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I did not skip the liquid phase, but my program does skip purees. They emphasize adequate protein and nutrient dense, natural foods. Here is what I ate, according to the directions my doctor and dietician gave me (for comparison, not giving you medical advice, obviously!): Hospital, 1 day post op (gastric bypass): Water, Jello, Chicken broth, sugar free popsicle. These all went well and I was able to finish them at a slow pace. Home, 2-6 days post op: Protein shakes, bone broth, sugar free yogurt, applesauce, plain kefir, Fairlife skim milk in decaf tea, herbal teas. Nothing that required chewing during this stage. Spoke with nurse via phone call, who confirmed I was meeting my 60g protein and 64 oz water goals consistently. She told me to start taking my vitamins and to incorporate soft proteins as I was able and to continue to consume 60g protein from shakes in addition to food. Days 7-13, here is what I added: Tuna salad with low-fat mayo, poached eggs, deviled eggs, scrambled eggs, hard boiled eggs, refried beans with melted cheddar, baked haddock, feta cheese, ground turkey with taco seasoning, cottage cheese, pickled herring. 2-3 shakes per day to hit 60g protein total (in addition to what I got from food). Met with surgeon in office on day 13. Based on having no issues with water, protein, or any of the foods I had tried so far, and healing nicely, I was told to start incorporating non-protein foods in the following order: non-starchy veg, fruit, starches/grains. I was told I could use protein shakes as needed if the food I consumed did not equal at least 60g protein but could skip the shakes if I hit 60g. Raw veg is fine. I need to wait until 3 months post op to add beef, lamb, and pork. Starting Day 14, these are the new foods I have tried: spinach, strawberries, edamame, turkey sausage, ricotta, chicken salad, steamed broccoli, kalamata olives, smoked salmon, black beans, cucumbers, matchstick carrots, tomatoes, grapes, sliced almonds. Today is day 18 post-op, and this is my menu today: Breakfast: A smoothie made from 1oz power greens, 1 cup frozen berry blend, 8 oz Fairlife skim milk, 2 scoops Syntrax Nectar unflavored protein, 1 Tbsp hemp seeds, 4 small pieces frozen avocado. 16oz total, 36.5g protein Lunch: 1/2 cup low fat cottage cheese, 4 no sugar added peach slices, 1/2 mini cucumber, 4 grape tomatoes, 1/2 tsp balsamic vinegar. 14g protein. Ended up eating half at noon and half a few hours later because I filled up very fast. Dinner: 3 oz baked salmon with pesto, 3 pieces steamed broccoli. 18g protein. I also will have had 64oz water, 28 oz decaf tea, and 4 oz skim milk by the end of the day. I have not added in any grains at this point because I can just manage to finish a serving of protein and a few bites of veg or fruit right now. Once I get 20-25g protein at lunch and dinner instead of 15g as I'm averaging now, I'll add sweet potatoes, but I'll hold off on white potatoes and breads. I really hope this helps! I would be very mindful of getting in enough protein and fluids in this first week, with an emphasis on fluids first. But as you can see, in another few days, it's very possible to be able to tolerate a variety of protein rich soft foods.

I’m about 2 1/2 almost 3 weeks out of surgery. My doctor said to go ahead and move onto the purée stage for about a week. My concern is that I have no problem eating. I can eat 4 ounces without any hesitation I can drink an 8 ounce glass of water without any hesitation. it almost feels like I didn’t have surgery. Now if I drink too fast, or I tend to eat something, maybe a little bit more than I should’ve maybe like 5 ounces I will get sick. Or I will just feel sick. I guess that’s how I remember that I had surgery and I’m not supposed to eat so much. It just seems so weird outside of surgery so soon that I feel like mentally I could sit and eat a burger and fries. I know physically I can’t eat a burger and fries but it’s getting my mind to correlate with my body. I know there’s a lot of mental work that has to be done after surgery and I thought I got myself prepared for that before surgery. so I guess I just need to work harder on the mindset of eating 4 ounces every couple hours to keep myself from being hungry. Because I do feel hungry at times. I do however recognize when I’m just bored hungry. So I’m hoping I can start moving out of that board hungry state And into not being hungry even when I’m bored. I know this week I noticed that I didn’t lose as much as I had been losing and I think a lot of that has to do with moving onto the purée stage and actually eating food. Also, I noticed that I didn’t get all my water in. The most I’ve been able to remember to drink has been like 48 ounces instead of 64. So I have to be better focused on getting my water in .

that's not slow at all - that's pretty average. I was about where you're at the six week mark, and I started out at almost 400 lbs. there are so many factors the affect your rate of weight loss, most of which you don't have much - if any - control over. Gender, age, starting weight, what percentage of your body is muscle, whether or not you lost a ton of weight before surgery, genetic factors, metabolic rate, etc. The only two things you do have a lot of control over is how closely you stick to your clinic's plan and how active you are. Do well with those, and the weight will come off, whether fast or slow. I considered myself a slow loser the entire time, and I lost 100% of my excess weight, over 200 lbs (I've gained a few back since then, but I'm still over 200 lbs less than when I started). don't worry about it - just stick to your plan and the weight will come off.

