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This may help answer questions. I also suggest a dietitian who is knowledgeable with WLS https://www.pennmedicine.org/updates/blogs/metabolic-and-bariatric-surgery-blog/2018/march/make-protein-a-priority-after-weight-loss-surgery
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It's awesome to hear about your commitment to your fitness journey, especially as you prepare for surgery. Lifting weights and doing cardio like treadmill workouts are great steps toward your weight loss goals. Starting now and gradually building your routine is a smart approach, considering your surgery is in March or April. Your determination, family support, and encouragement from your friend and support group are all powerful motivators. If you're seeking more insights or tips, you might find resources at https://hitsona.com/chertsey/ helpful. Keep up the positive changes you're making, and continue embracing a healthier lifestyle.
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Weirdest None-Scale-Victory - I'll go first
PennyinAL replied to chiquitatummy's topic in General Weight Loss Surgery Discussions
I'm only 18 days out, down 24 lbs since first going to surgeon...I usually put lotion on my legs and feet every night and last night I realized that even though there is still some surgery discomfort from incisions, I could put my foot in my lap and could play with my toes without issue! This is a game changer because for a long time now I have been paying for mani/pedis mostly bc it is painful to reach my toes as I have major back problems but just the little weight I've lost so far makes it not hurt to get to my feet!!!! It may be a while before I can do my own pedicures but I was just so surprised -
Changes I’ve seen SO Excited
KayEL replied to KayEL's topic in POST-Operation Weight Loss Surgery Q&A
Thanks Tek, that’s why my post wasn’t about weight loss. -
So, I had a screening phone call from the nurse and surgeon weeks ago and got the go-ahead for sleeve surgery on sept 12th. I had my in-person pre-op appointments yesterday. I am self-paid, mind you (18 000$), and already gave my 3000$ deposit. So, I meet with this nice dietician that starts asking questions about my past, about how I got to the weight I am now, etc. So, being an honest and open person (and also being already very nervous about the surgery, so, yes, I'm crying profusely during this appointment, which makes me look even worst), I explain that I have been suffering from Binge Eating disorder for the past 25 years and that, yes, it's still an active issue. But I also mention that I have started therapy with a therapist specialized in eating disorders. That I understand that this is a tool, that it involves a lot of work, etc. She gives the ok, they take my 15 000$ check, give me the powders for the liquid diet and send me on my way. 2 hours after, the clinic calls me to say that the dietician spoke with the surgeon and that BED being a new info for him, he is requesting a clearance from my psychologist to go ahead. I've seen this psy only 3 times so far.... So, basically, he is waiting for a note from a therapist that has seen me 3 times to decide if he's doing the surgery or cancelling, or postponing. I'm very upset. I am very anxious about the surgery (being put under, the breathing tube) and have been trying to get mentally ready for the surgery for the past 2 months and now it's all up in the air. After taking my deposit. After having phone calls with me and giving the go-ahead (and never asking about any disordered eating history!). So I will know next week what is decided. I am not mad at the dietician, she's doing her job. I am not mad at the surgeon, he's being careful . But I am mad at myself for opening up, being honest when I'm sure a lot of bariatric patients would have said nothing for the same exact reason (fear of being refused). I should have known better............ I should have just shut my mouth!
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I recently decided to get weight loss surgery and was looking for recommendations of surgeons in the NYC area. Thanks!
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Your first stall is quite scary, most off us have the moment when we think we must have done something wrong. You will have many stalls and many times when you will gain a little. You will get used to it. Keep off the scales as much as possible, that road leads to sorrow. You are not dieting anymore. You are learning a new way to live.
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A little more than one week post-op update:
Pain - My incision pain decreased enough for me to feel comfortable most of the day on Tuesday, Day 6. As of today, Friday, Day 9, I can get in and out of chairs without feeling my incision pulling and needing to put pressure on it. I was able to drive my teen to work in the next town, with the support of a seatbelt pillow. I stopped by the local rail trail and had a short walk in the greenery yesterday. I'm planning to up my walking now that I don't have so much pain, but I want to take it slow so I don't overexert myself. My legs are starting to cramp from inactivity.
