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Very happy this week! The London gain of 3.5lbs has gone plus another 6lbs has joined it this week so I’ve hit my 2stones loss target 😊 Hubby has documented this by taking pics and I can definitely see a difference - my backside isn’t as much as a shelf now 😉 I will post pics when I gain more confidence but they are definitely worth doing for your own records, even if you hate and despise your photos being taken. I’m sat here with my feet on a circulation booster, with my feet and calves twitching away. I’ve got it for both me and hubby in the hope that it will help both of us with our circulation and start helping me strengthen my muscles around my knees. We had a chat yesterday and agreed to rejoin our local gym. I know I won’t be able to do cardio like the treadmill etc but I certainly do need to spend some time on the resistance machines and hopefully the free weights. I want to try and get some muscle tone going and avoid masses of sagging skin if I can. I desperately miss going to the gym so I’m definitely looking forward to it. I’m due at physio next week for knee exercises so we’ve said we will begin 1st Sept (helps with keeping monthly finances straight too) Lots of NSVs this week…can now take my wedding/engagement/eternity rings off when in the bath. That certainly hasn’t happened for a long, long time. I’m finding more clothes to wear when ‘shopping in my wardrobe’. I’ve actually had to buy a BELT for my jeans 😮😮😮 I bought 3 pairs in the sales some time ago. 1pair fit fine, 1 I could just about fasten but not breathe, 1 I couldn’t fasten for love nor money. Fast forward to Saturday and it’s now 1 too big, 1 fasten easily and 1 fasten but can’t really breathe!!! Hopefully a belt will let me get some more wear out of them before they go off to the charity shop pile. It’s our wedding anniversary in September and I’ve set myself a target of wearing a dress that I wore for our wedding anniversary dinner 2 years ago. It’s a lovely dress and I felt fantastic when wearing it so hopefully it will fit again. I would like to lose another 10lbs or so before trying it on so fingers crossed 🤞🤞 Hubby knows what I’m aiming for and is all for it. Need to remember to record my food diary next week, ready for the dietitian appointment the week after. I record everything now but not the moods pre- and post- eating which they need. I’ve already recorded a dietitian diary just before I began my weight loss journey so hopefully she will be able to see the differences. Have a fantastic week everyone 🤩 Onwards and Downwards!

Nice!! Congratulations! I've changed my goal twice. I have 4 lbs to go to get to my current goal and I'm 9 months out as well. I don't think I want to loose any more than that. It's been a heck of a ride I'm so glad I got on. My life has changed so much

oddly enough, my skin folds & skin rubbing bothered me more when i was overweight vs. AFTER the weight loss. my issues were all centred around sweat and moisture, so for me, it was all about keeping dry. i used non-talc baby powder (the johnson and johnson cornstarch baby powder is whar i used most) in my "problem" areas: between my thighs and my under boobs. worked great so long ad i was vigilant about it (if i wasn't, i'd get itchy and rashes, and worst case, i'd get open sores). but like i said, as i lost weight it actually got better so i ditched the powder.

