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You are gonna get there before you know it! And congratulations on your loss so far, that is amazing!

There is another thread about this called reactive hypoglycemia which apparently is not all that uncommon post weight loss surgery. Actually may be why my teams standard is to have us eat every three hours. I’ve never gone longer than that so I wouldn’t know if I had it. Maybe I should try it while I’m at home instead of it happening when I’m out having fun on vacation or something. Definitely try eating more often a little something. It’s also possible that it’s diabetes related so personally, I would go ahead and schedule an appointment with my family doctor and then just cancel it if eating more often helps. That’s just me because my doctor is kind of hard to get into.

Check out Dr Matthew Weiner Pound of Cure website, you tube channel & podcasts. Practical and informative advice. Five years out & I still listen to his podcasts. A recent podcast he did with his in-house nutritionalist touches on weight loss eating plans as well as maintenance. I believe you can join their nutritional workshops and clinics for a small fee if you’re interested too. I know someone on this forum has and found it helpful (can’t recall who at the moment). https://poundofcureweightloss.com/bariatric-secrets-what-really-influences-weight-loss-after-surgery/?utm_source=ZohoCampaigns&utm_campaign=What+Really+Influences+Weight+Loss+After+Surgery&utm_medium=email

I am so thrilled for you. That is such a wonderful feeling to be able to enjoy shopping again. I am already having a bit more fun with it. I got a cute pair of pink leggings for Yoga that I never would’ve worn before to celebrate my 50 pounds loss and I just got there but I have to wait untill after Wednesday to wear them because I don’t have a bra that fits that will work under a white top to match. I ordered a couple nude sports bras that will be here Wednesday though. I can already tell that I am going to probably be spending a pretty penny on athletic attire. I guess whatever keeps me motivated though.

Thank you very much! Congratulations to you as well for your successful journey. It's amazing to finally be free of the fat and, more importantly for me, the addiction to food and the total control/power I have over food now. It's seriously my lifelong dream at 55 so staying motivated was baked in.. Thank you again. I am sure I didn't elaborate or explain my reasons enough but actually I am concerned about slowing down the weight loss. I still eat very small portions and am worried it would be hard to sustain on just protein, without carbs. I like my body running more ketogenic than carbed up with the ups and downs of carbs. Without adding fat, and with our malabsorption aspect of the surgery, I am wondering if its possible or not so much..If I am being honest, at 240lbs, I started eating dirtier with carbs to try and stabilize at 240 until I got my knee surgeries, but then just dropped another 20+ within a month and a half or so. My steps and activity increased, small by normal people standards, but a lot for where I have been, after I got another Cortisone shot to the knees. This just illustrates my concern once I reach goal weight and I am rucking, hiking, and lifting. Those three things will be lifelong for longevity and mobility going forward. Obviously everyone is different as far genetically and such, but I have been extremely low calorie, plenty of short fasts up to three days, and have plateaued at certain points during my weight loss, and after doing a refeed with carbs and basically whatever I want to eat, I recharged my metabolism for another huge run of weight loss. The refeed was usually only a couple days to a few days but less than a week. Now with this approach remember I am lifting weights. I mean hard as I can weight lifting 4 days a week. It sucks! Low energy lifting is not fun but the recomp.. I really believe the built-in calorie burn from lean muscle mass is the most efficient way to permanently stay in shape. Male or female doesn't matter. IMHO if your metabolism is slow and you are struggling with the last few pounds, I mean the literally like 5-10 pounds from goal BF, man or woman, start lifting weights. The body recomp will floor you. And that weight or really I think just your body composition after significant weight loss without adding lean muscle mass leaves you looking(Sometimes) like a no muscle bag of skin. Flat. It's not fun but the results.. Anyways thank you for the reply and just to make clear if any of the vets care to weigh in, the WLS gave me the tool, the only tool I will ever need again to lose weight. It's so powerful for me that I need to think about slowing down my weight loss combined with, if possible, being low carb and more ketogenic as a lifestyle choice I prefer. I just don't know if low carb is sustainable without the fat calories. that specifically is what I am looking for. Does anyone prefer low carb/ketogenic after surgery and is it possible? I already realize that fats can be problematic, is anyone doing carnivore after DS Sadi. Not my preference but the only option it seems for low carb without the keto fat plan. Thanks in advance for any tips.