I highly recommend checking out A Bra That Fits calculator. I was recently pointed in this direction as I'm having bra fit issues as I'm losing weight. Band size I've always been spot on, but cups are always too small. Turns out I was wearing a bra 6 sizes too small in the cup!!! YES 6 SIZES TOO SMALL And I'm not the only woman that does that... I'm apparently a 44H right now, not a 44D/DD. Go figure. I went to the reddit for that website and the FB group, learned a lot about my breast shape, and ordered 6 bras through the "Amazon Prime Try Before You Buy" thing. 4 of them were too big and awful looking, apparently the calculator can overestimate cup size for my breast shape. I could see that the bra shapes would be horribly wrong if the cups fit correctly, it seems my breasts sit high and I have breast tissue under my arms that migrated there from wearing too small bras for 25 years...plus I have breast tissue way up high to almost my collar bones... I did eventually find one that fit amazingly! The women in the FB group advised me to go down one band size smaller and up one cup size (maintains the same cup volume) and to use an extender on it so I'll get 2 months out of my bras, as I'm currently dropping a band size a month, but my cup size isn't changing. I thought that was a great tip for making my bras last longer, since they are so damned expensive. In this properly fitting bra my shoulders don't hurt because there is no pressure on them! The band is actually carrying the weight of my breasts, like it is supposed to. And the wires are wide enough they aren't sitting on the breast tissue under my arms that I had just assumed was fat! As for other clothes, I've found the best way to stock smaller sizes is Ebay and Poshmark. I search for lots/bundles a few sizes smaller than I currently am. These are often listed by people losing weight and changing sizes, who want to clear out their closets fast instead of list item by item. I plan on selling my clothes this way too as I outgrow them! I recently got a bundle of 5 leggings in an XXL from really quality brands. Almost brand new. Since they are different brands they'll fit differently and probably last me a few sizes... I also found a tank top lot listed that way, and since I'm a leggings/tank/cardigan woman, these should last me a while. I have also picked up a few aspirational things on deep discount in a Large, so I can have some pretty things at that size for cheap, even if I don't end up staying at that size. I can't even fathom I could be that size by the end of this year! Anyway, this is how I'm saving money clothes shopping online!

I've been hanging out here for probably nine years. I would say most of us lose somewhere in the 15-25 lb range the first MONTH, so your loss seems pretty normal to me. Of course you will find people who lose more or less than that, but they tend to be outliers - or start off at very high BMI's (like the people on "My 600 lb Life"). there are so many factors that influence your rate of weight loss that you really have little to no control over - like age, gender, metabolic rate, what percentage of your body weight is muscle, starting BMI, whether or not you lost a lot of weight before surgery, genetics, etc, that it's sort of pointless to worry about it. The two factors you definitely have a lot of control over are how closely you stick to your clinic's plan and how active you are, so if you're good with those, the weight will come off, whether fast or slow. as you can see on my profile, I started off at 373 lbs, and I lost 16 lbs the first month - yet I ended up losing over 200 lbs. I was a "slow loser" the whole time, but I really stuck to my plan. so long way of saying, just follow your plan and don't worry about your rate of weight loss, since you don't have a whole lot of control over that. If you do what you're supposed to be doing, the weight WILL come off.