Hello again everyone! I'll start by saying I'm sorry it takes me so long to post my responses. This is because while I do skim posts from my phone, especially when I see an email that has me tagged I find it so much easier to type and properly respond from my desktop computer. So - If I 'Like' a post' just know I'll likely later mention something in one of my long summarized posts, like this one! Yesterday was exhausting for me; I slept poorly Tuesday night due to heartburn and tenderness on the left hand side. I did get a few things done yesterday, though, including making it to Walmart finally to get my returns processed. I'm not sure why I thought I'd need extra bandages and such after my surgery, but I didn't. That said, after reviewing the cost of canned soups and canned chicken, I decided just to buy a rotisserie chicken! Honestly, that's proven to be easier and more economical because after deboning it there is plenty of flavorful chicken to either puree into chicken salad or puree with chicken broth and some canned peas/carrots as a kind of 'no noodle' soup! I also had a ridiculous epiphany this morning - cooking and straining our fruits BEFORE mixing them with yogurt or ricotta works WAY BETTER! This should have been obvious but in my addled mind I've been either 'peeling' the strawberries, or like this morning I thought I'd put the whole blueberry yogurt smoothie through the metal screen to strain and hey - that worked POORLY! Lol - silly the illogical things we do at times, eh? Or maybe it's just me, idk! Oh - I ALSO realized yesterday evening, when I had basically zero energy nor desire to mess with dinner but still was far short of my protein goal that I hadn't started taking the Collagen yet that I bought to help my hair, skin, and nails. Lo and behold when I scoped it out (I ordered Nature Target Multi-Collagen Peptides from Amazon) that one scoop DOES have 9g of Protein! I truly felt like I was cheating the system when I poured a scoop in about 4oz of Gatorade Zero, Orange and called that my dinner. I'm not sure what caused me to sleep better last night - the fact that I held/hugged a pillow ( Thank you again @draikaina8503 for mentioning the pillow your nursing staff gave you!) against my left side during most movements throughout the day, the fact that I was extremely tired, the relief from hearing from my doctor's office, or just time and healing in general) but I DID sleep well and today has gone more smoothly for me. As of today I'm 17 days post op, about a 1/4 of the way into my two weeks of puree diet. @ShoppGirl - I haven't noticed about white spots on the tongue after different types of protein drinks because I've been really aware of any 'filmy texture' so rinse my mouth after each meal, but I do feel like the Ensure is thicker and takes more effort for me to rinse after drinking. Thanks for mentioning the Protein Water! I'm going to look into that to see if it will help me meet my protein goal of 60g/day. @draikaina8503 - I haven't noticed much as far as skin sensitivity goes although my bruises from where they stuck me have taken an AGE to heal! I've been worried about you and hope that the incident with your doggo didn't leave you with any lasting damage (I may see a post about that later as I read). Are you taking Collagen Peptides by chance? I noticed one of the Youtubers who documented their own surgery journey dealt with breakouts afterward while taking Collagen and wondered if maybe it was impurities being purged from their skin as a result of the Collagen itself. If not I'd definitely mention it to your surgeon and double check (not that I think you'd miss anything since you seem VERY thorough) that some ingredient you're intolerant to hasn't snuck its way into your routine. Update: Oh good, I'm glad you got some reassurance from your physician's office. Wow - congratulations on the return to school! The start date is rolling right up, isn't it?! Yeah, timing - eesh - I feel ya! Best of luck in finding a comfortable position in which to do your course work, and the energy to tackle everything at once! So far though it looks like you're nailing it and no reason to think that success won't keep right on coming! Oh - and yeah, I guess I AM blessed to have been given this little bottle of Hibiclens! I had noticed that there was one of those tubs in my hospital room when I got ready to check out and there was another bottle of it in there as well as a couple of 'No rinse' shampoo caps. I snagged everything out of it - figured if my insurance was paying for it, I was gonna grab it for possible later use! I wish I could hand you this extra bottle, honestly! @Pepper_No_Salt - Wow; goodness! Yeah; honestly it