I've been building up to my hydration and protein goals daily, and worked up to 4 oz of liquid intake every 30 minutes. I didn't really have a schedule until I woke up on Wednesday, Day 7, feeling absolutely ravenous. The day before I had concentrated on hydration and come up a little shorter on my protein goals. So I made a spreadsheet, to plan out my protein and hydration intake according to what my stomach was capable of now, and discovered I could get a bit more in if I paid more attention to things. Yesterday, I made 72 g protein and 64 oz hydration/36 of which was clear liquids.
I have medications/vitamins to take 4 times a day, and I had been following the 30 min before/after for them, just in case, because I wanted to make sure they were absorbed. However, my dietician told me this morning that I didn't need to do that. So that clears up significantly more time for clear liquid hydration!
I weighed myself yesterday, and discovered that in the first week since surgery, I've lost 23 lbs. Part of me thinks that is a worryingly large number, but also probably a great deal of it is water weight. I did some measurements, and it appears that most of the weight has come from my arms and bust (of course). My clothes don't appear to fit differently yet, but I haven't worn most of them yet. I did notice while putting my face serums and creams on that my cheekbones and jawline seem more prominent.
One of my first NSVs is that my left ankle used to swell after sitting all day. Recently, despite sitting most of the day during recovery, my ankles have matched in size and slenderness. It's very exciting!
The best news of all is that I met with my dietician this morning and been cleared for advancing to more foods. Our program has weeks 1-3 set aside for full liquid diet, so that is what I was prepared for. My dietician said that starting today, I can start making protein shakes with fruit, and I can also have fully blended soups of any type. So that expands my diet significantly! Also, I am permitted to move to stage 3, purees, next wednesday.
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Sleeve to Bypass revision
SleeveToBypass2023 replied to Victorooni's topic in Revision Weight Loss Surgery Forums (NEW!)
So I had this revision in June, and I can tell you that the weight loss will not be like it was with the sleeve. I had it because I developed GERD, esophagitis, gastritis, and a TON of pre-cancerous polyps all through my stomach. So I also didn't have a choice. I was on 80mg daily of Nexium, Pepcid for breakthrough, Tums, and still had break through GERD anyway. With the sleeve, I lost 30 pounds in the first 2 weeks. With the revision, I lost 14. I also wasn't interested in doing it for weight loss, since I was chugging along and doing well until it all went stupid. My goal was to get back to living my life, get back to my beast mode work outs, get back to feeling good and not having pain. And that's what the surgery is doing for me. I was finally having hair regrowth when I had to have the revision, so I'm fully expecting to see more hair loss. It's started shedding more again, so I'm mentally preparing for it. I can also say, the recovery from the bypass has been SO SO much better than with the sleeve. I honestly wish I had just done the bypass to begin with. So much less pain, I was up and around faster, able to do things better, could handle my pills and supplements (had to crush or completely eliminate them with the sleeve for the first 4-5 weeks), able to handle cold liquids (couldn't with the sleeve), able to get my fluids in so much easier (I drank a 20oz of Water in the hospital the day I had my surgery and could barely handle 3-4oz with the sleeve). So all in all, I'm exceptionally happy I did the revision. No more GERD, no more PPI, no more pain, much easier recovery, and while the weight is still coming off, it's doing so at a slower and more manageable pace. I wish you all the luck, and I promise you'll feel so much better after the revision. -
Sleeve to bypass revision
SleeveToBypass2023 replied to dma2013's topic in PRE-Operation Weight Loss Surgery Q&A
Yep, me. I had to be on 80mg of Nexium daily, Pepcid as needed for breakthrough, and it still didn't help. I had severe gerd, gastritis, esophagitis, and polyps all through my stomach and duodenum. 4 endoscopies later, I had to have a revision to a bypass. Changing my diet didn't help. Eliminating exercising didn't help. All the antacids didn't help. I never had any gerd or reflux before the sleeve, but it was debilitating after. Revision was the best thing I ever did. The recovery for the bypass was LIGHTYEARS better than for the sleeve. I was able to go home after 1 day instead of 2. I was drinking a 20oz of water with no issues 2 hours after the surgery. I was walking with minimal discomfort. Never took the pain pills prescribes and only needed Tylenol for the first 4 days. Never had to sleep propped up. Never had to worry about temps of liquids because there was no sensitivity to it. Was able to take my pills and supplements without cutting or crushing them. There is a HARD STOP with eating with the bypass that I never had with the sleeve. If you have 1 bite left but you're feeling like you're done eating.... DO NOT, I repeat, DO NOT eat that last bite. I promise you you'll regret it. With the sleeve, I could squeeze in that bite and feel really full. With the bypass, it makes you hurt and feel sick. Not worth it. Weight loss is MUCH slower with a revision, so as long as you go into it knowing that, you'll be ok. Getting your life back and being gerd and pain free is so so worth it. My only regret is not just doing the bypass to begin with. I wish I would have skipped the sleeve altogether. -
You might be hitting a stall. I always gain a few pounds when that happens, but when it breaks, I lose everything I gained plus an extra 2-3 pounds.
