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TORe is a relatively recent revision for RNY. Essentially, they go in through your mouth and esophagus and stitch your pouch and the opening to your pouch back into the tight little basket It was when you first got gastric bypass. I’m looking into it as I was very successful for 20 years, but regained most of my weight in the last three from life, stress and menopause. Has anyone had an experience with this?

I can relate to being afraid of gaining weight after working so hard to lose it. We all deal with that here. But it's a fine line between being mindful about it and developing disordered eating habits. I can speak to this because it happened to me. I was dropping weight like a champ, then I hit stall after stall, and each one lasted longer than the previous one. And I would panic. And I would restrict the amount I ate, I would kick up the intensity and frequency of my work outs. I would have anger and confusion and fear anytime I either didn't lose or I gained a little (turns out, I'm one of the ones that gains 3-5 pounds during a stall and then just sits there for weeks and weeks. Then when the stall breaks, I drop like 6-7 pounds all at once). I had to actually go to a therapist that specializes in bariatric disordered eating (not easy to find, btw) to get my head on straight. And it's still a struggle sometimes. Especially since these last 11 pounds absolutely fight me tooth and nail and just don't want to come off. I said all that to say just be very careful. I never started out intending to have these issues. I thought I'd have the surgery, lose the weight, get healthy, and bada-boom bada-bing, life would be great. But it's never that cut and dry, is it? We can become obsessed with losing the weight, seeing how low we can get the scale, getting into that lower size, looking thinner, never gaining weight again, getting that bmi just a little lower.....and before you know it, you have a whole new eating disorder that's even harder to get out of and we're doing even more damage to our bodies without even meaning to. And we can justify what we're doing because HEY, we got off our meds, we're getting healthier, we're losing the weight, we're EXTENDING OUR LIVES damn it!!! And that's harder to overcome and harder to recognize and going too far than being obese is. We knew we needed help. We knew we were doing wrong. That's why we had the surgery. But now? Now it gets harder to see what we're doing because HEALTH!! WEIGHT LOSS IS GOOD!!! NO MORE MEDS IS THE GOAL!!! JUST A LITTLE MORE WEIGHT OFF CAN'T POSSIBLY BE BAD!!! So please please just be really careful with where you're at now and where you're wanting to get to. Lastly, on the days you're working out (especially the really hard weight days) increase your protein and calories. Your body thinks it's starving, so you need to reassure it that you're not. The heavier the work out, the more your body needs. You can't run a car without gas and you can't run your body without food. So give it what it needs, in the amounts it needs, and it'll do what you want it to. Make sure you also have a larger amount of fluids than you normally would on those days, too. Dehydration can really do a number on the body, as well.

I met both of mine pretty much right away, but I know a lot of people struggle with this the first three or four weeks. Getting your liquid goals are the more important of the two since being dehydrated can land you back in the hospital. One thing I've done for a long time is to drink 16 oz of water every morning as soon as I get out of bed - before I eat breakfast, drink coffee, or whatever. Even doing 8 oz right off the bat might help..

Hi there! I didn't see the doc on Monday because my knee felt slightly better. However, it's not good now, so my husband is taking the day off to help me around the house and take me to the doctor! Thank you for asking!! We have a bunch of animals, and trying to care for them on my own is pretty impossible right now. It's crazy how different our sizing is! I wish we had a universal system for weights and measures. Maybe someday, but I'm too old to convert at this point. Lol. I hope you broke your stall!!!

Hi all! Sorry I've been in a whirlwind (I'm not sure thats how you say that in english...) of work for the last few days. The political situation in France is very unstable and unsettling right now and because I work with public funding it's been more than crazy. I'm in Canada but am having to unexpectingly having to fly back to France early later today ( was meant to be in the US next week) to be able to hit the floor running if **** hits the fan with the election results Sunday. That said... I am proud of myself because I put my foot down and will not work through the weekend. I'm going to a music festival in the loire valley instead and will dance and be merry. Happy belated birthday @LisaCaryl! I hope this next trip round the sun is a good one and that by the end of it you are where you want to be. @NickelChip I'm happy your holidays went well and applaud you making good choices when away from home. I've got to the point where I'm loosing very slowly ( 5 pounds in 6 weeks) and so am just trying to make the best choices I can without over thinking things. I've finally dropped to 67.5kg (148.8lbs) (BMI 23.9) and have accepted things are going to be slow from now on .... I have three weeks of hectic work left before I'm on holiday for 5 whole weeks before starting my new job in September. Once I'm on holiday I'm going to try and up my steps and focus on eating the best I can( and drinking less alcohol) and I'll see where that gets me. @RonHall908 Like every true Parisian I know .... I leave Paris 48 hours before the games start! I'll be away on holiday for 5 whole weeks with my partner. The longest holidays we have ever taken. The games are going to be hectic and access to a lot of areas in the city are restricted - most of the bridges are also closed ... so we're just leaving the city... like every sane person I know! That said... in France we get 5 weeks of paid holiday a year plus 1 extra week if we work over 35 hours a week (my case) plus 11 bank holidays plus basically unlimited paid sick leave plus like an extra day when you move houses, 3 days for a wedding, 3 days for the death of a parent, 2 weeks for the death of a child, 6 months full pay maternity, up to 5 days a year full pay for sick children under 14 etc etc etc ... so we only use holiday days for holidays so every summer ( office working ) Parisians tend to leave paris en masse for most of August - we all joke that the 15th of August Paris is empty every year ... so this isn't so specific to the olympics! I did go for a walk in Versailles not long ago and saw the prep for the horse racing ... it's going to look so so cool with the chateau as a backdrop!

