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3 week post op update- I'm down 8 lb since my surgery 7/20 I was hoping for more, but I gained about 9 lb during surgery and the day after from all of the IV fluids. To be fair, I've never lost more than a pound or so per week, so this is still really good. I would love to lose 20 lb a month, but I'm ok with a consistent 2 lb per week. I've been working with my nutritionist and weighing myself daily to track trends. It also helps me catch things quickly and readjust. I started eating ginger chews after surgery to help with nausea and realized I was going a little too ham on them! (That's how I got here in the first place) So even though there are natural fluctuations, daily weight and food tracking has been a powerful tool for my nutritionist and I.

I was also worried about gaining too much weight. I’m 4 years post vsg and 8 months pregnant. I’ve only gained 7 pounds the entire pregnancy. Nausea, acid reflux, and food aversions played a role in that. Plus, eating smaller portions due to the sleeve. We’ll see how it goes after I have the baby because I’d love to lose about 20 pounds.

Yes I used them to great success. I was 9 years out from sleeve. Originally lost 140 lbs over 2 years from sleeve but then gained and lost 60 and 40 lbs over and over again and after the last gain of 40 I just could not lose and found I had crept into pre diabetic range and my fasting insulin was very high. When insulin is high people are fat storing machines. I went on Ozempic and gradually increased the dosage. It got rid of the food “noise” cravings and I have lost 60 lbs in 9 months. I have stopped taking now (insurance will no longer pay and I want to try without anyway) and to maintain I am using a CGM via the Signos platform to keep glucose spikes low and also following “glucose goddess” books. I know I need to be constantly vigilant. I am commenting because there are a lot of negative experiences and usually people who had good ones stay quiet. Used properly these are livesaving medicines. While I am not on it I have no qualms if I had to stay on it for life. I take other meds that are maintenance meds and I see no difference with these. I feel that unfortunately a lot of stigma over obesity drugs where as none for arthritis, heart, cancer or other maintenance drugs.

Hi! Newbie here. I had the sleeve done on 7/13. Since then, I’m only down about 20lbs. I haven’t had a lot of problem with nausea or vomiting but there are times when I eat, I feel it slide down, it’s painful. I don’t believe I am overeating bc I’m too scared that I’m going to gain weight. But I’m hoping once I start exercising more, the weight will come off. I seem to have hit a plateau.

Congratulations on doing so well. I had a bypass over 5 years ago & I still weight my food at home. I never go over 3.5 oz. I do 2 oz of protein & the rest in veggies or fruit. You have a great attitude & will do well.

I had my two month anniversary, and second post op exam/meeting. Bloods good, I lost 35 lbs so far, but one of the drivers for me was Barrett's and the GERD I was experiencing is largely gone. I still take an H2 blocker as a precaution and got cleared for real exercise, not just walking. (Had a hiatal hernia that got repaired). I gotta say, having done this, I couldn't be happier. Yes, I'm still trying to draw lines but the surgeon said to measure portions, even though his dietitian does not address portion size. I think it is important to have resources as you go through this, not just for support, but for info. I consider this such a place. I'm far more mobile and agile, can do stuff I couldn't before because of oversize/bloat/weight. I'm fitting into clothes that I couldn't. Not that this should be a reason, it's just a benefit.

Great job hitting your goals! I'm working on finding some non-scale victories to keep me motivated because the stalls are getting longer and longer, but progress is happening albeit slowly. I think my calorie count is around the 800-1000 mark, too, and I think that's where I'll be pretty permanently. Congrats on 155! That's amazing! I can't believe we're at the one year mark. Also, we seem to be scooping up some of the 2023 September surgery folks since this post isn't dated. To the new people, welcome! If you have any questions, let us know. We've all had our surgeries in September 2022 and while we don't post as often anymore, folks pop in every couple months to update / celebrate / commiserate. Best of luck to new and old September weight loss comrades!