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First appointment tomorrow, super nervous
KathyLev replied to ReadybutScaredALittle's topic in Gastric Sleeve Surgery Forums
Thanks for posting that video. I was on the lower BMI and also wondered about the success of weight loss. Good to know ! -
Hey everyone! I'm 4 weeks out as of yesterday, and I've mostly been feeling great. However, I got my period 4 days ago. At first, my weight loss stopped. Then, it even went up 2 pounds. Is this...normal? I've been on track with my water and protein, been following dietary guidelines to a T, and I haven't been exceeding 500-600 calories a day. How on earth did I gain 2 pounds? Is it because of my period? Trying really hard not to panic. 😞
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I took Ozempic for about 2 years for diabetes. I loss some weight but the side effects were atrocious. It did help with my A1C though. Sent from my SM-G991U using BariatricPal mobile app
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My Gastric Sleeve Journey
TRClark23 replied to TRClark23's topic in Tell Your Weight Loss Surgery Story
I apologize for not posting as often as I did at the start. I've slowly started to incorporate more things into my diet over the last couple weeks. I had a fish taco from Torchy's Tacos tonight, for example. I was only able to eat two bites, but it was a nice change up. I attempted to eat a turkey sandwich from Subway last week and wasn't really feeling the bread. I was only able to eat about half of a six inch and it took me a couple days to get that done, lol. After getting sick off of roast beef about a month ago, I haven't even attempted red meat again and really don't have a desire to. I've found that I still "want" to try to eat a large amount, but my body doesn't allow it. I've pretty much just started taking two bites of things and being finished as when I take more than two bites, I have to start spitting in a cup or I have a desire to throw up. I'm officially down to 313lbs, so I should only be in the 300's for a couple weeks more or so. I'm down 72lbs since the start of my journey and down 48lbs since my surgery on June 23rd (8 weeks ago tomorrow.) So I guess you could say I'm averaging a 6lbs/week loss since my surgery, but I've found some weeks I'll lose 10lbs and some weeks I'll stall. It's hard for me to wrap my mind around the fact that I'm only intaking like 400-800 calories a day and stalling, but I know that it's just a part of the bodies process. My surgeon has said since day one that this surgery and weight loss will last about a year and to make the most of it now. I swear, feeling how I feel when I eat, I don't imagine that I'll ever be able to eat like I used to again. I guess we'll see. Thanks to everyone that's stuck with me through this journey and ready my posts and have given me encouragement. If you're reading this and you're still on the fence about whether to have the surgery or not, I can say without doubt that it's the best thing I've ever done. It really sucks to not be able to eat certain things anymore, but being healthy and losing weight is a lot better than any junk food. Sometimes when my family are eating huge burgers, cakes, pies, etc... I feel regret for a brief second, but honestly, the only regret I have is that I didn't do this 10 years ago. -
I did keto as the 2week pre surgical diet but my dietician said keto is a short term diet, best for kickstarting weight loss. It shouldn’t be followed long term. (Check research on effects on diabetes & insulin levels, cholesterol, etc.). Most post surgery diets are high protein, low fat, low carbs so probably closer to Aitken’s if you’re looking for a more formal recognised diet. One of the most important learnings I’ve had is that there is no one diet/way of eating that works for everyone. If there was the dieting wouldn’t be a billion dollar industry. Speak with your dietician, do your own research, & listen to your body & needs & the work out a way of eating that works & is best for you. As to your weight loss so far, you’re doing fine. The only people who lose very large amounts pre & immediately post surgery are those who began at a very high weight. There is really no right or wrong rate of loss. There are averages which only give you an idea of what you might lose. We all lose at our own rate. How many stalls you experience,how often & how long they last are individual too. And everyone’s’ rate of loss slows as they get closer to their final weight. I decided I would only worry about how much I was losing if my surgeon was upset but he wasn’t ever. All the best.
