's ready. I do not specifically track carbs either, but I typically go by net carbs when I check stats. Honestly protein takes top priority and everything else just falls in line. I do track via Baritastic app so I have an idea about fat and carb intake, but I don't focus on those numbers. I am not of the mindset of all or nothing, so nothing is cut out completely, I just look for the healthiest alternatives and don't have them often because they aren't worth the precious space. A typical day lands around 50 or less net carbs. Let us know if the carb count change up helped for you.

I’m wondering how everyone is tracking at their 6 month mark. I had my surgery May 3rd this year. My starting weight before pre surgery diet was 309. I’m at 233 as of today and hopefully I’ll get to 225 by 11/3 I was hoping to reach 200 by the end of the year but I don’t think it’s possible. My goal weight is 160.

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!

Hello everyone, my weight loss is steady, down 52lbs. I’m also back to coffee. No food intolerance, ( iceberg lettuce gave me gas ) walking 1.5 miles every morning. Wife and family are supportive. Mainly eating salads and chicken. Good work everyone. You got this!

I've never counted carbs - whole or net. My program stressed eating balanced meals (not low-carb, like many of them do), and also, I'm not very carb-sensitive (I know a lot of people ARE). two weeks isn't that long for a stall. They usually last 1-3 weeks, and sometimes they can go ever longer as you get closer to goal. (the last few months I kept thinking, "well, this must be it...", but then I'd drop a couple of pounds). You can't really break a stall - it's part of losing weight. Your body has to stop and recalibrate every once in a while. The best thing to do is make 100% sure you're sticking to your program, and only weigh yourself once a week or so until it breaks. you may be far from over. I kept losing weight until month 20. But those last few pounds were a bear to get off...

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!

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.

Anesthesia can mess with our bodies for a while after surgery, and it has been clinically shown that major surgery can trigger depressive episodes in people. What you are experiencing is completely normal even though it sucks. Add to that hormonal changes, and body changes, and changes in the nutrients you get, and recovering from a major surgery and yeah, you could feel pretty down! I'm 3 1/2 weeks post op. Some days are good and some days aren't so good. I've heard the first 3 months are really challenging and the first year takes a lot of resilience and adjustment. Next time your husband starts with the "this is what you wanted" I'd kindly remind him that those words are not supportive and guilt trips are not necessary. That you are cognizant of the fact that you wanted bariatric surgery to lose weight and improve your health, but NONE of us can even begin to understand the fullness of an experience before we actually have it...and living this experience is feeling challenging right now. Even the BEST things for us often come with distinct downsides. You are allowed to be upset! You are allowed to say this is a struggle! What would be more supportive of him would be for him to validate your feelings and assure you that things won't always feel like this, but while they do, he's there for you. I'm sure he's doing what he can, but everyone deserves feedback when their words are making it harder for you to deal with what you are dealing with. I too feel a little off kilter from the world right now. Any surgery brings grief with it when it alters your body. Let yourself grieve. You are in a liminal space right now, transforming from one version of yourself to another. Much like the caterpillar who winds itself into a cocoon, you have had to bury yourself into this new experience, and you will never be the same. Some parts of you have to die so that other parts of you can blossom forth and live. When you finally come out of this cocoon, flying will be so thrilling!! But in the meantime, the transformation sucks! LOL I don't think caterpillars think the process is fun either...

I was down to 150 - had surgery 12/22/22. J fell and injured my ankle and need surgery. I have been down since beg if August 2023 and Ive gained 17 pounds back. I cant exercise and I was walking 5 miles a day and actually had finally started running foe he first time in 15 years. I am so frustrated and dont know what to do other than live on protein shakes. I need this thread so thank you for starting it!

since we cant edit our original post, i added my 6 month weight as a reply. Hope that works

If you don't find the info you want then here goes ... Slider foods are all the good stuff. Chocolate, ice-cream, cream cakes, biscuits, sweets and crisps. All high calorie and really easy to eat lots and lots of. If you ate these all day for a week then you will gain. For some reason these foods do not fill the stomach up. 50 grams of protein, meat, chicken, will fill me up but I managed to scoff a whole 100 gram, M&S cream and apple turnover and it did not touch the sides, had there been another, I might have been very tempted. I don't have bad stuff in the house normally but it happens

It's nice to put a face to a poster ! Good luck with U Tube ! My only comment -it's not criticism, but my personal preference is to watch shorter videos. I'm subscribing to your channel to see all the insights you have into the weight loss journey !!! What a great announcement !

I was sleeved on March 7th. I lost 80 officially yesterday. I'm a little concerned, only because I'm halfway to my goal but I feel like my weight loss has started slowing down. 😰 I should be celebrating my wins, but I'm really just nervous I won't get to where I want to be.

same. i've weighed myself every morning for the past 5 years (when i have access to a scale...sometimes i don't when im on vacay). and i still track what i eat daily (granted not as meticulously as before...i eyeball alot now vs busting out the scale and measuring cups every time. and i often use pre-set items in MFP vs listing out individual ingredients for foods now) its not for everyone, but it works for me as well. i credit this MO (along with regular-enough exercise) with how i have stayed below goal weight this entire time. Aside: granted im actually waay below goal weight at the moment due to a combination of quitting smoking, going on vacation and then currently being sick as a dog; but i know this is temporary. 🤞🏼