Hi! I am scheduled to have gastric sleeve surgery in September. I have diastolic dysfunction grade 1 and the idea of going under anesthesia makes me nervous. My surgeon is aware, as is my cardiologist and all have given me the green light. I realize that weight loss will likely improve the diastolic dysfunction and hopefully prevent full blown heart failure, so I am leaning towards going through with the surgery. I had a previous lapband (removed in 2014) and multiple surgeries which has caused adhesions/scar tissue, which will likely extend my total time under anesthesia. Has anyone had WLS with heart disease? If so, did you have any cardiac complications during or post-surgery?

I took the shots Semaglutide quite a few years ago before it was called Ozempic. I was on it just a short time for weight loss and help with insulin resistance. I remember it made me feel ill and nauseous most of the time. I stuck it out for a while longer until I read it caused cancer in rats. I don't remember losing any significant amount of weight either. But then I might not have taken it long enough. I too have heard that it is now used in addition to WLS post for those with slow weight loss. I say give it a try as long as you are not worried about long term use side effects. Everything I've read about it up until now says you will regain the weight when you stop taking it though. GL

Thank you doing this! I love the data details and look forward to your report. 1) Female, 54 yrs old, 5’8 2) pre-op loss : 5 3) surgery weight : 313 4) weight 1 month : 282 5) weight 3 months : 259 6) weight 6 months: 225 7) weight 12 months : not there yet

^^Agree^^ I haven't lost 100 pounds yet but getting close and all I've done is stick to my diet plan and walk outside, I'm up to 2 miles a day. (6-7xs a week) Walking is considered weightbearing exercise and is one of the healthiest things you can do for yourself. And it's free. Pre-op I was completely sedentary and on disability. When the weather turns colder, I'll start doing some weights in the gym. And possibly a rower to switch it up. Vary your routine otherwise your body adapts, and your gains will slow down. At least till you reach maintenance. And most importantly, find something you enjoy doing or you won't stick with it. GL!!

I love the outdoors, so hiking/backpacking and trail running are my main cardio exercises right now. I also strength train 2-4 times a week, depending on what routine I'm doing and what else I'm doing cardio-wise. Before surgery, I would have been pushing it to walk to the end of the block, so I mostly just didn't bother. To me, I don't think of any of the activities I do strictly as something to help me lose or maintain weight. Honestly, fat loss mostly comes from the kitchen, Instead, I partake in these activities because I enjoy them, but perhaps even more importantly, they make me healthier and will hopefully lead to more time here on this planet. Regarding loose skin, I have been able to "fill in" some of it on my arms and legs with muscle. I attribute this to my overall workout plan, not to any specific thing. You didn't really ask, but I wanted to share a few additional things with you: While as you've seen in this thread not everyone is active post-surgery, the data is clear on this: those bariatric surgery patients that partake in at least 60 minutes of moderate physical activity 5-6 days a week are significantly more likely to reach their goal weight and maintain their weight-loss long-term. That does not mean you can't be successful without exercise, but it does mean you can greatly tip the odds in your favor if you're active. Both cardio and strength training are important. While cardiovascular exercise has obvious heart-health benefits (that's why it's called cardio after all), it also helps with your overall physical endurance and energy levels, so everything else you do physically just becomes a lot easier. Strength training, in addition to helping you look and feel better physically also increases your metabolism so that you burn even more calories even at rest. It's hard to argue with the benefits of that on weight loss. Strength training will have no direct effect on loose skin. As I implied above, what it can do is help fill out that loose skin with some muscle instead of fat. This is probably going to be more in the arms and legs than in your belly for obvious reasons. Keep in mind though that your ability to add muscle mass is highly impacted by age, genetics, epigenetics, diet and biological sex, among other things. My point is that while some people can "fill in" that lose skin by adding muscle mass, it's by no means assured or even realistic for most of us. It's sometimes misleading to think of strength training as the only thing that builds muscle. Even just walking can help, depending of where you're starting from. Like all exercise, the key is continuing to progress. Once you stagnate, you'll stop improving your health. In short, I highly recommend partaking in both cardio and strength training. If you need help knowing what to do, seek out the assistance of a reputable trainer.