I was allowed carbs on my diet plan but my office goes by calories instead of size of meal. I think at 4 weeks it was around 400 to 600 calories but by 8 weeks they wanted us to be around 800. I would see how many calories you are actually taking in and just keep following your plan. Every time I hit a stall I gain 3 pounds and my last stall I actually gained 5 lbs. My stalls are usually 3 weeks long but once it was 2 months. When I think I'm in a stall then I only weigh myself once a week at most because stalls can be rough mentally. The mental part of this weight loss was the hardest part for me. Good luck and take care!

Thanks guys my stall is actually has moved a bit iam now down to 194 but I think its due to the fact that everything has been making me nauseous lately. I know i have not been meeting any of my protein goals and my vitamin intake has sucked. That being said I am not doing so well energy wise but I am trying to switch up my meals to try and get more protein in other ways.

I had my sleeve surgery on Nov 20th. Monday marked the beginning of week 7 post op. Since week 3 I have not lost anything (if anything, I've gone up a couple pounds). I am getting 60-70g protein. Water is a bit of a struggle due to just forgetting to drink water (no issue drinking it, literally just forget). My MIL has been bugging me the last week to remember water, thankfully, so I'm getting 64oz now. Hopefully this is just a *really* long 3 week stall. Just 4 weeks long now. Aughhhh.

Congrats on the mega stall break! I don't know if you can get kale where you are ... I promise this is so much better than it sounds it's like crack health food. I was like a bit bleh when i heard about it ... But air fryer kale chips. A lot of Kale, salt, oil Wash kale, take out the big middle stalks, put in a big bowl with some salt and a tablespoon of oil and massage. Put in preheated airfryer at 400F for 3 minutes, shake, back in for 3 minutes. Delicious. Will catch up properly later!

I am shocked that she said go back to liquids, that seems like really bad advice. You would be hungrier than ever as they just go straight through the pouch. I once had a stall of over 2 months, it was so tough but then I dropped 5lbs over night. I was only on roughly 800 cals a day then. Stall are the pits I have 5 small meals a day. It works for me. Just find what works for you.

I waited 10 months and then just had some sparking water as part of a drink but not much fizz to it at all. No side effects but it was well diluted. My doctor told me while it is ok in limited circumstances after a minimum of three months they don't really recommend it ever but if someone is really desperate they could have just a couple of sips, such as toasting with a glass of champagne, but not to introduce it into a regular habit or else it could lead to allowing more bad habits, in general, not aimed at me (I think/hope!).

Just checking in for the first time in a couple weeks. Surgery was on Nov 20, and doing well from that, however, I caught covid just before Christmas, so haven't been able to do much this week. It's still hanging around making work difficult, but luckily I can work from home. Just hoping its gone by next week because this sucks. Besides that, I had a stall with a 3-5lb regain for about 2 weeks before it started dropping again, but things are moving along again. That "week 3 stall" is real, so don't get discouraged by it, the weight loss will resume. @Meisha - I can relate, I had the Christmas + covid pity party, and ate chocolate and cookies I shouldn't have had, and I did not tolerate that well at all, lol. I guess in a way it was a good reminder to get back on track. Suddenly I wasn't as tired of protein shakes after getting sick from that.

you need to temper your expectations a bit. At a starting weight of 230 lbs, you were lighter than many of us, and starting BMI is a big factor in how fast the weight comes off - at least initially. I'd lost 52 lbs by month 4 (where you are), but I also started off at almost 400 lbs. You are doing absolutely fine! and the majority of us DO have occasional stalls. It's a normal part of the weight loss process. Your body has to stop once in a while to recalibrate before heading down again. As long as you stick to your eating plan, the stalls WILL break, but they usually last 1-3 weeks (mine were sometimes longer once I got past the one-year mark...but that's true of anyone once you get close to a normal BMI). as long as the stalls and occasional fluctuations (which are also normal) aren't playing with your head, the daily weighing is fine. But it sounds like they were bothering you, which is why I suggested staying off the scale for a while. But it's fine to continue to weigh daily, of course. But remember there WILL be stalls and fluctuations, but as long as the overall trend is down, then you're doing fine.

