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I never experienced a stall. The secret is to get off the scale. I was too large for a home scale for at least the first year, so I only knew my weight at my monthly follow-ups with my surgeon. Eventually I was able to fit on a home scale, which I weighed on several times a day for a couple weeks, then I returned to only weighing at monthly follow-ups. It certainly made for a lot less stress over weight loss. I still only weigh at medical appointments, usually my annual physical. One does not need a scale to follow one's plan. Good luck, Tek

Just replied! Also, here is the Mexico/self-pay board: https://www.bariatricpal.com/forum/486-mexico-self-pay-weight-loss-surgery/

You are correct. I have receipts for the current medical policy. Click this link to the BCBSM website, or google bcbsm bariatric surgery medical policy MEDICAL POLICY - BARIATRIC SURGERY (GASTRIC SURGERY FOR MORBID OBESITY) Once the pdf opens, press Ctrl+F on your keyboard. Type 4/20/21 in the search bar. “Updated the policy to say 4 years for both BCBSM and BCN as per the JUMP’s recommendation and eliminated the 6 months waiting period statements” I also called Blue Cross Complete @ 800 228 8554. I spoke with a very helpful rep who informed me that there is no waiting period for Blue Cross Complete (Medicaid) Only documented medical weight loss program within 4 years of surgery request. Doctors determine the length of their weight loss programs. I’d give them a call and maybe do a three-way with your office manager.

You’ll only need to take the strong pain meds for a few days - I took my last one on day 4 but probably didn’t need it. Some find over the counter enough in a couple of days. We all handle pain differently. The shakes can taste disgusting after the surgery because our taste buds can temporarily change. Have a couple of different brands & flavours on hand. I forced myself to have a shake in the morning (doubled the water to dilute the flavour) & then had diluted soups (broths, consommés) the rest of the day. Ask your dietican for other protein rich fluids you can try. It’s really only for a short time. Water can be sort of hard to swallow - heavy. Try drinking other liquids as well. I drank green tea, thinned yoghurt drinks, electrolyte drinks as well as the diluted shakes & soups.. Warm drinks are often easier to drink - more soothing. As the months pass you will be able & encouraged to eat more. I was advised to start with 1/4 - 1/3 cup from purées slowly increasing to about a cup at goal (at 6 months for me). Check with your surgeon & dietician for their recommendations for portion size, maybe calories & any other nutrient goals like protein. Yours will be different to mine simply because you’re male. Same with when you progress through the restricted return to eating stages to support your healing. I was on 2 weeks cycles: liquids, purées, soft before solid which is pretty common. Having the surgery is not being a quitter. The truth is you will still be doing the work & it is hard work. You can’t rely on the surgery alone to be successful. People can & do eat around their surgery. The loss of appetite & hunger don’t last & some don’t lose them at all. I worked harder after my surgery than on any other diet simply because I wanted this to work & be as permanent as possible. The head work, understanding why you eat, your cravings, habits, etc. is probably the hardest aspect. I also did a lot of reading to work out a way of eating (not a diet - they’re temporary) that worked for me & could be sustainable. This was a huge difference. I could always lose weight (until the last gain I had) but I could also put it all back on again because I went straight back to what I did before. I was a quitter then because I didn’t stick to any exercise plan or change of eating style. I still watch my portions, monitor my protein & fluid intake, randomly check my calorie intake, & carefully read the nutrition panel on the few food stuffs I buy - I tend to cook most of my own food from scratch. All the best whatever you choose to do.

Congrats! You look great and should be happy with over 70 pounds in weight loss. I only lost one kilo (2.2 pounds) in January, so that’s not great. But I haven’t really been able to exercise since I was sick in the first week of January and then I hurt my foot. So far in this journey, I’ve always lost more in the month after a slow month, so here’s hoping February will be a success!

Have any of you experience a stall in the weight loss? At the 3-month mark I noticed I stopped losing weight and I even gained 2 pounds. My diet has changed a little bit and continue to follow suggestions by my nutritionist.

I originally had an ESG, it wasn't painful as such but I did have rolling stomach cramps, you can get over the counter medication for that (buscopan). You need time to allow the suture / anchor sites to heal, so I would think most doctors would give you at least a week or two of fluids (shakes), I did see one plan when someone had to do shakes for about eight weeks. It really does depend on your doctor's guidelines (I would have thought you would have been provided with guidelines by now). I am not sure why you think having a weight loss procedure makes you (or anyone else) a quitter. I imagine you have had many attempts at losing weight and haven't been successful? If this helps you lose the weight and maintain the lost, that's a good thing. ESG is a lot different than the surgical options, the reduction in stomach size is not as great as those options, you mostly certainly eat more than a few bites at a time (as is the case with the surgical options once healed from those procedures). This is from an Australian perspective but you may find it useful https://bmiclinic.com.au/endoscopic-sleeve-gastroplasty-faq/

I was self-pay so I went with the Sleeve because it was cheaper and came with a lower complication risk. Being self-pay, any issues that arise due to the surgery also aren't covered under insurance so I wanted to make sure to go with the option that carried the lowest complication rate. In my experience it seems that bypass is the more dominant option for those that are severely overweight (think BMI 60+) and want the best chance at being able to lose most/all of their excess weight and maintain the loss.