sounds like you're doing way too much! I'm only just now starting to feel up to helping load the dishwasher, and today I managed to slowly sort through the clothing in my chest of drawers for size/quality of condition. Even then, I had to have my fella open the drawers for me because it's older and they stick a bit, plus pulling anything makes me tender, much less bending and pulling at the same time! I can't IMAGINE trying to tackle everything you just listed at this stage. I know we all heal at different rates but my surgeon's office told me yesterday that the pain *I* have been mainly experiencing, a pulling/tugging on my left side, can take up to a month or two to recover from. She said to remember that despite how the surface appears to have healed that there is a LOT of repair and healing happening internally. She also said that as frustrating as it is to just try to be patient with myself because the body is adjusting in a lot of ways between not getting hardly any carbs, learning to get its energy from different sources, i.e. stored fat, processing our intake of protein/water differently, and literally healing multiple organs (for me, SADI, intestines and stomach from the sleeve portion) and that takes a lot out of a person. @Justarwaxx - Oh my goodness, that sounds VERY anxiety inducing! This is your body and your journey, I absolutely suggest contacting your surgeon's office to see if they can send you some kind of guideline on what to be doing at your different stages. Also, I will be honest - that sounds like a lot of calories to be intaking during your liquid diet and I can't help but wonder if you're drinking maybe the wrong particular protein shake? I don't say that because I think you SHOULD worry about calories specifically but you DO need to worry about sugar intake. I got tripped up because my surgeon's team gave me a booklet guide for the whole process and I'm not supposed to drink any protein shakes that have less than 15g of Protein and more than 5g of sugar. The protein shakes are deceptive as heck, though! Example: The off brand Equate ones I got are Max Protein with 30g of Protein and less than 1g of sugar, and one time I accidentally bought their Protein Plus which had 20g of sugar in each one! They tasted great - but at the cost of all that sugar it was a hard pass! Also if you are drinking regular Gatorade or Powerade I could see that being a factor; I'm on Zero Sugar for my non-protein beverages. I can totally see how you'd feel at a loss - I spent 10 months working up to my surgery (because I had to quit smoking, etc) and I still feel like I'm winging it. If your surgeon's team didn't mention it, I will - there is an app called Baritastic that is free on the Google Play Store. You can scan the items you intake or search them on the 'Food Log' and it usually pulls up the correct information and lets you put what percent of the listed serving size you consumed. I do suggest checking at least one time to make sure it's pulling up the correct information that matches the Nutrition Facts listed on the item. After that it will be recorded in your 'Recent' list and you can just choose it easily that way. Baritastic also has a built in Timer for 30 minutes you can use to track when you stop drinking and can start drinking after a meal - once you're past the liquid stage and move on to meals that's pretty important across the board as far as I know. The 'No drinking 30 minutes before, during, or after a meal' is important because due to the adjusted size of your stomach it can only fit a certain amount, and you could get overly full of water before or after a meal otherwise, leading to you being sick to your stomach or feeling miserable overall. Honestly, I've been setting a timer when I sit down at my computer as well so I don't get absorbed in what I'm doing and sit for too long. That's been helpful! Best of healing and well wishes to you all - Oh, finally updated my ticker but bummed I can't put 'SADI' as my surgery type. Oh well! Adding: The Finch App continues to help me navigate these waters, big time. I open my free Finch app (Also on the Google Play App store) more often then I open Facebook or any social media. Taking care of that silly cute cartoon bird and getting rewarded for taking care of MY personal business is such a benefit to someone like me who is almost certainly ADHD/Autistic at some level. I even use it to remind me to log my food/liquid intake in Baritastic. OH and I did make solid contact with the testing center I've been on a wait list with - looks like I'll at least be able to get in to a counselor soon, though I'm still on the wait list for actual Autism testing. Ok - that's all for now!