I had nausea until about 8 weeks out. It was constant and impacted my ability to eat, drink, and take my vitamins. A few things helped me (and others like me) that may help you: 1. Ondansetron only takes the edge off of nausea for me. It is rather ineffective for my body. I have much better results with promethazine, it actually manages to eradicate the nausea for a number of hours. I'd ask about a prescription to try it, at this point it is worth trying something else for the nausea and they have a number of meds out there that can help with this. I took it several times a day. 2. My surgeon told me to be gradual with my addition of vitamins. I had to take the chewable B complex everyday, and the little B1 pill because my complex didn't have enough B1 in it alone. But these were pretty gentle on my stomach. The actual multivitamins though he said are rather activating for the stomach and some people can struggle to incorporate them early after surgery. It could be these are contributing to your stomach pain and nausea, especially if your multivitamin contains iron, as it can be a little hard on a new tummy. So talk to your doctor about this, perhaps they can switch you to a bariatric B complex and let you try adding in the multivitamin closer to 3 months than all at once right now. 3. When my stomach would hurt I'd massage it in clockwise motions with firm, but not painful, pressure. I got twisting stomach spasms for the first few weeks with any food or water and this was the only thing that helped ease the pain of them. 4. My PPI needed an extra dose and for me, omeprazole is worthless. Some people metabolize it fast and for some it just doesn't work as well. Have they considered switching you to Pantoprazole? It is often used in the hospital because it is so effective. It might be worth switching to it to see if it is any more effective for you. A lot of bariatric patients end up having to switch around to find the most effective one for them. 5. Hydration is crucial early out of surgery. They should have had you exclusively focusing on hydration for the first two weeks along with the B complex. It sounds like your electrolytes are off, probably because you are chronically dehydrated. Nausea is made MUCH worse by dehydration!! You are 6 weeks and still struggling. Unfortunately at this point you DO need to be trying to get in some protein with your hydration to prevent malnourishment. Greek yogurt is great for this, but there are other options too. Have you tried any protein water powders like SEEQ or Syntrax Nectars? These are easier to stomach and come in nice flavors. SEEQ watermelon is seriously tasty. LOL Try some sample packets!! It is okay if you can't hit your full protein goals yet, every little bit helps. If the change in meds doesn't help you at all, I hope they consider doing some imaging and a scope to ensure you aren't experiencing something like a stricture. They are rare, but they do happen, and they can cause issues with progressing the diet. 6. Water flavoring packets can help with getting in more water, as does sipping it around the clock out of those tiny cups until you get the hang of getting more water in. It can and does feel like a full time job and you will feel like you are floating! This is normal. Electrolyte powders are a great addition to water at least once a day because they really help you get minerals you are missing since you aren't eating them in food! And try a variety of things and a variety of temperatures. Some hot broth or tea, some flavored water over ice, something room temperature, sometimes the tummy has an opinion about what the best temp is! I am so sorry you are dealing with these issues 6 weeks out. It sounds like your team needs to be more proactive in trying different meds and doing some testing to figure out what is going on. Honestly, some do struggle like this for a while. On occasion some end up with TPN for a while to help them get the nutrition they need. It sounds like you aren't quite at that point because you are keeping some foods down, but it is an option if you continue to struggle and end up in the hospital repeatedly for low vitamin levels. Some find a month or two of TPN can get them past the roughest part and then their systems are able to handle food and water without issue. It really depends on the person. But you don't want to go that route if you can avoid it... ❤️

most people with bypass don't have complications- and of those who do, they are usually minor and correctable (or in the case of dumping, preventable). Major complications with bypass are pretty rare. only about 30% of bypass patients dump. I never have, and neither do most of the other bypass patients I know. For those who do dump, it can usually be prevented by not eating a bunch of sugar or fat at one sitting (which none of us should be doing *anyway*). I threw up occasionally the first few weeks after surgery when I ate too much, too fast, or something that my stomach wasn't going to tolerate, but now I throw up about as often as I did pre-surgery - that is, very rarely. And as for food intolerances, most of those are temporary, but some can become permanent. But you'll figure out what your body will and won't tolerate pretty quickly. re: only eating a couple of bites of food. That's only in the first few weeks after surgery. For the last several years, no one would be able to tell I've had bypass surgery by watching me eat. They'd just assume I'm a "light eater", like many of my women friends who've never been obese. When I go to restaurants, if I'm not that hungry, I'll order something like an appetizer, soup, or a salad. If I AM hungry, I'll order an entree, eat half of it, and box up the rest to take home. Most of my women friends do the same thing. you're probably seeing more issues with bypass for two reasons: 1) it's a much, much more common surgery than SADI. As in a LOT more people have bypass than SADI, so of course you'll see more on it. 2). after people get over the first few weeks (which can be tough with either surgery), they usually only post when they're having some issue, because they're looking for advice or support. People who've never had issues (which would include most of us) aren't likely to post that everything is hunky-dory. as far as which to choose, they're both good surgeries. Advantage of SADI is it's a stronger surgery, and you'll likely lose more weight with it. Disadvantage is regular doctors (as opposed to bariatric surgeons) know a lot more about bypass than they do about SADI, so your PCP may not be able to help you if you have issues - they may have to refer you to a bariatric specialist (which, of course, is fine - but just something to keep in mind). Also, if you have GERD, bypass is usually the better choice, since it tends to improve GERD, if not outright cures it. SADI involves a sleeved stomach, which can cause GERD in some people (or make it worse if they already had GERD before surgery). It doesn't happen to everyone, but it IS a risk... good luck with your decision!

How do I lose weight? Fast I need pills nothing is working where is the adapax?