Firstly...big congratulations on your weight loss success. Amazing results from a recliner. Wowo!!! I didn't have DS and haven't tried Keto post surgery. But I did the diet for a year right before WLS, coupled with intermittent fasting. Despite my efforts I only lost 30 pounds on the average then hit a wall. Eating high fat meats might not be the best for you at this point but everyone is different in how their body responds to food after WLS. Lean meats and veggies is pretty much our food plan now. I am interested to hear what others have to say on this subject because although I have been able to lose weight adding carbs to my diet (at the urging of my nutritionist and to my keto minded horror), I haven't tried any types of "diets" to get the last few pounds off post surgery. Some say I have probably met my goal weight and the excess pounds are lose skin?? But I don't have a lot of excess to be honest, so not sure about that. I am also a big advocate of extended water fasting a couple times a year for cleansing purposes, but have not attempted it post. I was told it might mess up my sped up metabolism tool. I don't want to risk that happening. Also, I don't relish the idea of returning to a diet mentality. And I will admit, I enjoy being able to eat some carbs now where before, I could just look at them and gain weight. LOL Godspeed on your healing process for the bilateral knee surgery. I have a feeling after you are able to get up and move around, you just might lose those last 40 pounds without the Keto, GL

I'm hoping my nutritionist can come up with many things to eat that won't get boring and dull then. I guess I'll have a lot of questions on the 30th about my appetite afterwards for the nurse and nutritionist. I'm hoping that the hunger will go away forever or at least will be manageable because I'd like to at least stay around 300 pounds at the very least. I weigh almost 450 now so a loss of 150 pounds would make a huge difference. If I can keep it off that is. I'm hoping I can find a bunch of goof food to eat so that I don't go back to the diet I'm eating now. That or I'll at least be able to burn it all off.

Of course!! I have my alarms set for 9, 12, 3, 6 and 9 (every 3 hours). I am up before the 9am but I do my Yoga or walk in the morning and then it takes me a while to drink that big proffee drink so it’s usually 8:30 or 9 when I finish it. It’s more of a reminder if I set it down and forget about it. Lunch at noon, small snack at 3, dinner at 6 and small snack at 9. This works really well for me for food and I am able to get my multi, 3 calcium’s and then my magnesium and hair vitamin all separated by a few hours. Ooh and Chomps Turkey Jerky is a good snack to keep on hand as well. They have mini turkey sticks but the pepperoni ones are better tasting. I just eat half and save half for later. I also have a pack of ziplocks in my car.