Ooh okay this is so interesting to read, actually! It is nice to hear it from an honest and upfront perspective, so thank you for sharing your experiences I definitely know that surgery will be the only way to actually get rid of any potential loose skin, and I am already saving up for that eventuality, as I know you shouldn't really get surgery to remove that skin until your weight has plateaued, so probably around 2 years I imagine! I think one of the main things for me at the moment is just preparing myself mentally too - I am trying to cut down on the amount of snacks I am eating, upping my water and protein intake, and making healthier choices. I just want my body and mind to be a bit more prepared for being hungry and healthy!

I started taking my bariatric vitamins back when I got my original surgery date, in October, I think. I take the Celebrate One 45 chewable bariatric vitamin and 3 Celebrate calcium chews (fruit flavored, delicious!) per days, as well as lutein and omega 3 supplements that were recommended by my eye doctor (not weight related), and half a biotin chew because it can't hurt, right? I started early strictly to get into the routine. My memory is shite and I wanted to have it be second nature by the time I truly needed it. I do also add a scoop of collagen powder to my tea in the morning and I use retinol body and face creams, but that's more an anti-aging thing as opposed to loose skin prevention. As everyone has said, the loose skin and hair shedding is kind of unavoidable. The supplements, at best, are hopefully to ensure the new hair growth is as healthy as can be. I wouldn't go with expensive "miracle" products because they probably won't live up to the hype or the cost, but if it's in the budget to get a few things that make you feel better, it also can't hurt. I mean, peppermint and rosemary just sounds lovely. Even if it doesn't do a lot, it smells like heaven!

When I first had my sleeve surgery, I was losing pretty rapidly. BUT, I had a LOT to loose. If you look in my signature, you can see my stats. The bigger you are, the faster the weight comes off. It also depends on what you eat, how often you eat, and how you move your body. The more you work out, the more calories you need. The less you work out, the less you need. If your body thinks it's starving, it'll hold on to every single bit of fat, every calorie, to protect you from starving to death. Maybe think about walking more, swimming, not so much heavy work outs. Lower your calories (try going back to your post surgery calorie amounts of 1000 - 1300). Look at your sugar, salt, carb, and fat intake and start adjusting/lowering it. Are you getting enough protein? That should be key in all this. And hit your fluid intake. Minimum of 64oz per day. For now, limit your alcohol and soda intake, if you drink either of those. Kind of do a reset on your body AND mind and get yourself use to doing things the post surgery way again.

Thank you so much for taking the time to tell me all this! How long were you off work right after surgery? I told them 1 to 1.5 weeks is my guess. But one lady here said she was back in a few days. I don't want to push it if I need to heal more though and my clients are all understanding. My dad passed away last year after 25 years of congestive heart failure then also diabetes and lost one leg then the other. It was extremely heartbreaking and don't want my kids to see that happen to me if there is any way at all I can be healthier. So going to do this. Have 12 dietitian appts. Done two. Already had psychological and was cleared. Have endoscopy Oct 11 and last dietitian appt on Oct 30. Surgery after final approval so they estimate Nov. Hopefully early Nov. Doesn't bother me at all about the holidays. One year I lost 5 lbs from Thanksgiving to Christmas. It's all mindset. But it's when I go back to eating like everyone else I always gain! Sucks. Thank you again! I'd love to be able to text with you if you'd consider that! It's ok if you'd rather not though. Lol! I know I'm a stranger. Lol! You look great and I'm so happy for you. And yes when I'm even at 200 I have the energy for the gym and remember only being able to do the stairmaster for seconds and worked my way up to 20 or 30 minutes. I was so much stronger. It was years ago so can't remember but think I got up to 30 mins and now I love esp the machines and esp the leg machines. Leg day is my fave! Can I ask you, did you grieve your clothes? Even though they are big now I like them. I remember when I lost before I grieved them because I'd raised babies with them all and kept some just as memories. Lol! But will just alter what I can and the rest will buy new. Bet no one ever asked you that one! Lol! Unless you've been there and dropped several sizes before you wouldn't understand. 💗 And do we need to add quote when replying because won't these get too long? Lol! Have a great Friday!! ⚘️ Wow! That's awesome. I'd take even half that loss and be happy. But would sure be nice to lose quite a bit so my low back can calm down. Severe osteoarthritis there. About 240 lbs now. 277 was my highest many years back. Lost 100 through diet and exercise and slowly came back. Then end of 2021 was 265. So did it again. Ate less, moved more and lost 64.5 lbs about 2 years ago and got to 200. Felt sooo much better even there but slowly back now to 240! Blah! Surgery most likely early Nov for sleeve. Said bypass will cause ulcers since only ibuprofen helps my back. Can I ask you about exercise you did? Also that you do now? And did you have any skin removal? May need that around my middle later on. Heard someone with our insurance got that covered also. Praying for that but will save up for it if I have to. Thanks for any advice and info! You look great and I know you must FEEL better. That's what I want. I never sought surgery to look better but hopefully will. I just feel terrible and need some relief and want the weight to stay gone. Using this tool to help me remain smaller.

