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It's been 5 years since my gastric bypass. Have done fairly well in staying in my safe zone. My goal weight was 170 initially although mentally I wanted to put 150. After starting at almost 400 lbs, I wanted to see if I could even hit 170 which I did. For 2 days about 2 years ago I briefly 'dipped' down to 167! LOL. Fast forward to 9 months ago, I hit a rough patch and went up to 180'ish. I knew some folks going to a local place that compounded their own semiglutide if I understood them correctly. After asking repeated questions about whether taking this would disrupt the supply to diabetics who needed the medicine, I decided to try it. I was never one of those fortunate ones who after bariatic surgery lost the desire to eat (grehlin?). Even though I obviously had the 'restriction' kicking in due to the pouch size, I had to white-knuckle SOMETIMES during the first 6 months. Part of me feels like I cheated by introducing semiglutide but there are also people who think that weight loss surgery is the 'easy way out'. I can tell you that none of those people, in my opinion, have ever had the surgery. I actually really like the semiglutide, it removes the..trying to think of it as I saw on someone else's post, it is the first thing that has ever removed the mental 'food chatter' in my head. Sometimes I will skip weeks on the injections and I'm already making plans to taper off now that I'm down to 163. I realize I will need to be able to then try to maintain in my new 'safety zone of watching for a weight gain of more than 5 to 10 lbs over current weight. I like to nip those things in the bud. Just curious if anyone else post weight loss surgery (by years) has brought semiglutide into the picture whether to break up a stall, or to get weight gain that has started to creep up halted.

Hey everyone, just wondering how it's going. I'm 6 weeks since surgery and my weight has stalled. I'm down a total of 34 lbs, but almost 1/2 of that was pre-surgery. I was losing quite nicely for the first 5 weeks, but this week is just staying steady and even going up a bit 😥. Is this normal? This week is back to "regular foods" although I'm mostly still on soft foods because I'm not tolerating any thing else yet.

I would assume that your medical team will provide you with the stages they would like you to go through. everyone one here were given widely differing sets of instructions post op, so it may get a little confusing with all the differing accounts. best to pick one program (easiest one would be the one provided by your team) and follow that. remember they are guidelines, so if you are unable to do a stage or meet a goal or have issues, do something else. don't force it. and get in touch with your team with that said, here was mine (almost 5 years ago): week 1: clear liquids week 2-3: full liquids week 4: purees (i skipped this one, i just did full liquids for another week because purees were YUCK! lol week 5-6: minced ...after that i was cleared for everything/anything (just reminded to chew alot).

Aww-gee-thanks! I just took what my surgeon said would make me successful, made myself a plan, and did it! For anyone who has a brain that works like mine (MORE details, please!!!), this makes life easy, post-op! At my 1-week appointment, everyone was telling me I didn’t look or move like I had just had major surgery, my color was great, I looked so energized and happy - and I did! I felt so great, and this was even BEFORE I started my multi. He told me “exceeding expectations” at every follow-up appointment I’ve had, to date. All I did was what my surgeon said was the formula for success. FLUIDS, PROTEIN, MOVEMENT. It’s that easy! AND, I have lost HALF of my extra weight, as of yesterday! I’m so happy! And I haven’t done anything besides what my surgeon said would make me successful. I had lost 19 pounds on my own, before my first surgeon visit. I lost 16 lbs from my consultation to surgery date. The rest of my losses have been post-op, which has been 38 lbs, as of yesterday. Yesterday, I started Week Ten Post-Op (my surgery was April 2nd). The full long term list is: Water, Protein, Movement, Supplements, Whole Foods, Go To All Your Appointments & Participate In Any Extras Your Surgeon Offers (My surgeon does monthly group webinars with post-op patients! It’s so great!) Also, I hope nobody takes this as bragging. I just want to show if you do what they ask of you, there’s no other option besides being a success! You can’t lose! Keep it simple by remembering your basic job right now: Fluids, Protein, Movement. You CAN and WILL do it! There’s no way to fail, this time! Even if “movement” for you means walking a circle around your couch and then sitting down, that’s a start! Just move your body, drink water, get protein.