Bypass was once the gold standard of weight loss surgeries up until a few years ago, when sleeve took over. It's easier for surgeons to perform, it's cheaper, and a lot of people are afraid of the bypass. Thus, sleeve is currently the most popular weight loss surgery. I went with bypass because I had GERD prior to surgery. Bypass usually improves if not outright cures GERD, whereas sleeve can make it worse (doesn't happen to everyone - and some people say their GERD even improved after getting sleeved, but the risk of having it get worse was too high for my comfort, so I chose bypass). bypass is the stronger of the two surgeries, but sleeve is close. And yes, you have more options for revision after sleeve, but then, very few people who have bypass get theirs revised. honestly, they both have their pros and cons. There are some health conditions (like GERD) that would make one surgery more appropriate for you than the other, but barring that, it really comes down to personal preference. They're both good surgeries and you'll find many examples on here of people who've been very successful with both. I love my bypass and would choose it again if I had to make the choice today.

Hi everyone!! I am so curious I am dying for bypass info videos chats all the things, but it seems like so many sleeves. Why is that? I think Bypass is my best option and I just got my surgery date for 2/20. I do worry I have regrets about sleeve vs bypass. Can anyone tell me why you chose it and how it went? What was your weight loss like? n All I see is sleeve!

I can't believe it has been a year already since I had my surgery. Time really flies. This past year was filled with lots of major milestones, NSVs and overall positive things. I decided to write this post to hopefully inspire others who are on the fence or those who are already on their weight loss journey. I had my surgery (MGB) in Egypt on 30 January 2022. My sister had hers earlier that month and it didn't take her long to convince me to do it as well. I flew to Egypt on 28th, admitted to hospital on 29th and had the surgery 30th morning. I stayed in the hospital for two days and rested for a week in Cairo before flying back to Kuala Lumpur, Malaysia. The whole process went smooth and the recovery was quick with no major issues. Just a bit of discomfort which is normal for any surgery. I was not given any specific diet to follow except for some guidelines - one week of Clear Liquids, 1 week of pureed food followed by gradual introduction of solid food in week 3. I will start with the positives and the current stats. The negatives / issues are listed below My starting weight was 149 kg. I was 85 kg yesterday. That means I’ve lost a total of 64 kg or 43% of my starting weight. I still have like 15 kg to go. The weight loss was quick at first then started to become slower but I’m more than happy with where I’m at right now. I didn’t follow a strict diet but rather reduced my food intake and ate healthier. I always start with my Proteins vegetables and end with carbs. It helps that I cook myself so I know what goes into my food and can control the portions. I now enjoy food better than before because I really take my time to eat. There are some foods that I can’t tolerate like Pasta, scrambled eggs etc. Not sure why but I’m not too concerned by that. Here are some of the major achievements and NSVs I’ve experienced the past year (a part from the weight loss): I went from size 52” pant to size 34-36 inches pants depending on the cutting. Here is a comparison between the pants I wore on surgery day and the current ones. Custom-made shirt on surgery day vs the one I wore yesterday (Size M) Here is me in December 2021 and yesterday morning (left to right) I got myself a mountain bike when I went below 100 Kg and that helped a lot. I try to go on a ride around the town whenever time and weather allow. I’m planning to do this more often after the rainy season. I feel more fit and energetic overall. I was able to join my family in a lot of fun activities which was impossible last year. I took the kids to the Water park last weekend and we all had a great time. My son told me that he is so happy I could go on the water slide with him and that made the whole journey worth it. I’m planning to join the gym and start rebuilding muscles and tone my body. I’ve some loose skin here and there but it doesn’t bother me. I might end up having it removed but it is too early to decide now. There were also some negatives (as with everything in life) which I consider to be minor : - The 6 months blood work showed that I had Vitamin B12 and D deficiency. The doctor asked me to take high doses of Vitamin D and daily Vitamin B12 tabs which I’ve been doing over the last 6 months. I’m planning to redo the test soon. - I struggled with heartburn and indigestion early on but I learned how to control it. I don’t add a lot of spices to my food now and will stop eating if I feel any discomfort. I still get it every now and then but OTC heartburn medicines really help. - Loose skin specially on my arms and thighs (but that was expected) Overall I’m very happy with my decision and what I’ve achieved over the past year. I’m really looking forward to this coming year.