@RonHall908 how are your incisions healing? Just want to let you know my bulge incisions smooth out, doctor explained to me it was the internal stitch knots making the incision seem bulged. After the body absorbed the stitches most of the time it will smooth out. I still have some area where I can feel the knots just right underneath my skin. Actually one of the stitch came out on the edge my the incision and I have to use a tweezer to take it out. Over all my incisions are not bulge anymore.

I was an hourglass when I was young, carrying weight in my chest and hips. Always had a relatively slim waist. Have built quite a significant amount of muscle (or retained much more than expected) through a combination of weightlifting and testosterone therapy. Definitely planning on significant skin removal, which should help unveil the few bones that aren't clearly visible due to swaths of skin.

Hey! I'm SO glad your pain is better managed now than it was a few days ago! I totally hear you about the passing gas (and btw I need to go back to tagging multiple people in a reply, feel like I spammed this board >. ) I'm nervous about taking too much stool softener because I know with the SADI loose stools can be a thing but at the same time with all these danged protein shakes I'm just not sure the colace 2x day is doing enough. I hope bowel movements level out for me soon; I've gone from one extreme to the other once already and don't want to do it again lol -- We made it to the other side, though! I'm so happy for you and hope your recovery continues to go smoothly. I'm interested in the binder thing people keep talking about - I wonder if they didn't do that with me because I had the SADI/SIPS instead. (For those not familiar with the SADI/SIPS, it's basically just starting with the sleeve and the surgery they most commonly do to revise it by shortening the intestinal tract beneath in place of the Gastric Bypass right off the start - I chose it because I wanted to eventually be able to take NSAIDS and there's a thread here that discusses the SADI/SIPS more. My surgery was still laparoscopic and recovery has been about the same from what I see, just fewer points of connection internally to heal) I'm also excited for all the rest of you folks with upcoming surgeries! I don't want to spam anymore but did want to say to @Singingbarista and @AndreaJD that the insights you've offered were super helpful, especially in terms of 'telling others' about the surgery. That's GREAT advice - to say you've been working with a dietician and weight loss clinic. You're so right; it shouldn't matter what others think but women especially have long been taught to seek approval. It's just another thing to relearn and the amount of support on this forum has been absolutely fantastic. I finally got a delivery of Premier shakes this evening in flavors OTHER than chocolate, French vanilla, and Mocha and oh my goodness it's SO nice to taste something strawberry-ish! I didn't want to keep responding to each post independently but to those who had very little notice about the surgery date - that's for sure a mixed blessing! Less time to prepare, but less time to be nervous about it, I guess? Sometimes it's easier to just plunge in (as long as you feel educated and ready!) To all of you going through the liquid diets, especially if you feel hungry during it - I'd suggest you might really want to consider trying some of the 30g protein shakes. I was very worried that I would be hungry but those are surprisingly filling, especially if you drink a lot of sugar free flavored water / Gatorade / Powerade of some kind. And don't forget you can enjoy sugar free popsicles, flavored warm broths, fat free cottage cheese, sugar free pudding, sugar free jell-o, and sugar free yogurt (usually - I mean, obviously follow the guidelines you were given by your surgical team!) The pudding can be made with protein shakes to help with your protein intake instead of milk, and if you match the flavors it's actually quite tasty and filling.