Received a call at 8.30am this morning to be told that I was discussed in last Fridays MDT meeting and was accepted for surgery 🥳🥳🥳 I was then told I would be having a ‘One Anastomosis Gastric Bypass’ - huh?? The nurse repeated herself and I was still none the wiser. She said that she would ask a specialist Bariatric nurse to call me to discuss and would send me the info out. I asked for it to be emailed, which she did. I had a read through and did some more research on the internet, just to familiarise myself with what had been suggested. It’s the mini gastric bypass. The specialist nurse rang me just after 9am and explained that it meant that my ‘pouch’ is slightly bigger then that of a Roux-en-Y bypass and there is only one connection or ‘anastomosis’ which is from the pouch to the bowel. Apparently it’s not as complex with the op taking around 1.5hours and recovery just the same as the normal bypass plus the weight loss is expected to be the same. I was recommended it because of Fibromyalgia and the chronic pain I have with RA and osteoarthritis as it would be easier for me. That made sense, thankfully! The specialist nurse said it was a relatively new procedure to the hospital which is why it wasn’t discussed in any detail at the first education session I attended a few months ago. Fair enough, I’m happy to go ahead with it. The wait is around 4-6 months - oh 😒 I was honest and said that I was concerned about losing focus while I’m waiting and gaining weight once again (we all know how easy that is) She went through everything again with me - 3 meals a day, 20/20/20, use a portion plate if I have one (I do) focus more on my protein etc. She also said that if I do begin to struggle, to contact her and they would fit me in with the dietitian to go through things with me. I felt better for her saying that. I did reiterate that I am happy to take a cancellation. She said they do get cancellations but would have to make sure that I had at least 3 weeks notice to complete the LRD. I’ll be honest and say that I’m really, really hoping that the 4-6 months is on the outside and that the surgery is sooner! I know that whatever will be will be, so just to keep on keeping on. Gym is going well, 3 visits last week and I’m hoping for 3 more this week. I’ve upped my levels and weights and I’m burning around 600-650 cals in around an hour or so workout or so my Apple Watch tells me! I can feel muscle, it just happens to be deeply buried and camouflaged with fat 😮 I tried my smaller sized gym stuff on yesterday and, while I can get it on I wouldn’t say it actually fitted, so a few more pounds to go before I would feel comfortable enough to wear it. I bought a new black trench coat from Costco at the weekend. It’s been a very, very long time since I’ve been able to fit into clothing from there so that was a nice boost. It will definitely last me a reduction of a couple of sizes too. My weight is steady at the moment but I do hope to bring it down a little bit more before I have to do the LRD. Bloods to have taken yet again on Wednesday. If my liver is off this time then they will have to think of something else. I’ve not had my weekly jabs for 7 weeks, I’ve missed my other jab for 4 weeks plus no pain relief for 4 weeks either and it’s all wearing really thin with me now. I’m finding that I’m snapping at hubby because of pain and it’s not fair. The gym is really helping my range of movement but the pain remains. We’re out for belated birthday drinks on Friday (postponed because of blood tests ) and that’s about it. I’ve decided to crack on and make a start on wrapping Christmas presents this week. Thankfully my Christmas shopping is almost finished - hurray for sales! Wishing everyone a happy week 🥰 Onwards and Downwards!

It sounds like you’ve been through quite a journey, and it's commendable that you're taking such an active role in your health now. The feelings of frustration and sadness you experienced after your sleeve surgery are completely valid, especially considering how much effort you put into your lifestyle changes. Many people feel that the sleeve doesn't provide the same metabolic impact as other surgeries, which can lead to feelings of disappointment when expected results don't materialize. Your decision to pursue the SADI is a brave step, and it’s great to hear that you’re feeling more supported this time around. Finding healthier foods that you enjoy and integrating exercise into your routine are essential for long-term success. It’s understandable to have fears about regain, but it’s important to focus on the progress you’re making towards a healthier lifestyle rather than fixating solely on numbers on a scale. Setting realistic goals is crucial. It’s okay not to hit your ideal weight as long as you’re feeling healthier and more energetic. Remember that every step you take towards better health counts, and it's wonderful that you’re prioritizing your well-being over just weight loss. Celebrate the positive changes, no matter how small, and lean on your support network—they can be a powerful motivator! You're doing an amazing job, and your journey is inspiring to others. Keep pushing forward, and remind yourself that it's all about the journey to a healthier you! Thank you for sharing!