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How do I know when I'm full?? - 1 week post-op
Arabesque replied to melanieinamumu's topic in POST-Operation Weight Loss Surgery Q&A
You won’t feel a lot of your old signals & your new restriction for a while (solid food usually) because a lot of nerves are cut during surgery & they have to heal. Secondly, liquids go through your tummy much more quickly so you don’t get full especially as you’re sipping slowly. When your signals do start to get through, they are often different to how they used to be to you. For example when your hunger returns, you’ll likely realise real hunger is not wanting/craving a specific food, flavour or texture (that’s head hunger). I feel restless as if something is wrong & there is a reason I am hungry & not because of emotions, boredom, habit, etc. I was advised to eat 1/4 - 1/3 cup of food from purée slowly increasing to a cup by about my goal at 6 months. Initially because of the lack of signals so I wouldn’t strain my healing tummy, & then to guide appropriate portions. Check with your team for portion sizes if you’re unsure - weight alone doesn’t always work or is easy to measure. But never worry if you don’t eat all of your portion - it all balances out & it means you’re listening more closely to your body & it’s needs. And in the beginning, same with hitting all you goals - as long as your making an effort & are close & getting closer you’ll be okay. It’s always harder in the first weeks. The goal is not to feel full or to feel your restriction, but to learn when you’ve eaten enough or what your body needs not what you want to eat. Of course you don’t learn this overnight. I found asking myself if I need the next bite or just want it very helpful. Still do this 4 years out. And finally, another thing you don’t learn overnight. It takes time for your full message to get through when it fully come back. So when you feel full you’ve already eaten too much & more than you need. Sorry long post. -
Changes I’ve seen SO Excited
The Greater Fool replied to KayEL's topic in POST-Operation Weight Loss Surgery Q&A
Congratulations Kay. As you've learned, the scale is not necessary to appreciate what you've lost. And gained. I was too large (by far) to fit on a home scale, so weighing at home simply was not possible. So, all my milestones were not on the scale. As it turned out, even at my monthly appointments when I could weigh in my surgeon was not interested in my weight loss. His questions were about my health, my happiness, and my well being. He never brought up weight loss unless I did it. Good luck, Tek -
When my doctor told me to change my eating habits within that first year or 2 of major restriction, I took it seriously. I learned how to make better choices 80% of the time. Don’t get me wrong, I eat chips, dips, pizza, cake & all the other bad stuff. I even drink beer. However, I eat and drink in moderation and I do it occasionally. I stay away from sugary drinks and those extra calories that add up quickly—most of the time. I do indulge occasionally. I also learned easy swaps when cooking to help reduce calories. For example, I cook with cooking spay, not oil. I use lean ground turkey meat, chicken breast, and other lean meats. I still wake and go with a Greek yogurt for Breakfast, and I will add Protein Powder in the mix & top with fresh fruit. I love eggs in so many combinations, and if I want eggs with bacon or cheese (or other high calorie toppings/sides, I’ll use egg whites instead of the whole egg. I do zucchini noodles instead of pasta…all these little things that have become habitual are what make a BIG difference in the long run. I literally changed my eating lifestyle. The 2nd component was body composition. I started lifting weights. Heavy weights…for me. The heavy lifting helped me add muscle and lean out at the same time. I don’t do cardio…or, I hardly EVER do cardio. I hate it. My fitness is purely from heavy weightlifting. It became another aspect of my lifestyle. I have lifted 4-6 days a week…Consistently…Year round…Since I was sleeved & released for physical activity. If I’m on vacation, I’m on vacation. If there’s an emergency, there’s an emergency. However! Tired. Not tired. I go to the gym. I think of it as my job. Whether I want up go or not, I have to work. And yes, I still have restriction 10 years out! But sliders are definitely still a thing, and if I stick to my Protein, veggies, and complex carbs, I don’t really crave or care to indulge in those sliders too often! Bottom line. It’s a lifestyle change. Change your habits. Be consistent.