Yes, the cause is often, if not usually, a mystery. I ran into an Afib problem a couple of years ago about this time of year, though it didn't get picked up until a month or so later when I went in for a pre-op exam for cataract surgery, and we were discussing the moderate shortness of breath I was experiencing while swimming, considered different things it could be until she took a listen and "Oh, that's it... you're not doing surgery tomorrow. Let's do an EKG as see what's going on." She had me in to the cardiologist that afternoon (it usually takes weeks or months to get an appointment). He had me go to the ER that evening to get the medication dosing down right (we can do this the fast way in the ER or the slow way back and forth to my office over the next several weeks to get this down...) Once the basic heart rate was under control, it was a visit with the cardiac electrician (electrophysiologist) to look at resetting things more permanently. The good news is that while he was in there burning out the short circuits he noted that my arteries are nice and clear, and while things are not back to a normal sinus rhythm, it's not Afibbing consistently so I don't need to be on the expensive anticoagulants. Here's to them getting a better understanding of what's going on inside you so that you can get back to your planned life!

I had the same experience as NickelChip on the GLP-1 meds. Saxenda I lost about 15 lbs on, when insurance decided I didn't lose that fast enough they stopped covering it. I gained the 15 back plus another 10 almost immediately. I then went on Victoza, no weight loss. I did Ozempic for two years, also no weight loss. And on both of them I actually gained weight until my highest weight of 320lbs. They did help my A1C levels but that was it. They all had unpleasant side effects and cost a ton. I'm 7 weeks out from a duodenal switch. I've lost 26 lbs since the surgery and while there have been tough moments I'm so glad I decided to go with surgery instead of trying more medication... I've lost 40 lbs since my highest weight! I've never lost that much weight with anything, ever, not even with keto plus the meds. Usually if I have issues with a doctor's office not returning my calls or responding to my messages, I eventually go in there and talk to the office staff in person and wait until they send a nurse out to deal with my issue. 😂 It is quite effective! I'm super nice about it, but still... I had a LOT of scheduling issues with my surgery and in the middle of it they lost their scheduler and I had to deal with some really rude staff on the phone. But it all got sorted out in the end! Hang in there!!

Okay this is long and boring at parts but here it goes. I am 3 years post sleeve and I have gained all my weight back . First of all I was on the smaller side to have the sleeve but I do still have all the same struggles and if I had waited until I was older it was just a matter of time until I was a higher bmi having the surgery. The fact that I have lost and then gained it all plus some within less than years is probably proof of that. Anyways, with the sleeve I did lose a big chunk of weight. I went from 235 to 168 which I could not have done with regular diet. But, i was always able to eat a little more than I should at every given stage and everything was easy for me. From day one I had no gas pain and water was easy to get down, then fluids and protein which were easy to keep down, I had no food intolerances and advancing through each stage. I was living my best life watching the pounds fall off but I was alway able to eat just a little more than everyone else at the same stage. Well, while the hunger hormone was gone and I was focused I was able to eat exactly what I SHOULD be eating and I measured my portions to the Amount I should be eating and I was satisfied. So lost most of the weight the dr suggested I would. i held that weight for a few months but then the hunger started creeping back and between the hunger and the extra room in the pouch I started gaining in spite of still making healthy food choices (my food was fine but my portions were too large and too frequent). Well, even though I knew I was losing control my friends and family continued to look at me as doing great..I was still on the road to getting to where I needed ti be in their eyes. I was ashamed. I was failing yet They kept complimenting me and offering me food. They were saying things like your doing so good, you can have one slice or pizza or one brownie. It won’t kill you. It’s okay that you’ve gained a couple pounds I’ve gained a couple it’s Christmas. You can lose that. Well I have since learned that no I cannot just have one of anything to do with carbs or I crave them for a week but I didn’t know that back then Anyways, was still going to my surgeon asking for help but I have bipolar disorder and the meds I take for it limit what other meds I can take so I cannot take many of the weight loss meds they had to offer. And the one I can take worked wonderfully during the day but when it wore off I ate all night Fast forward a few months and I stepped on the scale and I was back over 200. That sucked but I wasn’t giving up. went back to my surgeon asking about revision to bypass. I have heartburn gerd whatever you call it and clearly the sleeve wasn’t working so I wanted to know my options. Well let’s go back. I knew I didn’t want to have surgery if I was going to just repeat the yo-yo that had just happened so I decided I wanted two opinions this time. Well the second opinion dr had a cancellation so I seen him first. He was on board. He was going to bypass a shorter amount of bowel so i had less absorption issues and my meds Would work fine he said which seemed to be his concern even though it wasn’t really my question. I just needed my dr to say that it shouldn't be a repeat of last time and I was going forward. Well even though the bypass was an option he presented to me to start he said he wouldn’t do a bypass for me. He thought it would be a bad call with my mental health issues. This was confusing to say the least because I have one dr saying it’s fine and another dr I really respect saying it’s not and I started this thinking bypass was always an okay option in terms of mental health but worried the surgery just wouldn’t work for me. I am of course concerned about my mental health so took some time to think about it. I tried for a while to find a bariatric therapiest but none near me are taking any new patients. I even asked the surgeon and he said he would look into it but be never did. Anyways I called around for the better part of two days. They all just do the evaluations now for surgery. I have had every hormone test and lab they have that could possibly be the problem. I changed all my meds in case they were the issue. I tried everything myself and my doctors could think of but I kept gaining. When I revisited the idea of surgery I was scared. Anything that was going to upset my mental health again just isn’t an option I decided. I already know what life without my medication is like and I do not want to go back there. I continued to gain. I got back up to 245 and I am miserable. I am so depressed when I look at what I have let happen to myself. I had a chance and I blew it. I am disgusted when I look in the mirror. I decided that the weight is causing me to be more depressed so I needed to get some real answers. I went back to my surgeon. Not to ask him to do the surgery but exactly why he thought it was a bad idea. The plan was to take that info and talk to the other surgeon to make sure he had considered that and see why he wasn’t worried about it. Well, surprise…my surgeon is on board now with doing a revision for me. When I asked why he said no before he said something about a nite in my chart that said I wasn’t complaint with my meds back them and he didn’t know I have a psychiatrist and psychologist and take my meds but now he is comfortable doing surgery. So, frustrated I had to wait until I gained almost 50 more pounds to get here but excited he is willing to do it I am researching the other surgery he thinks will be a better fit for me called the SADI. At the same time I am still not buying the note in my chart thing. Cause that was never true. I guess the important takeaway for those of you here that are just starting out is even if you do regain don’t lose touch with your team and don’t give up. I feel like my dr wavering in whether he would do the surgery didn’t help but I could have asked more questions sooner and I wouldn’t have so much to lose this time. Plus, hopefully you guys can take the weight loss meds and won’t be facing a second surgery.