(Oh, here’s Week Two’s Spreadsheet. I didn’t attach it.) Week Two, you’ll still be focusing on the THREE things: Water, Protein, and Movement. This week, don’t focus on using the soups and yogurts and such to get all your food. Think of the food items as practice for your stomach, not so much as getting ALL your nutritional needs. It won’t happen, you can’t meet your needs with soup, yogurt, and pudding! Haha! You’ll be relying heavily on your protein shakes here, still. Your surgeon will probably give you the green light for your multivitamin and calcium supplementation. One note, every new food I tried, I was a little scared, just because I didn’t know how my body would react and I didn’t want to hurt myself. As it turned out, everything I’ve tried has been perfectly fine and I haven’t had a single issue. Try new things ONE at a time and take it easy. Eat slowly. Put your food/spoon DOWN between bites. Buy some baby spoons (they have stainless steel ones on Amazon!). Only stick to the diet your surgeon gives you - NO DIVERTING! You’ll only shortchange yourself, whether anybody finds out, or not. And worse case scenario, something happens to you because of diverting.

i don't know what my numbers were, but at my 1 week post op appt my doc had me take b12 out of my vitamin regimen. and he would often comment on my higher levels at most of. my followups (but i never thought to ask what he considered "higher" levels). full disclosure: i stopped taking all my vitamins around 1.5 years post op (by choice, not direction) and all my labs since then have come back with zero issues. i had my 50-year-old-woman full range of tests and checks and screenings a couple years ago and i am the picture of pure health (my words, not theirs, lol) congrats of feeling great, and with the labs to support it! YAY!

I noticed a few weeks post op. Eye Dr said it was likely due to vitamin deficiency..most people reported there vision got Better.. mine definitely changed but I was over due for eye check up

I'm actually amazed. Lost 90 lbs, down to fighting weight based on weigh-in at gym using one of those machines that measures body fat + weigh- in at doctor's with clothes on a day later. Went from 40 waist to 33 (American size), can now fit into clothes I could not wear for quite a while, work out 4 times a week at a serious gym, most sessions with a highly experienced trainer. I haven't done one sit up yet- it's about balance, step up, step down, with kettle bell, 12 reps, 5 sets, squats with a dumbbell, 12 reps, 5 sets, then next exercise, etc. I do my warm up 1/2 hour in advance of the trainer session so I don't waste time--it's all exercise when I work with the trainer. I drink a 30 gram protein drink before and another after, so I'm finally building some muscle on what is now a diminutive appearing frame. I can't quite press my body weight yet, but I will. I have long hair for a guy, and yeah, it was coming out when washing it (not every day, more like every 4 days unless I get sweaty) but that seems to have finally stopped. I have no cravings for foods that I cannot have because I get sick if I eat a slice of pizza with toppings or eat more indigestible foods. So I just stay away from them. I have developed a fondness for medium rare lamb chops and roasted potatoes with rosemary salt. My wife is a good cook but we still eat at restaurants and I'm careful. I found out that alcohol just doesn't work- a beer is too filling and carbonated, for some reason wine doesn't taste good; I'm a high proof whiskey man and it doesn't metabolize. I'm on my ass with far less than what I could normally consume, so I just stopped altogether. (Good because I have Barrett's and alcohol is inflammatory). Punchline- this surgery really turned me around. Trade-offs to be sure, but I feel so much better and look far younger. I can walk fast and not get winded as easily. I'm in my 70th year and don't look like a geezer-- more like a ruffian in rude health. I had targeted 185 as a goal weight and reached that but I still have a small roll of fat around my middle. I figure that I can continue to lose a little more given the surgery stats, and tighten up my core as my work-out regime continues. I'm gonna start swimming this summer-- where I am in Texas it is 3 months of summer and 9 months of hell. Hell is just starting here. The really hardcore stuff is pilates. I used to do that with a women's class and they kicked my butt. I'm planning to advance to that as well. I think the "whole picture" outlook is optimal for me- I don't check the scale at home, I do my thing and get routine blood work done. Though I have a few health issues which come with age, I'm in pretty decent shape now, physically and mentally. Thanks to all you kind folks for your advice and support.