Well I read that like 26% of sleeve patients end up revising whether it’s because of GERD, inadequate weight loss or regain. My surgeon said that it’s less risky and it’s a very good surgery that works fine for many people but it’s just not enough of a metabolic change for some. I honestly think he leaned towards it because my BMi was low (for this surgery at least). I was barely 35BMI but I tried telling him that was only because I was literally dieting my whole life and even then I didn’t eat that bad. I just ate a lot of food. I’m sure he hears that a lot but I think I just needed the bigger change from a more drastic surgery. From day one with my sleeve I felt like I was on a diet. I never did find healthy foods that I enjoyed, I ate chicken breast and one of the three veggies that I liked and downthe road I ate a tiny portion of something not so good for me (nothing terrible but not good either). I also never felt the spurt of energy that I felt this time so I never got into the exercise. It just wasn’t the whole lifestyle change. It was like any other diet when my hunger came back and my portions got bigger but it was healthy food at first. Then I started gaining and it just made me so depressed I was trying so hard and I was gaining already. I went to my surgeon and asked about bypass and he said he didn’t think it was a good option for me. I still don’t understand why he said that and later changed his mind. Anyways, after that I stopped following up with my team, stopped posting on here and I never went to in person groups. All of my friends and familY had already told me how big I was before thinking it was safe to say because I was thinner then so as I continued to gain I knew what they were thinking of me so my confidence just plummeted and that just snowballed into my gaining all of my weight back and then I just said forget it I guess this is just my life and I didn’t even try anymore. Finally one day my doctor said that I should really go ask him why it is that he doesn’t think it’s a good idea because they felt I was a good candidate and he said he would do it and asked me if I ever heard of the SADI. He sent me home to do research on that surgery and come back and tell him which one I wanted. I said I think the SADI and he said he needed tests to make sure I was a good candidate. He did an endoscopy, a barium swallow study and a gastric emptying test and then he said I was good and put me on the schedule. Then at the last minute they figured out I needed the nutritionist visit and the psyc eval that they didn’t think I needed so I did those in a hurry and started my preop diet. This time I told everyone about my surgery. Even though I have terrible fears that I will regain again I know that I need them cheering me on to keep me going as well. I started the In person support groups before I even had my surgery and I started posting here again as well. I have done so much more with finding healthy foods that I don’t dread and adding exercise so I can have things other than chicken breast macro wise as well. I also know this time that even if I don’t reach my goal weight or my secret goal weight that I already feel so much better and hopefully I can keep that In mind and not get caught up trying to do this just to be skinny because that isn’t the most important thing. Last time I reached the first goal I had set for myself but I never did reach the goal that I secretly wanted to get to. But I was only 18 pounds away and I let that make me feel like a failure. I would give anything to be that weight now. I just lost perspective I guess. Being healthy is really why I did it then and now and I’m already on the road to being a lot healthier so if I do lose more that’s really just icing on the cake. I just have to remember that and I think I will be okay.

Two Big Wins today. First I reached 50 pounds loss today but more importantly I reached a goal in my flex-ability. When I started Yoga I could barely reach past my knees if I’m being honest. The teacher suggested that I get some yoga blocks which are shaped like big wide bricks but made of foam. Well after a few tries of breathing deeper I was able to reach it just barely to touch my fingertips when it was up tall ways. I went from that to being able to do my flat hand on there to this morning where I can finally touch it with it turned down on its side the shorter way. Just with my fingertips and only after a few tries so I am a long ways from the floor still but considering it’s only been like a month I am pretty ecstatic to have improved that much. Now I need to add in something to work on my arm strength. Some of the poses take a lot more strength than I have to support my body weight.

5 months into GB (surgery date 5/9/24). Ive lost 44lbs in 5 months and have a goal to loose 50 more. Weight loss has reaaallly slowed down to next to nothing. Thise 3 lbs came back and i lost 1! I have started walking more. I do notice I’m craving sweets. I also notice i don’t seem to have dumping syndrome that many of you talk about so i really don’t fear eating things i shouldn’t. That scares me because i think thats part of the equation with this surgery. Today gonna start concentrating on how do i feel. Am I really hungry or just craving something.

No it just cuts out a lot of the fat but keeps the protein. I am in the weight loss case so I’m paying attention to fat and carbs. I also had my gallbladder out with my surgery so I have to slowly add fat back in to see how my body reacts. It also cuts the cholesterol which I was borderline high before my surgery. I will eventually work my way back to “skinny omelettes,” which is one whole egg and a few egg whites for a normal sized omelette. I really like to have cheese in my omelette. So I shred my own from a 2% block cheese (which is more flavorful so I use less) and do the egg whites to make up for the fat in the yolk. As long as my body allows it, I will work my way back to regular eggs eventually I’m sure, because I prefer them taste wise.