@SleeveToBypass2023 was my relationship to food supposed to change? I do think I can usually tell the difference between head and real hunger. real hunger usually causes physical symptoms down in my gut like an ache. while head hunger is just that desire for more or for something specific. I can't say I never have head hunger and I deny it all the time and sometimes do give in. But when I say I eat and I don't feel full. I don't believe that's head hunger. Though I could be wrong. You're right that I do eat fast or normal speed. I just eat until I guess I feel full. but it seldom ever comes. Thanks for your lovely advice.

Hi there! I just signed up on this forum and have a surgery date of January 30 for gastric bypass. My sister had it done about a year and a half ago and has had great success so I decided I was ready to make some big changes in my life. im currently trying to keep my required 10-lb weight loss on the books. I officially achieved it in October and I meet with my doc each month. In November I had lost an additional half pound but ended up in the ER after my appt because I was so dehydrated from fasting to make my weight goal. So embarrassing ugh. Now, thanks to the holidays my next appt is January 2, but I’m up eight lbs and they will cancel my surgery if they see that. I have 18 days to lose that weight again and I’m scared I won’t make it. I’m mad at myself for being lax after my last weigh-in. I know that part of losing weight pre-op is to start making changes gradually but I’m struggling. I guess that’s normal for many of us. I’m really excited about getting the surgery but also a little depressed because it will force me (and is now forcing me) to completely change my relationship with food. That’s scary. But I see how happy and energetic and positive my sister is and I want that in my life too. Anyway, I didn’t mean to get depressing lol but I’m trying to be honest about my feelings which are all coming at me at the same time! Its crazy.

I had my RNY mid-September and while I'm in a weird headspace where I don't think I'm losing weight 'fast enough' compared with some of the stories I've read here (I know, don't compare, everyone is different; intellectually I get it, it's still something of a challenge sometimes...) I HAVE lost 55lbs. More importantly, the jeans I was wearing pre-op now fit like I'm trying to look like a 20 year old rapper wannbe, hanging half way down my ass if I don't cinch down a belt (which I've had to punch several new holes in and currently wraps around to my side when I use it), and I'm regularly wearing jeans that haven't seen the light of day since I blew up my knees (three months apart, one after the other in 2008)

I start my pre op tomorrow. The thing I have noticed even without the preop is if I am dehydrated I can be dizzy. I would make sure you’re drinking enough water. As far as the other. I think some of it might be from the protein drink you might have chosen? I know some of them have that effect. Like when I was on slim fast for a while it would do that. I would check the protein drinks to see if they might contain more fiber or carbs than what is recommended. (I just found out mine do 😒) I spent over $35 for a 24 pack so I’m not going to change now. I just won’t use them for post op if you are having TMI bowel movements lol then maybe you want to add some water or double what you’re drinking because that will cause dizziness because of dehydration. Hope it helps. Also check your meds, if your on any, that might need to take with food that before wasn’t an issue you might need to take when you have your protein drink.