Dang it! Back up to 200 today. I could see the digital scale contemplating telling me 199.8, but it decided nope. I've had days with tons of exercise. Days with no exercise. Days with over 1000 calories. Days with barely 500 calories because what I ate made me sick. None of it does anything to move the weight. I get on the scale daily because I like to see the graph as a visual. But I'd like it better if the number went down. On the bright side, my blood work all looks pretty good. A bit low in Vitamin A, zinc, and prealbumin, but so far no one has said I should change anything. @LisaCaryl I love the NSV with the jeans! What a nice surprise, even if you did get stuck wearing them to your group. I have one more week of school runs and after school activities before my kids are out for the summer. At that point, I am going to make a weekly meal plan and try out some new recipes from the bariatric cookbooks that are gathering dust because I've been too busy. I've also found a workout video to try with my pilates bar resistance band set, so that's going to happen this week, at least once.

KEEP THIS STAGE SIMPLE: Get your FLUIDS. Get that PROTEIN. Get MOVING. Three little things! This is the schedule I kept for Weeks 1 & 2 post-op. I bought 1 oz glasses at Walmart in the baking aisle. I bought 12 of them and used 6 per hour. They only cost me 97 cents each. I drank half an ounce every 5 minutes. After every ounce I drank, I got up and walked a lap around my downstairs. IF you start fiber now, take the fiber sparingly! Don’t overdo it, just get some. You can get constipated/gassy if you have too much. If you’re having gastro issues, eliminate the fiber until you get to soft foods, as your new stomach and sensitive track might not be ready right away. Use apple juice only if you need it for low blood sugar, and ONLY drink half-juice-half water dilution. Don’t drink straight juice. I use Hydrolyzed Collagen, by Codeage. I really like it. Also, drink decaf coffee only, of course.

I bought 1 oz glasses at Walmart (they’re the size of a shot glass and are 97 cents in the baking aisle). I bought 12 of them. I used 6/hour. I drank 1/2 ounce every 5 minutes. I got up and walked a lap around my downstairs after every ounce I drank. I rotated between protein shakes, protein water, regular water, fiber water (not too much at first!), popsicles, jello, collagen coffee, and Propel. This allowed me to get all my fluids and protein for the day. My first fluids every morning were 6oz of decaf coffee with collagen mixed in. BIGGEST thing to do after surgery: Get your protein, water, and movement. You do those three things and you’re good! As soon as they have you start your multivitamin and calcium, take them as directed. Take your multi and your calcium at least two hours apart. Your body can only absorb up to 500mg of calcium at a time so take calcium four hours apart. What I do, I take my multi at lunch (12:40) (because I tend to have yogurt or cottage cheese with breakfast: calcium), and I take my calcium during my 1st and 2nd snack (10:40am and 3:00 pm).

Week One: Clear Liquids & Protein Shakes Week Two: Full Liquids Weeks Three & Four: Soft Foods Weeks Five & Six: Modified Regular Diet (soft regular foods & soft carbs, if you choose to eat them) Week Seven: Soft fruits w/o skin, ground meat, and moist chicken/turkey Week Eight: Raw & Crunchy fruits/veggies with skin, nuts, seeds, and dried fruit Week 12: Dense meat (like steak), and caffeine and alcohol (if you choose to partake)

I'm glad weighing once a week is helping. Sometimes it's difficult... I want to get on the scale way more often and sometimes do. All my adult life I have considered a loss of 2 pounds a week to be right on track. The first few weeks of this got me spoiled with bigger losses. At this point I'd be very happy with a consistent 1 - 2 pounds a week. It seems like the slower it comes off, the easier it is for my body to adjust. An NSV, well, not really a victory, but a surprise... I had to go to support group at the hospital last night. I was running late and threw some jeans and a T-shirt on after my shower. I hadn't had those jeans on in a few weeks, and oh my gosh, they were huge! Not just the waist, which is elastic, but the legs were so funny. I didn't have time to change them, and they are my favorite jeans. In fact, I have a pair that is 4 sizes smaller in my closet waiting for me! lol.