Found this tip a while ago when searching for someone else who was ahead of me on their weight loss but finally got to where I could try it for myself. Since we all know that there is such a huge space between the extended sizes my shirts are very loose yet the next size down is still snug on me so I tried this tip. You turn the shirt inside out (or just do it while wearing but your working on the inside) and grab a small section and use a rubber band to create a gather on the inside sorta like a pony tail. It does shorten the length in that one spot a bit and you have to play with the placement but it really works. I still have a larger bust so it helps to snug the waist area so I still look like I have a shape. Not certain if I explained that very well but hopefully you get the gist and it helps you too.

So I am a USNavy Veteran. I am getting help through the VA Hospital. They don't offer injections for weight loss help due to the need for those medications to go to Diabetic patients which is what they were made for initially. So not having a larger BMI, the only option available to patients like me is the bariatric balloon. They do not do lap band or anything else similar here in the United States anymore with the VA health system. They offer gastric sleeve/bypass to patients with higher BMI- they said if I was just 10lbs heavier when I was referred to the specialist, they would have approved it 😕 which made me a little upset- if my primary would have known....maybe I would have waited for those extra 10lbs ? Well, any who- I am willing to try what's available to me- so Gastric Balloon it is So they will insert surgically a balloon filled with blue dyed saline solution. Basically, a breast implant in my stomach this will take up a majority of the stomach space- leading to feeling full and staying full feeling for longer. Basically, it is like the injection medications results, but not needing the injections monthly.

There are so many different studies on the effects of caffeine on weight loss outcomes, but I cannot find anything specific to our population. Maybe someone else has a resource to share. As for the restrictions, usually the warning is that caffeine is a diuretic and appetite suppressant. That can seriously impact hydration early on. But every program is different, mine didn’t particularly care if you had coffee/tea but you couldn’t count it towards hydration. Here’s an interesting (mouse) study on matcha and it’s effects on obesity (through the liver gut axis) https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2022.931060/full Anecdotally I’ve never stopped consuming tea (including matcha) but I was never asked to, thank goodness 😅

I know programmes differ hugely but my surgeon placed absolutely no restrictions on caffeine and I was hugely grateful. I have no idea whether there is good evidence that caffeine consumption affects weight loss after bariatric surgery but I suspect very much not. @GreenTealael do you have any evidence to share? I am a coffee, not a matcha drinker, but I know how much I valued those coffees in the weeks and months after my surgery. Might be worth drilling down into the actual evidence based practice with your team if matcha means as much to you!

For me the physical hunger is completely gone now. With my sleeve it was also gone but it did come back. It was around 6 months that it started coming back if I’m remembering correctly. It comes back for most people to varying degrees of intensity. The best case is that you take that time to really change WHAT you eat, not just how much because when the hunger comes back you will likely eat larger portions and if it’s less healthy food you will probably begin to gain. At least I did. With my revision I have changed what I eat entirely. I didn’t do this with my sleeve. I had just a few menu options so it’s no wonder I got board with it and started to eat off plan more often. This time I did research and found several healthy recipes to try and I found quite a few that I enjoy so I don’t get board at all. You may not recall but I have Bipolar and Anxiety. I have found that freezing some healthy meals has come in real handy at times when I am not up to cooking. I also am in touch with my surgical team more often for office visits as well as the support group meetings and those help tremendously. Post op I also had more frequent appointment with my psychiatrist and psychologist as well. I just asked for all of the support I could find because it is a lot of change which I don’t do well with but now that I am two months out and i have a little routine I am feeling better than ever. The exercise that I am finally energized enough to do has helped my mood tremendously and the weight loss and the social aspect of the group fitness classes have helped with my self esteem too. I have so much more structure and routine now which is actually really great for Bipolar. I am able to fall asleep at night and stay asleep and I wake up at the same time and exercise, I set recurring alarms for vitamins/food and I log my food with the Baritastic app and my fitness watch keeps track of all of my activity. I show all of that data to my NP at my checkups and she helps me make adjustments to my nutrition. You will probably see a nutritionist for food related questions but I had a newer surgery called the SADI and the nutritionist wasn’t very helpful with regard to the macros after I got back to normal food. As long as you are managing your mental illness, though, you should be just fine. Just don’t hesitate to ask for whatever help that you need in order to be successful.