I am turning 50 in a few months, and I've struggled with my weight most of my life. At 26, my BMI was probably around 30, but I didn't have the health issues so it was just a nuisance to me. I tried dieting and healthy eating for years, but my weight increased steadily in typical yo-yo fashion. Post-pregnancies, I spent my late 30s and early 40s in the 35-39 BMI range and started getting co-morbidities. By the time my BMI hit 40 this past year, I was aching in my feet and joints, had high blood pressure and cholesterol, and was prediabetic. So it's not about weight or appearance at this point but getting control of my health now, while my body can still bounce back and hopefully age more gracefully. I feel like I'm at that tipping point where if I don't act, the next decade will not end well and I will not have a good time of my senior years. This is despite all my best intentions and 7 years of actively going to a weight management doctor. All of that is to say that trying hard and knowing the right things to do rarely leads to success if you are prone to obesity. It's a disease, not a moral failing, no matter what people tell you. Unlike dieting, weight loss surgery provides lasting metabolic changes, as close to a cure as you can get. And you still will have to make all the lifestyle changes you would need to do anyway to lose weight, but they will actually work (instead of spending the next 24 years getting bigger and less healthy like I did). I have posted frequently about what a huge fan I am of Dr. Matthew Weiner's books, YouTube videos, and new podcast. Honestly, his books were life changing for me in terms of my perspective. I highly recommend starting there. He has 3 books, one is called Pound of Cure and gives great, scientifically sound information on what a healthy, set-point lowering way of eating looks like and how to get there. The second is a book that explains exactly how gastric bypass and sleeve surgeries change your metabolism and why they work (it's not just a smaller stomach and eating less!). The third is a cookbook with bariatric friendly recipes and serving sizes for different stages. These books are super fast reads. You can probably get through all three in a week (minus making all the recipes, of course!). With three months to go, my suggestion is get these books and start implementing the diet changes in a deliberate way. Start exercising in a sustainable way, working up to it little by little. See how you feel. Don't do crash diets. Don't start anything, whether food or exercise, you don't think you can basically do 90% of the time for the rest of your life, because there's no such thing as doing it for long enough to lose weight and then getting to "go back to normal." This has to become your new normal, with or without surgery. In three months, if you really aren't sure about the surgery, don't do it. It'll always be there. But know that it's an additional tool that will make the hard work you have to do either way in order to keep your health for the rest of your life more likely to stick. Without it, there's a very high (but not impossible) chance you will not be able to keep your weight in a healthy range.

Hi there wondering how everyone is doing???? Current weight is 142 5”3 I eat every 2-3 hrs snack and have three bigger meals which is breakfast lunch and dinner. Still could only have about 5-7 spoon fool of the larger meals. Rice does not agree with me I figure it may never. Alcohol hits me super fast so I have to be very careful!

After wading through insurance crud, I looked into self-paying and doing it thru Blossom Bariatric's Fast Track program in Las Vegas. My cost would be $6300 all-inclusive, including hotel and transport between hotel and facility for the five days. The selling points include convenience as opposed to the options available with my insurance (closest hospital covered by insurance is a 6-hr drive vs. a 90-min flight to LV), no worries about losing weight before the procedure and getting declined (I'm borderline 40BMI), and no 3- or 6-month waiting period. I have three concerns: 1) Post-surgery followup and care. 2) The "safe sleeve" procedure they do... I can find very little information about it. 3) Not being able to meet the surgeon prior to committing to surgery at the facility. So... has anybody out there had the "safe sleeve" procedure through Blossom Bariatrics in Las Vegas?

Well I signed a contact twenty years ago and I wasn't informed all that much about what I signed up for... Maybe because it was so long ago.. I do now know and understand the deal but the problem is simple.. So I had a car hit me when I was crossing the street and spent six months in a hospital followed by six months of a resting home to recover followed by a heart failure and another five months in the hospital followed by multiple hospital trips and lost all my original muscle.. I was always average strength but it's another thing to be told you might have a heart attack if you don't gain muscle. So I did everything I was told to bring me to this point. I have gained ten pounds of muscle in the last two years and I gain average of a pound a month. Only in the sorta person I need advise and someone to tell me what to do so that I don't make mistake. This might be a result of brain damage from my accident or maybe I'm just a big dumb guy I dunno.. But I did my own math if I eat 4200 calories I absorb 2200. So it does make sense I can't bulk however I'm taking enzymes and my doctor said the enzymes turn your ds off so that you can absorb everything you eat with them.. Now I'm fine tuning everything. Maybe my ds is to powerful and I'll learn that I really can't bulk and yes I look more defined in the mirror I think. But because my skin is stretchy it's hard to tell. I have gone from 175 to 178 so hopefully that's going to keep going up. My only real goal of taking the enzymes is to increase my protein which is 6.1. Before I worked out I was capable of maintaining my weight but my doctor told me I lost so much muscle that to not regain it would be dangerous to my health So regardless of anything I have no choice but to gain weight. If that means eventually eating 6000 calories so be it. But I really think the enzymes alone will solve my problems. I plan to take the enzymes for 3 months then get off then for two months then back on them in a bulk cutting kinda formula however I'll admit I don't know that this will work. I've gained weight in the past getting up to 240 in the resting home but that was eating six full meals a day with no working out and tons of high fat snacks and sense then I've gotten hypoglycemia which makes gaining weight difficult because I can't just devour sugar like I used to be able to. Man I used to love pudding cups... Anyways no I didn't know what I was getting into I was 19 and all I wanted was to lose weight but to still be able to eat as much as I wanted. Which is what I got. I never understood the risks. Never. That's why I got all these problems and it's hard to dig your self out of a ditch.. I would work out more if I thought it would help but I just lift weights 3x a week and I have a trainer and a bunch of great doctors who help.. The thing is the DS shouldn't kill me.. I should be able to figure out a way to make this work and my real issue is I'm 6"3 and a man so I require 3200 calories a day is what my trainer said. I only absorb 2200 thus I'm taking enzymes I'm focusing on absorbing protein and enough calories to feed my muscle building and I'm getting blood tests and scanning my body for progress it's a really scary time for me because I know I can lose muscle fast if I forget anything.. finding this website has helped me relearn just got crazy this surgery can be... For real you all helped me so much... But I can not except life as a weakling I'm 39 and a man and people need me so I can't just except things the way they are. If a normal person can build muscle I can to. It may take more work and more intelligence on my part but that fine I'm willing to do anything to be average if that makes sense.. in fact I was debating going to the gym today because my back hurts but you just motivated me to go . 😁 Thank you. Have a nice day. Please information is key here any advise on maybe how many calories you eat or your macros would be helpful to me because I do have a little problems working stuff out in my head and so the more information I can't the better I can deal.