Some things I’ve learnt. I am cynical so be warned. Save your money on any supplements or creams to save your hair or tone your skin or reduce skin laxity. Of course any general body care & self care is always a good thing. My cynical self says just don’t put your faith & heart into believing all the miracle cure alls. The hair you lose is hair that you would have shed anyway - your natural shedding cycle is just accelerated for a couple of months. It’s dead hair & you can’t save that no matter how many supplements you take. Those that say it helped don’t know how much hair they would have lost & they still lose for the same 3 or so months as those who didn’t take anything or use special shampoo. Remember too your new growth hair is still growing just at it’s a usual rate. You & your stylist are probably the only ones who’ll notice your loss & in a year or so it will be as it was. How much loose skin you end up with depends on many factors - age, how long you were at your highest weight, how long you carried weight, how much weight you lose, genetics. The loose skin is skin that has been stretched too far & can’t retract any more like elastic in old knickers or an old well used hair band. Only way to get rid of it is through surgery. I’ll be honest. I weakened & bowed to social media & bought that Maey’s B cream range: see results in a month. Well 6 months later & no change. My skin was softer but any cream would have done that. Still had sagging skin & cellulite. Should have saved the $200+. Also did collagen powder & silica for months too. Any change? Nope. Best thing I did for my facial laxity was micro needling/RF. Not a miracle cure but I can see improvement. Did 4 monthly sessions a year ago & two maintenance sessions for this year. (Lipstick bleeding almost gone, acne scarring more shallow, jowls tighter, more defined jawline in general, don’t have to distort my face to see my cheekbones, skin velvet soft, …) See there are things I believe in - LOL!!! As for general vitamins before surgery, have a blood test first & find out what nutrients you may be lacking in & supplement those so you are in a healthier place before surgery. No point taking vitamins you don’t need yet. Many of them you simply pee out what your body doesn’t need. The better, more nutrient dense, balanced diet, being generally healthier, probably did me the most good. My skin isn’t dry anymore (even my feet), don’t have those little bumps on my arms, my nails aren’t as ridged, sleep better, etc. All the best - exciting times ahead for you,

Oh we will always be kind here. We are mostly much older than you but who doesn't love a young thing mixing it up and asking the right questions!?!? Sounds like you have your parents to guide you but your journey will be completely different (because everyone's is). I know that you'll be hoping to hear from really young people and I'm really hoping to hear from them too because that's a voice that has been missing here before. I suspect your skin will be much more forgiving than the older folks but that stretch marks might limit that a little bit. It means less to me than other people who I know have had surgery to tidy things up. They can share their experiences as you go along. Anyway - welcome. It's lovely to hear from you and I wish you all the best on your journey. 🤩

This is a really great place to start. Start making small changes which are much easier to adopt & adapt to. And yes the head work is incredibly important & it is also the hardest thing so starting now is a good idea too. If you do decide to go down the skin removal path, waiting until you’ve stabilised your weight for a few months is a good idea. I haven’t gone that route as I don’t have a lot of loose skin - two finger pinches so not worth the surgery. It doesn’t limit me in any way & like @catwoman7 I can hide it easily under clothes. I even wear body con clothes without shape wear. I was fortunate as I hadn’t carried my highest weight for long & didn’t have as much to lose comparatively. I certainly had my age against me but maybe good genes helped too 😉.

I find the calculator on the Mexico site to be rather inaccurate for me, but everyone varies. Age and surgery type, as well as co-morbidities all impact weight loss rate. It thinks I should be at 212lbs at 6 months but I'm at 240 with 6 days to go. Not gonna happen. It also thinks I should be at 170 by 12 months, but that's not very likely either. I've always used the following one as it takes into account the different surgeries and looks just like the one my surgeon uses. They calculate from the highest weight, it is important to include that because if you have a lot of weight loss before surgery your percentages may track differently and your post op weight loss may be slower. I've seen this happen to several people with surgeons calculating it improperly, or applying the bypass trajectory to a DS patient, which is a disaster and very stressful for the patient! This one takes into account much more like your age, ethnicity, and pre-existing conditions: https://riskcalculator.facs.org/bariatric/?_ga=2.112690692.1282950073.1698781773-393992475.1698781773 According to this one I should be at 78 lbs down for my DS surgery at 6 months. I'm at 80 lbs down. My weight loss has tracked along with this thing pretty steadily, give or take 15 lbs, since surgery, except for my 6 week stall. It puts me at 202 by 12 months out, but DS patients lose for 18-24 months post op, so I should be at 170 sometime in that 12-24 month period! In the end these are all just estimation tools. Our bodies do what they will and we make the most of it. Still, it is nice to have a loose guideline to follow.