I’m only losing a pound or two a week. It’s super slow!!!! I had my post up appt which wasn’t super informative. I’ve lost 40lbs so far. Not all of my bloodwork was in yet so I’m waiting to hear how my vitamin levels are. She said the stuck food lasts til 6 months then comes back at 12 months and 18 months 🤦‍♀️🤦‍♀️ and I’m expected to lose my weight over 18 months. That was about it. Other than the stalls will get longer and longer she said. Ughhhhhhhh. Some days I feel like I’m where I was pre surgery trying to get the scale to move even though I know that’s not the case. I have started only weighing once a week now instead of every day so that’s less frustrating. Knowing we are all stalling definitely helps me to see it is just the way things are and I can’t rush it. Thanks for the continued support ❤️

Thank you so Much for your Answers! Both of you <3, yes i am seeking Therapy and be open about it, its sometimes that lingering fear of things not working out for me, in Germany i can get Plastic Surgery, and if the Documentation work is good the Health insurance would cover part of it. I also agree with, there is maybe a Special person who doesn't care and Loves me for who i am a Man can Hope. And Push forward.

Sometimes you have to ring some bells like HELLO, i need some aftercare and followup. Congrats you finally got your appt. and your A1C going down! I'm not sure about B12. Some labs calculate it differently as the high end of the normal range for mine is 1245. I'm sure if it's an issue it will be or should be addressed by your team. The Vitamin D for sure should be. I know for me it was getting to the higher side of normal and my dietician had me drop down from bariatric vitamin to a regular multi and cut back on my calcium chews which also contain lots of Vitamin D. Woohoo on the weightloss. And the hair loss will eventually slow down. Mine lasted from about month 3-6 at it's worst and has slowed considerably and now I'm only just slightly annoyed at all the short hairs from regrowth.

So I finally reached out my bariatric team and they said my post op appts "slipped through the cracks", So instead of having a 3 and 6 month appt I am have one next week (at 5months ish) that will combine my 3 and 6 month post op appt. ANYWAYS to my point! I got my blood work and everything is normal range! my A1C even went down from 5.6 to 5.3 which is pretty groovy! Also my iron is normal for the first time in my life! However my B12 is 1116 which from what I read optimal results are >500 for bariatric patients? So does that mean I am doubly good? My Vitamin D is at 119 and toxic levels are over 100. So my assumption is I could probably cut back on those vitamins lol. I feel great! I am down to 185 as of last week. Hair is still shedding but tis life. Thanks for coming to my ted talk!

That's 15 pounds per month, or 3.75 pounds per week. You're more than on track. And I'm glad to hear you're doing well. I know the feeling about being anemic. I've been fighting that since 8th grade. Thanks for updating!!!

I am actually not in a stall anymore but i did find out i a bit anemic so I am need to work on getting more iron and folic acid in me. That would explain why i been feeling so tired and no energy. Thanks for asking. Also yes I have lost 45lb already since my surgery and its been 3 months so i think i am on track.

Is anyone experiencing an intense hunger that feels very physical and very intense as if it may be Leptin levels are low or something hormonal. I explored with anti acids to see if it was a feeling from the mild GETD that I have experienced, drink plenty of water, eat adequate protein and fiber, small frequent meals. NOTHING IS WORKING… and I keep eating as it feels like hunger… strong hunger, but that does not alleviate either! HELP! 3 years post sleeve gastrectomy.

Here are some vegetarian recipes that are not only delicious but also great for weight loss: 1. Quinoa Salad with Roasted Vegetables: Packed with protein and fiber, this colorful salad is both satisfying and nutritious. 2. Lentil Soup: High in protein and low in fat, lentil soup is filling and comforting, perfect for keeping you full without excess calories. 3. Veggie Stir-Fry: Loaded with colorful veggies and tofu or tempeh, stir-fries are quick, easy, and customizable for weight loss goals. 4. Zucchini Noodles with Pesto: Replace traditional pasta with zucchini noodles for a lighter option, topped with homemade pesto for flavor without excess calories. 5. Chickpea Salad: Chickpeas are rich in protein and fiber, making them a great base for salads. Combine with veggies and a light dressing for a satisfying meal. These recipes focus on whole, plant-based ingredients that are low in calories but high in nutrients, making them ideal for supporting weight loss goals. Enjoy experimenting with different flavors and ingredients to find what works best for you!