Just wanted to follow up on a few things from the post above: 1. DS patients do not typically experience dumping syndrome. We maintain our pylorus valve during the sleeve part of the surgery, so we dump at the same rate as the non-surgical population. 2. Bypass patients have about a 30% chance of dumping, lower if they avoid the food behaviors that trigger it. For all but a few it is a manageable phenomenon. 3. Diabetes goes into remission MUCH more frequently with Bypass and DS patients because of the alterations to the small intestines. As do most other co-morbidities. 4. I don't personally view my DS surgery as "punishing". My body has done nothing wrong. I feel no need to punish it. I personally don't have emotional eating issues but I don't judge those that do, nor do I think it is a reason to punish the body... Having my small intestines rerouted was not a punishment. It was a BLESSING! My fasting blood sugars normalized within 24 hours of surgery. So did my high blood pressure. I'm not on medication for either one. I'm currently 7 weeks post op. I consider remission of those two conditions to be a modern medical miracle... I didn't choose the DS to be harsh to my body. I picked it because it had the best chance of restoring my health and keeping the weight off long term. My surgeon put it best "You have a metabolic disorder. You need a metabolically potent surgery. The DS is the most potent one available..." My bowels habits have changed, but nothing unmanageable. I have to watch my carbs, that's no different than before surgery. I no longer have to count calories because I malabsorb a portion of them. I'm at risk of vitamin deficiencies if I don't take my vitamins, that to me is no different than risking a blood sugar or blood pressure emergency from not regularly taking my meds pre-surgery. Nothing about this process is free. There are always trade offs. Any GI issues that occur with the DS can also happen with Bypass, including vitamin and protein deficiencies. But protein and vitamin deficiencies are also possible with sleeve patients. They may happen at different rates, but they are unusual across the board. As are serious complications. Gallbladder failure can happen with ANY surgery. It is caused by the rapid weight loss and low fat diet many adhere to post surgery. It is not unique to the DS or Bypass. I don't think DS and Bypass patients are choosing to punish themselves because they pick these surgeries. They pick these surgeries because of their own individual medical challenges and what they need out of their surgery. Most of us are working to heal various dysfunctional relationships with our bodies, or with food, or both. None of us are exempt from that. These surgeries are ALL support tools, not a punishment for past misdeeds.

One note on long distance hiking: I'm having to do serious rehab on my hips and core in order to increase my walking capability. While my aerobic capacity and endurance are very good, my hips start to physically give out at about 3 miles. My physical therapist isn't really sure what the issue is, but thinks that it's a combination of weakness and poor flexibility from the postural adaptations that happen with extreme obesity (my legs literally point in a different direction than they used to!) and some effect of fast weight loss on the muscles themselves.