I've tried weight loss shots. I haven't had surgery yet. I had luck with Saxenda but the insurance did not think I was losing weight fast enough so they refused to cover more. Losers. LOL I had some nausea with it at first but no real issues otherwise. When I stopped the meds I gained the weight back plus extra, of course. I'm on Ozempic now but it is to treat diabetes. I have way more side effects with it as the dose goes up, but it usually evens out after a few weeks at the new dose. I don't love it though. The Saxenda was way easier on my body... I've lost 10 lbs on the Ozempic, then gained it back as I've had a hard time consistently getting the med since everyone is on it for weight loss, it is super frustrating. I have heard of it being used in conjunction with weight loss surgery and some people have a lot of luck with it! The ones I've followed have been using Mounjaro though. CarolinRNY on Youtube talks a bit about this in her more recent videos if you'd like a first hand account of it being used to boost weight loss that has slowed post surgery. My guess is if you pair it with behavior modification and taper off it slowly after you hit goal weight you might be able to maintain the results. If not you are stuck with a weekly shot until something new comes out. The shots themselves are easy to do and aren't usually painful, though they can sting a little. ETA: I think The Sleeved Dietitian is also using Mounjaro to lose weight with and has been successful with it. You can find her on Instagram.

I am sure you will see after talking to a bunch of us. That having a bariatric surgery is but only one part of your whole weight loss journey. You still have to exercise, eat right, and get plenty of rest. Just like most people here say...the surgery is just one tool in your weight loss goals. For me over a 10 year period, I gained weight and lost it more than 4 times, and all the way down to like 200 lbs from 280. I never had trouble losing weight, its just that I could not maintain that weight loss long term, unless I was on a very strict diet. I am hoping that the Gastric Sleeve I got will help me be able to maintain the weight of 185 lbs this time. So I just don't agree with what some people say, that surgery is the easy way out. There is still a lot to losing weight and even going through the whole process of committing to the surgery and recovery. I think most of us were all crazy dieters before we decided on surgery...its just now we have another tool and we got some extra help we need.

So what is everyone doing while playing the waiting game??? I'm eating reasonably, definitely indulging in ice cream a bit more than usual as I'm going to be saying goodbye to that for a long while 🤣. Getting a ton of riding in as well, taking advantage of some nice weather! Holding off on any weight training, I'll plan to start that after I get cleared after surgery. Mentally, I'm ready. Still have some lingering fear and remorse that I need to make a permanent change to my body to finish losing the weight. Hope everyone is doing well!!

I am getting my procedure at So. San Fran. I took my initial class in Nov, and had to wait about 6 weeks to have the 1st psych appt. After that it it was a month to my MD consult. My 1st procedure was finally sched in May, after jumping through all the hoops (including weight loss goal from MD). Unfortunately, I had an insurance change so it was delayed to June. Then I caught COVID at a family wedding and was delayed to next week. Kaiser requires a 6-week wait after a COVID diagnosis. Once you are accepted for surgery, be very careful about exposure. Covid is rough (even with Paxlovid), and the long delay for surgery makes it more depressing. Mask up until surgery. I just had my 3rd pre-op visit with the MD today, and he is happy with my continued weight loss, so we are now a "Go". Yay!

It depends on your insurance. For me, I did not even get to see the surgeon until after I did everything my insurance wanted (6 months with a total of 12 dietician visits, exercising at least 30 min a day, sleep study, psychosocial visit, a total of 10 doctor-supervised weight checks and weight loss of at least 5%). After that, I met the surgeon ( at this point my insurance had approved me for surgery). The surgeon is part of a bariatric team and my guidance now comes from them. I had to get a set of labs, a gallbladder ultrasound, and an EKG. I passed all of those and now I am simply waiting to be scheduled. That was all finished by July 11th, 2023.