I'm officially off my blood pressure medication! I haven't taken it since the day before surgery because my blood pressure was normal in the hospital and low when they released me, but the final decision needed to be made by my primary care. I went to see her today and was at 110/78 so she officially removed the med from my chart. All my readings have been normal the past three weeks, which feels like a miracle. I've been on it for at least 10 years, and even with medication I usually measured 130/85.

Question. How do they determine “excess weight.” Is it calculated from a certain BMI?? I tried to get an answer to this three hears ago when I was awaiting the sleeve and I still haven’t figured it out.

Hi, welcome! I read the posts here a lot before my first post too and felt like I knew everyone even though they didn't know me! LOL It is a funny feeling... My first thought is you aren't eating enough to be physically active. The body is pretty particular about how much energy it gets and after bariatric surgery our metabolism gets a nice reset (it is part of what helps us lose the weight) but to maintain that nice, new metabolism we need to EAT. And what is enough when you are mildly active isn't near enough when you are doing things that strain your heart, muscles, and burn a good bit of fuel. So I agree with the above, I'd eat more on days you work out. 65 grams of protein isn't enough for working out, I'd add in at least a protein shake, a little healthy fat, and some complex carbs. Second, it is normal to stall for a few weeks at any point, but it is especially normal if you start working out, or if you increase your workouts. This is because it changes the fluid balance in our bodies and the body takes a bit to even out. Some people even see increases on their scale when they start adding in more workouts! So if that happens, don't panic. We can also stall when our food intake changes. This is commonly seen when you go from fluids to solid food, but it can also happen if you jump in calories at any point, even if it is a needed point. My stalls seem to last for 6 weeks at a time. It is super irritating. At 4 months out you are not likely to be done losing weight yet. You may lose a little bit more. But weight loss slows WAY down the closer to goal we get and you are on the small end at this point so I wouldn't be surprised if it slows now. The most rapid weight loss is the first 3 months, then it tapers off slowly depending on how much you need to lose. Since you are used to being at the lower end of your BMI it is reasonable to expect you may drop a bit more to have the space you want if you rebound some. Just be careful not to starve yourself to get those extra lbs off, if it isn't sustainable for your body you'll really have to fight for it and it could damage that nice new metabolism in the process! Oh, and weight redistributes after weight loss. So you may look a little thin now and it may balance out a bit in the next year. This happens especially around the face for some people.

@BlueParis Still stalled I had my 3-month appointment yesterday. It seems I'm on track based on the numbers my doctor wants to see, which is losing at least 10% of your day-of-surgery weight at the 3-month mark. For me, that would be 22.3 lbs, and I've lost 22.4 lbs. So, I just have to trust the process, I guess. I have to go in Friday morning to have blood drawn for iron and B-12 check, and I need to redo my TSH (thyroid) from my physical earlier this week because Biotin messes up the results! So I have to stop my multivitamin and my biotin supplement for 72 hours before retesting. And @Noelle74it's so true that the weight does not just "fall off." Maybe the first few weeks, but after that? It's a struggle. Lots of ups and downs. Lots of frustration. I think a lot of trial and error, too, until you find what works for you. My plan is to just keep tracking protein and water, as directed by my dietician, for the next month. I have a vacation at the end of June. If I get back from that and don't like my progress, I will try limiting carbs to under 50g per day until my 6-month check-up at the end of August. If I'm worried at that point, I will talk to doctor about adding GLP-1. But hopefully there will be no cause for concern. My next thing is to learn how to use my resistance bands! That's my goal for the coming week.

No, but I did cut back on the amount of seeds (too much fat) and put drained and rinsed white beans this morning. It's definitely a work in progress to figure out what to eat. The bean taste was subtle so I think I will get used to it, and I may add some ginger to cover it. Frustrated to be on day 6 of a stall. My doctor told me I needed to increase my activity level, so I've been going on an hourlong walk and hitting 10k steps or more every day for the past...yep, precisely 6 days. Wondering if there's a correlation, like the extra activity made my body temporarily panic. I'm just trying to ignore it and carry on. The good news is I've had a lot fewer issues with stomach sensitivity this week, so I'm feeling brave enough to try some new recipes and incorporate more veggies.