Yeah nobody can control the snow except God. I'm not worried about the snow. It usually does snow in early November here in upstate NY but lately over the past 3 years or so it hasn't started snowing until Janurary. Hoping this year is another repeat of that. Time will tell. They gave me a whole booklet that my surgeon gave to me when he explained the various different surgeries to me and a bunch of other people about 7-8 months ago. It has everything that I need to know in it like what I'm supposed to be doing 2 weeks before my surgery 2 weeks afterwards ... everything. I just haven't had much time to give it a good going over its been a busy 7-8 months. They always ask me at the end of my appointments if I have any questions and I think I have some for my surgeon that I'll probably be asking him the day of my surgery so if I have any I can always ask. Most of my questions are medical questions though that I think only my surgeon can answer because I'm curious how my mental illness is going to affect my surgery and my weight loss journey after my surgery. It's definitely going to be more of a struggle than usual. Do all of your hunger pains and cravings usually go away with the surgery? Or do you still have to worry about the urge to eat?

Oh and also, for what it’s worth I went in early because I was concerned that my weight loss had slowed a bit and she said that is perfectly normal. You’re able to eat more than 2 ounces so of course it will slow.

2kg according to google is 4.7 pounds. That’s a lot for a week for most people at this point. Unless they have a higher starting weight. I mean of course some people do lose that fast but I don’t think it’s the norm just like some people lose it really slow. We will all get there though. As much as our bodies want to fight to hang onto it, it really just can’t with how little/healthy we are eating. Congrats on your loss. It feels amazing, doesn’t it.

It's amazing how during the week, your weight fluctuates really badly like 2kgs up but one week exactly on the official weigh in. I am 1 kg down! 96.7 kg today! I really thght my loss would've been faster like at least 2kgs a week but I'm happy! Less loose skin, more sustainable so yay

Hey all, Thank you for your lovely comments ❤️ I genuinely appreciate every single one of them. I'm still in a bit of a slump at the moment! I have gained for the first time in my weight loss journey (albeit just 1lbs at the moment but still), my weight doesn't seem to be shifting down currently. I also bumped into a friend today who said: "you are looking so much better"...like...okay... I hope this mood/weight gain/stall goes away soon x

Nothing much to report this week, everything is just ticking over. Weight is stable, no losses this week after the unexpected losses of the week before. Happily going to the gym 3 times a week and I do feel improvements even if I can’t see them. Been to see my GP today (she’s the one who put me forward for Bariatric surgery) I’ve had a sharp pain smack bang in the middle of my chest. First time was a couple of months ago - it woke me up and lasted about 5 minutes or so. Could only be eased by sitting forward. Then nothing else until the pain happened again yesterday afternoon. The area still felt tender when I woke up this morning so rang the docs and actually got a face to face appointment - the shock!! Anyway, GP listened to my heart and chest, asked a stack of questions and came to the conclusion that it’s some sort of ligament pain where something is slightly out of alignment. I then explained about the endoscopy 💩show I had - pinned down, thrashing around etc and she thinks it could be caused by that as the timing adds up. She did ask if I was taking ibuprofen and I said no and explained about not taking anything until my next set of bloods (17th) in order to give my liver some breathing space. Advised to take after my bloods if needed as it will help recovery. Thankfully the gym isn’t causing any pain so I was cleared to carry on with that. We did have a chat about WLS and how everything has been so far. She is so incredibly supportive, it makes such a change. She said she’s updated with everything from the hospital and is really pleased with how things are going, so that was nice! So, that’s about it. Hope everyone is having a great week so far. Onwards and Downwards 😉