Great advice from everyone and I would second finding yourself a nutritionalist/dietician sooner rather than later. And maybe a therapist who has experience with bariatric surgery & disordered eating. Do you track your food? I’m not a tracker (didn’t have to) but I do random checks on portions sizes, nutrient content & protein to ensure I’m on the right path or haven’t got complacent. It might be idea to start tracking if you don’t even for a few weeks just to see where you may be missing some key nutrients, to ensure a balanced intake, etc. can’t hurt anyway. Check out some the you tube videos by Drs Matthew Weiner and/or John Pilcher. Dr Weiner has some great books too which may be helpful. These may offer some support while you’re trying to find a new surgeon & doctor.

I slept in a recliner for a little over 2 weeks, and then got a wedge pillow for my bed to transition. I also slept with a pillow next to me for a while to discourage rolling in my most-common direction. XD Like others have said, your taste buds can be really all over the place after the surgery. I found a brand on Amazon called ProtiDiet -- their chicken protein soup was a godsend in my early weeks. I still like it now tbh. My team allowed sugarfree puddings during my liquid stage, and stirring some unflavoured protein powder into the pudding (after it was already set! wait until it sets!) got me through some rougher moments. See if you can find smaller samples of protein shakes (premade or powdered) until you find one you can keep down. After my surgery, anything with stevia caused me to vomit, and erythritol made me nauseous but not nearly as bad. Even now, I can really only handle sucralose/splenda and aspartame sweeteners (or monk fruit in low doses). You might be reacting to the sweetening agent in your protein shake. Also, most care programs I've seen seem to prefer whey protein to all others (for good reasons!), but some people develop lactose intolerance Post-OP -- so something else to maybe look into? I'm lactose intolerant and had trouble with whey at first but my body got used to it after about a week. We're buds now.

First, don't panic! And don't compare your progress to others, if you can help it. I agree with everything Nickel said -- including the book rec. Kristin Willard's Bariatric Meal Prep is a great resource, and I also really like "The High-Protein Bariatric Cookbook" by Stacey Gulbin and "Fresh Start Bariatric Cookbook" by Sarah Kent. I think a good Bariatric book might help cover some of the information you've been missing from your 'care-team'. Is it possible that you've been focusing extra/too much on calories and not enough on what makes up those calories? My team told me that calories can be important (especially later on) but the first several months it was definitely more about making sure you're getting enough nutrients. 60-80 g protein per day minimum -- my team told me for me personally, she'd actually recommend 70-90g -- and definitely 3 meals a day (+ 1-2 protein-geared snacks). If you have to make them smaller at first since you're used to eating two meals, that should be ok. Maybe while you get back into a regular routine, make one of your meals a protein shake or protein bar? It was suggested to me that both my day (and each meal) should be 50-60% protein, and the rest of my plate should be mostly non-starchy veg -- with any starchy veg or complex carb coming in at 10-15% (20% max). The types of carbohydrates can be really important too. A whole grain/whole wheat item or a starchy but nutritious veg is going to put you in a much better place than a processed corn taco or white tortilla. Are you taking any supplements? Also, maybe check out local nutritionists and see if any of them have experience with bariatric patients.

I look for any excuse to get some extra walking in -- like @ms.sss said, takes the stairs when it's an option, park further away. I like to find different parks and trails to visit on weekends for longer walks -- even mall-walking can be entertaining if you switch it up. Most of the community centres in my city have drop-in classes in a heated pool -- some for therapy, others for strengthening or low impact cardio, etc. It's a nice way to get a taste of a few options before paying any full-on membership dues. Maybe check around your local area for something like that -- or a gym that offers a one month trial, etc. (Honestly, everytime I've bought a membership to a gym, I'm awesomely committed for a few weeks and then never go back -- so I stay away from gyms myself) I also bought a foldable stationary bike for at home (like $130 on amazon) for days when the weather is too wet / hot / etc for me to enjoy a good walk. (When I was younger, I loved this exercise series called Power90. It's super out-dated now in terms of style (etc) but I found it on youtube recently and will probably give it a try again once I'm a little further into my recovery. Short 30-45 minute workout videos, I think the only thing you needed to buy was either a resistance band or light handweights, and a yoga mat if needed. They have updated versions throughout the years with more flash and pizazz but I'm a fan of simplicity.)