So... It's seems my stall has finally "cracked" - I wouldn't go as far as broken, but cracked... and I'm happy with that. This morning I weighed in at 69.1kg which is 152.3lbs ( 10st12) and puts my BMI just below 25 ( 24.8!! woopeee). I've just voted because it's the EU elections here and am about to pack before I leave home for work for a week. I'm going to Budapest and really don't like the food there so I'll see how I get on. I'm really hoping to see a number starting with 68 when I get home even if I loose just 300g (10oz) this week I'll be happy with that! @Noelle74 I hope you have some better days comming and manage to eat without being miserable! @RonHall908 I have this fear too... Well done on all the activity! How do you find the time. I struggle to get my 10k steps some days with work and even though I've been for a few 5k runs I don't know how I'd find time to work out! @gracesmommy2 I might try those recipies! Thank you @NickelChip I see we share the same live-in housekeeper dream! I don't even have children and am often overwhelmed by my own mess and laundry especially when I do fast turn arounds for trips! I'd also like someone who could remind me to go to bed at the appropriate time, make me coffee in the morning ( to be honest my partner does this if he's around but we don't live together full time as we both want to keep our Paris appartments!), I'd like someone to say "Hey blue, lets go for a walk before bed, just 30 minutes" or "Hey blue, what about getting up 30 minutes earlier and walking to work?" or "Hey Blue, let me sort that ironing for you, why don't you use the time to do some yoga?" @LisaCaryl How are things going for you, how are you dealing with the stall ? @Briss72 How are you feeling? How's your leg? Have you found a dance routine you like ? If not I got myself a dress and don't feel massive in it even though I still don't like my tummy I thought my legs ( massive heels helping) looked pretty ok!

That's a great view. I walk one to two miles every other day. Part of the reason for the gastric bypass is I have a torn meniscus ligament in my knee. It's going to require a full knee replacement. The surgeon won't consider doing the surgery until I'm at 40 BMI. That's the reason why I can only do 1 to 2 miles, anymore than that is just unbearably painful. Tha days I don't walk, I get on the rowing machine I have at home. I try to exercise at least 6 days a week. It's not high intensity or anything as of yet. Great to see your stall has passed. My weight loss is very slow. But, it is moving.

Yesterday was a bad day for me. Everything I ate got stuck and I spent a lot of time miserable with a bag nearby ready to be sick. I ended my day with applesauce and called it good. Today started off good with some movement on the scale. Down 1.6 lbs. small change I know but it’s the biggest change I’ve had in a day so I’ll take it. I wanted to weigh in before the weekend when I’ll no doubt eat things I shouldn’t and sit around way more than I should. I’m in no hurry to eat anything today after everything got stuck yesterday. I might stick to liquids today just so I’m not totally miserable all day. We weren’t supposed to get anymore rain til Tuesday but here it is again, cloudy and drizzling. Seems that is all we have seen the last two to three weeks. It’s not cold just dreary. I hope everyone else has a brighter happier day today.

The stalls aren't fun. But I've been reassured by the baritastic dietician and doctor that it is part of the process. It's just a tough thing to swallow when the number don't move. Sounds like you need a little rest from traveling. But, I understand work. The past month my sleeping habits have gone sideways. I'm constantly waking up at night. I wear a bipap for sleep apnea. Also have a smart watch that help tracks sleep. My REM sleep has been less than 45 mins a night.

If you have access to a pool and don't mind being seen in a swimming costume aqua aerobics is nice and easy to get the body moving and help joints. If you have a yard/garden even just walking around it would be good to help get you moving, or stairs if you are in an apartment complex. I am not the best when it comes to exercise but I can certainly feel an improvement in my interest and energy levels as the weight comes off. I start each day with good intentions but often procrastinate or find something else to do but I do go to aqua aerobics once a week since February and since last month I am doing pilates once a week. I believe in turning up if I have paid so signed up for a year of the aqua aerobics and doing the pilates in 10 block sessions. At home I do the One and Done program, seven minutes every two days or three days depending on how I am feeling. Again as I paid for it, think $30, I use it and I can feel the difference. I also have an stationary bike that I use once a week or so if I haven't done any other exercises. I just do about 5km at a time as I find it boring but I am sure any little helps. My main problem area is my legs (ankles to thighs) as I have bad lipedema and while they have gone down in size since my sleeve surgery they still do me no favours in the appearance department so I am just trying to target them as much as possible.

In the UK it’s not about BMI, on the NHS you have to do a LRD for three weeks prior to your surgery!! I’m nearly two weeks into it, one week left on Tuesday before my surgery on the 19th!! I’m 14lb down though so far.

I only had to do 2 weeks of keto - I had mine in Mexico. My insurance denied me. They required BMI and THREE co-morbs 😩