only about 30% of bypass patients dump, and it can be prevented by not eating a ton of sugar or fat at one sitting. I've never dumped and I know lots of other bypass patients who've never dumped, either. I had some food intolerances the first few months but now the only thing my stomach doesn't seem to handle well is a really fatty meal. Something like a fish fry with fried fish, tartar sauce, French fries, a roll with butter, and coleslaw (as is a popular Friday night meal here in Wisconsin) would not sit well with me and might even send me into the bathroom. I could handle one or two of those things, but not all (like I could pre-surgery). I also can't eat tons of pasta or rice since it sits in my stomach like a brick, but I can eat SOME of it. I had some vomiting episodes the first couple of months after surgery if I ate too much or too fast or something that didn't agree with me, but since then, I don't think I vomit much more often than I did pre-surgery. Diarrhea isn't that common with bypass - and the adult diaper thing would be really rare - I almost never hear of that, and I've been on this site for about nine years. The opposite, constipation, is really common, though. A lot of us have to take daily Miralax or stool softeners to keep on top of it. yes I suppose constant vomiting could rot your teeth, but I'm not sure where you got that idea that bypass patients experience daily vomiting. I probably vomit 2 or 3 times a year. Plus vomiting now is much easier than it was pre-surgery. Your stomach is really small, so not much comes up. And besides that, you don't have nearly as much acid in your stomach (you can tell because what comes up tastes just like it did going down - you don't get that awful "vomit-y" taste any more after you vomit). Also, GERD is what can lead to Barrett's esphagus an/or esophagus cancer, and bypass usually improves if not outright cures GERD. That's why it's usually recommended over VSG for patients who have GERD. I should add that I'm not a revision patient, but I know of a lot of people who are from this site and similar sites. Most of them are very happy with their bypasses and aren't experiencing the complications that you're worried about (in fact, most don't have any complications at all). I hope you don't take this wrong, but you might want to do more research on the bypass because I think your views on it aren't that realistic. I wouldn't go so far as to say that no one has every experienced any of that stuff because I don't know for sure - maybe someone or a few people have - but we just don't hear about those things on here. If they happen, they're very rare, otherwise we'd hear about them given all the thousands of people who've been on this site over the years.

Need help and info on days post op and foods hi I’m new to the group and have so many questions, I had Roux-en-Y Bypass gastric bypass…. so rule of thumb is followed Weeks 1 and 2: Liquid diet Weeks 3 and 4: Puree diet Weeks 5 to 8: Soft diet After 8 weeks: Regular diet But I’m having issues sticking to this, I need help and advice on what I’m doing and if I’m wrong to do this and I can’t find answers, so I’m day 10 post op now as I had my surgery on the 2nd December 2023, first few days kept to the liquid diet that being said I’m struggling with taking so much fluids, any way I would say day 7 I feel fine no issues or anything when I drink the shakes etc and they are thickish shakes so day 8 post op I tried a chunky soup it was potato and leak I chewed the chunks before swallowing and yeah only managed like 4 spoons and done I’m full….. but today 10 days post op again should only be on liquid but I had mash and beans and again only a few mouth fills filled me and I’m fine no pains or anything….. I know they say people heal at different rates inside etc and I do know I heal quick from surgery’s Iv had in the pact ext…… so my question is am I moving to fast is this safe for me to continue should I slow down and go back to what the plan is supposed to happen because with me only being 10 days post op I’m eating at week 3-4 puree diet and to be honest I think I might be ok moving onto week 5-8 soft diet in a few days…. just any advice of anyone who has had this issues or may know a answer from experience or knowledge. many thanks. Meg. From UK. (Manchester)

Had DS urgery april 2018 .. lost a lot of weight . and well since covid hit I gained almost 20 lbs back in a year i cant believe this happened. what do i do? I am making appointment with surgeon ASAP. I have no idea on how to lose this again and fast! Im sorry I let this happen. 20 lbs is a lot!!!!!

I live every day with the awareness that I could be gone in a moment. I have an extremely rare congenital abnormality in my brain that makes me at a very high risk for an aneurysm. When we found this out I had a long talk with my partner about how I felt about them, and about our lives together, and about my last wishes. I talked to all my family about it. I vowed then to live each day telling the people I love that I love them and value them, because odds are that when I go it'll be fast and I won't see it coming... Almost two years ago I got cancer. It is hard to face our own mortality, our minds aren't really designed to do that much or it drives us crazy. Thankfully I have a great therapist who helped me process the scary brain thing so we handled the cancer thing the same way... Every time I have a procedure that involves anesthesia I say goodbye like its my last time, with an open heart and a calm mind. My partner knows this. We talk about it every time. And talking about it makes it easier for me to go through whatever procedure it is because I know in my heart my loved ones know I love them and treasure them in my world. I am so grateful for the life I have with them. For some of us, this surgery makes us face our own mortality. I was scared of the surgery. But I was more scared of continuing to live as an obese person with diabetes, high blood pressure, high cholesterol, sleep apnea, etc... I knew that those things made me a ticking time bomb. So I did the scary thing and had my DS surgery. I'm so glad I did!! But the day of surgery before we left the house I said a private goodbye to my partner like I always do before surgery. I knew the odds were this surgery is very safe, but with my other conditions you just never know... It gives me peace to do that. I hope your letters give you peace so you can have your surgery with a calm heart that knows you've spoken the words you needed to say. ❤️