It depends on your insurance. For me, I did not even get to see the surgeon until after I did everything my insurance wanted (6 months with a total of 12 dietician visits, exercising at least 30 min a day, sleep study, psychosocial visit, a total of 10 doctor-supervised weight checks and weight loss of at least 5%). After that, I met the surgeon ( at this point my insurance had approved me for surgery). The surgeon is part of a bariatric team and my guidance now comes from them. I had to get a set of labs, a gallbladder ultrasound, and an EKG. I passed all of those and now I am simply waiting to be scheduled. That was all finished by July 11th, 2023.

There have been reports of people using it for weight loss developing gastroparesis. One patient realized she was vomiting food she had eaten 4 days prior. It makes me very glad my insurance denied it and my doctor and I pursued weight loss surgery instead.

My initial consultation was in March (don't remember the day), I got the revision surgery June 19th. BCBS will only pay for "one weight loss surgery per lifetime." I was told by some doctor's offices that since it was a revision, my insurance wouldn't cover. I called my insurance and spoke to a fantastic lady who really helped me out. I made the point that in 2009, when I got sleeved, BCBS for my school district wasn't covering WLS yet. It was private pay for me, and I had it done in Mexico (no hoops to jump through). So, technically, BCBS had never covered a WLS surgery me. She agreed. It was approved. Edit: I did have to follow a diet plan to lose weight before the surgery, I had to have an endoscopy, a barium swallow (to check for acid reflux), blood work, see a cardiologist, have a psyche eval (on the phone), and talk to a nut (on the phone). It was a little easier than virgin surgeries because it wasn't my first rodeo.

From what I'm reading about the Ozempic and Mounjaro injections, once you stop taking them, their appetite suppressant effects wear off and the weight comes back. I have a friend who takes one, but she takes it because she's diabetic. She has lost weight, but she'll most likely need it the rest of her life due to the diabetes anyway. She's told me that at times, she won't inject herself if she goes on a trip (for example) so that she can indulge in alcohol and decadent food without feeling nauseated/vomiting/cramps/diarrhea. But again, she doesn't take it for weight loss. If they're being used solely for weight loss, they will help, but I guess it all depends on how long you're willing to take them. It's possible you can use the injections until you reach your goal. After that, however, it would be up to your self-discipline to continue to foster the modifications that the injections provided. I imagine you'd also have to consider insurance coverage, personal expense, and what short-term and long-term side effects they'll have on you, and whether those effects are cohesive with your lifestyle.

Has anyone tried doing the weight loss shots? My surgery was just over a year ago and I still haven’t lost 50lbs. I started out with a lower BMI. So my surgeons are ok with where I’m at but I’m not. So I’m looking into the shots to help me a long. Just wondering if anyone else has had any luck

It's too bad that people don't view Bariatric surgery for what it is, a medical intervention. Nothing is easy about it except that the tool we are given causes all our efforts to finally actually work for us. People are plain ignorant about the medical reasons behind weight gain. After all the years of working out and dieting with no results, I say we deserve this. But it's easier for them to think we chose surgery over doing the work. No one has said anything negative to me yet, but if they do, I guess I'll have to school them. LOL

Updating now that I'm 3 months out. 1. Basics: GENDER, AGE, HEIGHT Female, 50, 5 feet 0 inches 2. Total Weight lost in the 6 months BEFORE surgery (if any) 6.4 kilos or 14 pounds 3. Weight on DAY OF SURGERY. 148.6 kilos or 327 pounds 4. Weight at 1 MONTH POST surgery 137.6 kilos or 302 pounds 5. Weight at 3 MONTHs POST surgery 127.8 kilograms or 281 pounds 6. Weight at 6 MONTHs POST surgery 7. Weight at 12 MONTHs POST surgery

Hi, All! I am scheduled for gastric sleeve surgery next week (8/16/23)! Kaiser has prepped me to the extent that I feel comfortable with the whole process. I am a bit worried about pain post-op, as I am going home same day. However, doc says gabapentin will be good enough, and he will call me the next day to be sure. I don't expect much after 3 days, though. I wish us all good luck, a speedy recovery, and all the weight loss we are hoping for. 🙂 Happy trails, Marian