I’ve only told limited people. For two others who acted almost as if entitled to be hear about my weight loss my go to is “ I’ve spent my entire life talking about my weight and I’d prefer not to waste another moment discussing it.” 

If someone asks I will tell them because maybe they are looking for answers for their problem too or someone they love. I had 2 people tell me that they had a gastric bypass 10 years before. l had always known them thin so I was surprised to learn that they had had a bypass, but also encouraged by that too. I mean they have both kept they weight of for 10 years!! These two ladies are the reason I got started on the path of weight loss. So if some one asks me I will tell them truthfully.

Well I hope you get to have your surgery this time. Congratulaltions on the 50lb weight loss!!!

I have just said to those that have mentioned my weight loss that I have a nutritionist, I'm exercising 5x a week, I'm eating high protein/low carb and I'm eating small portions and not drinking, all of which are true. So really you can say you adopted a healthy lifestyle which you did.

You may have hair loss but you are looking amazing. Sent from my Lenovo TB-J606F using BariatricPal mobile app

I would like to get extensive body contouring now that I've lost 170lbs and seem to be in a stable spot in my weight. What I'm most concerned about is how long I would need to take off from work though. I would like to get an arm lift, breast lift, tummy tuck and thigh lift, which I believe would be 3 separate surgeries (combining the arm lift with the breast lift). The recovery time sounds a LOT longer and rougher than the actual weight loss surgery so I'm having a hard time gauging how long I'll be needing lots of help at home, when I could go back to doing my WFH office job, and when I would actually feel better after surgery. I went to real self and they said * Tummy Tuck - 2 weeks until back to work, but ideally give yourself more time and 6 weeks to fully recover * Arm Lift - 2 weeks but really it sounds like 4-8 before the incisions are mostly healed * Thigh Lift - 2 weeks until back to work and 6 weeks until fully recovered I am not a fast healer and have chronic pain/disability from other illness, so it took me 5 weeks to get back to work from my SADI. I'm worried that this would be like 3 months of time off work total and I'd have to split it up a year for each surgery just to get the time off. Am I looking at this all wrong or are these surgeries just that brutal to recover from? 😬 I don't even know how to start explaining that much time off to my boss either.

I have been fortunate enough to have the majority of my family/friends/coworkers have been very supportive and I think the funniest thing is dresses I wear now that I wore 100 lbs ago I get mega compliments. I do have a few "friends" that keep close track of my weight loss and comment about how they've found the weight I lost and things like that, but I have noticed a distance as I get closer to my ideal weight from some people. I feel lucky that I have not had a lot of nay sayers in my world, but I have had people distance themselves. I'm also VERY open about my surgery. I feel like that's important to be said here. If someone compliments me on my weight loss and asks how I did it, I tell them I had RNY and my before and after story. I'm sure there's talk behind my back about "the easy way" and things like that but I just refuse to let the negative in.

It took me a lot of years to figure out that I never knew how to do the " 5 pounds to play with " thing. I can do that now. I live in Southern California and love going to Disneyland ! All sorts of very not weight loss friendly foods - but there are healthier choices that can be made - and not just salads. There are really good soups in some locations, I am a fan of their corn chowder (vegetarian) and one of the Mexican places makes a yummy grilled half chicken plate that I share with my adult daughter ! I pick my treats and plan on having what I really want, whether it is ice cream or something else..... and if I gain a pound or so... then I know how to take it off over the next week. I weigh myself every morning... so that I can figure out what the heck I did or did not do in the couple days earlier to deserve weight gain, or loss. For me, I don't use much salt. And a meal out .... even a nice salad; can put pounds on me. Took me a long time to figure that out. A diet frozen dinner with less than 300 calories will do it too. Those are full of sodium and it does it every time. I cook with a lot of fresh home grown herbs - getting ready to plant my spring garden - will do lots of lettuces and baby carrots, radishes and beans and peas.... later in the spring will plant cucumbers and tons of heirloom tomatoes for the hot hot summer. Find the things that make you happy, that make your body strong and healthy and take good care of yourself !

I don't mean to be judgmental about this because I went through it, myself. I first heard of weight loss surgery when I was in college, and I had already struggled with my weight and countless diets over the years. Gastric bypass sounded like an absolute miracle -- something that would just magically prevent me from overeating! I went to an informational seminar and a consultation with a surgeon, but when I started learning about how much work it would be, I thought, "If I had that much willpower, I wouldn't need the surgery!" I read people's personal experiences with WLS and was very turned off by how much their surgery affected their lives, because I wanted something that wouldn't require me to devote my whole life to weight loss. I backed out and it took me another 15 years before I was ready to put in the effort of the lifestyle changes. I'm very grateful to have the "tool" of weight loss surgery, but it required (and continues to require) a lot of work on my part.