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Changes I’ve seen SO Excited
BabySpoons replied to KayEL's topic in POST-Operation Weight Loss Surgery Q&A
I love hearing about the health improvements even more than the weight loss. Congrats!!!!! -
I learned today that I will require a revision due to having severe reflux which has caused barrettes disease. In regards to my weight, I do not need the surgery but I am 8 pounds above my most consistent weight and in total I’d like to lose 15-20 pounds. I didn’t ask any questions I just listened. I was wondering if anyone had similar circumstances? If so is the pre-op and post op similar to the initial surgery? How many days were you in the hospital? I would appreciate any feedback others could offer. Thank you!
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I learned today that I will require a revision due to having severe reflux which has caused barrettes disease. In regards to my weight, I do not need the surgery but I am 8 pounds above my most consistent weight and in total I’d like to lose 15-20 pounds. I didn’t ask any questions I just listened. I was wondering if anyone had similar circumstances? If so is the pre-op and post op similar to the initial surgery? How many days were you in the hospital? I would appreciate any feedback others could offer. Thank you!
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So, I am 17 days post op. I haven’t weighed myself since my first post op appointment. Surgery was 8/2 and post op was 8/7. Waiting for my phase change appointment next week when they weigh me. I just wanted to share the changes I’ve seen in my health in such a short time. I had annoying eczema on my elbows. That has completely healed. No more elbow itching. My ankles and feet are no longer swollen after my walk and the sciatic nerve that has been bothering me since March doesn’t exist. I know for a lot of us, maybe, I don’t want to offend anyone and assume, losing weight has been key. For me it has always been my health and increased energy. I am a black woman and most of the people on my mothers side of the family have diabetes. I’m terrified of getting diabetes, which prompted me to look into weight lose surgery. I feel great. The weight lost is an added bonus. My husband keeps telling me I have a fresh start, I recognize that. I am so excited about eating to live and not living to eat. Now, I can’t wait to get rid of these HBP pills. Kay
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I slowed down significantly in the 7th month after surgery. It turns out that I was very iron anemic. My journey has been to find the sweet spot of eating/exercising just enough but not too much. When I keep my iron levels up I still loose about 1-1/2 lbs per month 2 years out. I’m almost done loosing I think because it doesn’t take much effort to stay where I’m at currently, but I’d have to WORK to get and stay at a lower weight. It’s all about your sweet spot. Keep working your plan, there’s more losses coming, just slower, in fits and starts.
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Weirdest None-Scale-Victory - I'll go first
Nepenthe44 replied to chiquitatummy's topic in General Weight Loss Surgery Discussions
I bought my first pair of jeans, or any sort of pants that button and zip, since college a month or so ago. I still hate how they look, because all the weight I have left to lose seems to have just melted generally down but it's something. And I'll get to do the jeans shopping again soon, because they're saggy baggy now. Back when I wore jeans last, the style was ultra-low rise with a flared leg. I'm really digging the high-waisted skinny style. It's like a hug from your ankles to your ribs, like those squeezing thundershirts that they put on dogs afraid of thunderstorms.