I wonder if this bothers people because it hits a little too close to home. I used to hate when people said, "It's not a diet -- it's a lifestyle change!" (usually when referring to... a diet, e.g., keto). But now, I get it, as much as I hate to admit. I actually use that now to shut people up when they get too nosy about my weight loss (I have kept my surgery private and not told any friends, family, or coworkers). When they demand to know my secret to weight loss, I say I made a lot of lifestyle changes, and that's not what they want to hear. I see a lot of people on this forum who seem to expect the surgery to work like magic -- to make weight loss easy, instant, and permanent. Reminding people that surgery is a tool, not something that works on its own, might be a reality that's hard to face.

Hello, I guess I can day I feel great. I'm still hurting in my stomach, but it's getting better. I weighed 338 pounds the first visit to the weight loss management center Oct.19th, 2022. Surgery was January 9th, 2023. As of January 28th, 2023, my weight is 297 pounds. Still have some work to do. The good thing about all of this is that I'm walking, standing, and sleeping more than I've done in more than 15 years. I don't post a lot but I will try to do better. Sent from my SM-S908U using BariatricPal mobile app

I started a new contract 4 weeks after my surgery. I did struggle a bit because my BP was so low - had times I was very doughy in the head & would lose vision at times. (Always had a tendency to this so…) I had a long history working in this department & they were very understanding. They knew I had a surgery & was recovering so let me negotiate my hours a bit. Funny thing was my boss presumed I’d had a ‘female’ surgery & I didn’t say I didn’t. Some noticed the weight loss ((last worked there five months previously) but they linked it to the surgery too & me trying to be healthier. All very easy actually.

For me, I've rarely experienced Dumping Syndrome. I had my gastric bypass 9 months ago. I had more issues with the "Foamies" but haven't had that issue in at least 4 months or longer ("Foamies" is when you regurgitate what you've just eaten and you over-produce saliva and start vomitting - for me this was a very slow process and not pleasant - it happened if my pouch couldn't break down what I was eating - i.e. I had a hard time processing chicken breast even if it was so small, etc - this was during the stage of real food, not purees or soft ....anything stringy like kale, spinach, celery, etc. And...if I ate too fast). As far as Sugar & Fat, I never had that issue and I never went Fat Free/Sugar Free either. However, that being said....I don't want to eat fat - especially animal fat, as it made me pretty sick even before my bypass....but I don't necessarily eat Fat Free Yogurt. I tend to look at Nutritional Labels focusing on Protein, Fiber, Carbs. For example, it really depends on the product and it also is a lesson for everyone going through Weight Loss Surgery in Trial & Error. So, you have to see how your body does and if you have any doubt, don't do it. But at the grocery store, I might look at the labels and see what looks like a better fit for me and see how my body does - the Siggis Icelandic Yogurt has less sugar higher protein and my body does great on it. Say for a cheese stick/snack, a regular piece of cheddar is easier for me to digest than fat free. With fresh fruit, I think it's so important to incorporate, along with fresh vegetables. As far as worrying about the sugar content of fruit, I don't think that's an issue at all. I think it's smart to incorporate fruits into your diet - whole fruits whether fresh or frozen, because it's a good, healthy habit that's so good for your body. I've never had ill effects from eating bananas, berries (some of the best fruit for us!), citrus, you name it. Mind you, I'm a former Type 2 Diabetic. One thing that I have had issues with is sugar free products. I think that could be with anyone - I find that monk fruit and stevia are so much better on my body. Most definitely too much sugar free products (ethythritol, xylitol, etc.) can have major negative effects on your system. I have learned to proceed with caution - before and after surgery - with sugar substitutes. Also, your taste buds definitely change after surgery as well. I love using olive oil for cooking. I try to stay mindful and definitely tracking (Baritastic App is my favorite) helps create good habits. Avocados are wonderful, good fats and I try to eat these. I will tell you that my body has "learned" what makes it feel good. For me, the things that make me feel good are oats - just regular, plain oats (not packet) and steel cut are my go-to. Fruit does make me feel good too, I love adding in smoothies with protein drinks and ice and helps me feel great. Greek yogurt does the same. Nut butters without added sugar helps me feel great also. Veggies sautéed in olive oil help me feel good, a light salad and most fish (easy for me to digest and good source of protein). It's all a matter of trial and error but honestly, this is the best thing I've ever done for myself!! I hope sharing my experiences helps you and best of luck to you!!