Thank you for sharing your surgical journey. I've heard nothing but horror stories about plastic surgeries in Mexico and other countries, so it gives me hope that perhaps I won't have to live like this wrinkled old elephant or person in a too large skin suit for the rest of my life!

Heavy Weightlifting completely changes your body!!! I’m 8 years post-op and I incorporate 5-6 days of weightlifting into my routine. I ONLY do about 10 minutes of cardio (10 minute run) each workout day, which in actuality is my warmup before I stretch and lift. I also incorporate hypertrophy (higher rep, lower weight) training into my workouts to help with muscle growth, but the most empowering part is getting strong and hitting new PR’s (personal records). When I first started lifting, I could not lift too much weight. The lower weight WAS my heavy weight. I would find a weight that I could rep 8-10 times before failure. My squats literally started with the bar (a standard Olympic bar weighs 45 lbs). Now, after 6.5 years of consistent training, I can squat 245 lbs, deadlift 320 lbs, bench 185 lbs, curl the 40 lbs dumbbells. I really wanted to fill up my arms & legs with muscle to lessen that loose skin (which I still have, but not so noticeable), so I worked hard. I researched, read, incorporated. I was—and still am—constantly learning, correcting, and incorporating. I learned how to diet for optimal muscle growth, which optimally includes 1 gram of protein per body weight and complex carbs, and good healthy fats. At first I didn’t know what complex carbs were, so I looked it up😂, picked out foods I liked, and incorporated them into my diet. I’m not going to lie, complex carbs are the hardest to consume because of their density (and my sleeve still works when I’m eating the right foods—freak’n sliders!), but I make it work by eating small frequent meals throughout the day (I eat about 6-8 different times, including shakes). I also discovered a supplement drink in powder form called Karbolyn (by EFX Sports) that would help me hit my complex carb macro goal. Anyway, long story short, when I first lost all my weight, I got down to 140 lbs, and a size 4-6. Now, I weigh between 155-160, and still wear a 6 (the 4’s are too small for my arms because they’ve grown with muscle mass 💪🏼😆💪🏼). I’ve literally shred the fat and have added muscle mass. And since 1 lbs of fat takes up way more space than 1 lbs of muscle, I’ve been able to pack on more muscle in the same amount of space. Weightlifting is where it’s at. Man or woman. I’m just trying to inspire women because women tend to fear lifting heavy and fear that they will look manly. I assure you, I do not look like a man. 😂🤣

I'm so glad you tried the muffins and liked them!! I really enjoyed mine, they kept well in the fridge and warmed up really well with a quick zap in the microwave. Regarding the nutritional needs of a SADI patient. We don't really know, honestly. The SADI is too new to have some of the longer term studies that have been done on the sleeve, bypass, and DS. But it is commonly thought by most surgeons that the dietary needs of a SADI are more than with the bypass because SADI patients are thought to malabsorb more than a bypass patient. And their needs are most likely a little less than a traditional DS. That said, I attended nutrition classes with all the different surgeries in one group, so we had to learn everybody's requirements!! Most good surgeons recommend that SADI patients follow the dietary requirements of a DS patient to be on the safe side. That means 80-120 grams of protein, less than 50 TOTAL carbs while in the active weight loss phase (the dietician said "net carbs" is not an official measurement, but if you want to follow net carbs you'd need to keep under 30 net carbs since they get counted differently, most DS patients introduce a bit more complex carbs into their diets once they reach maintenance weight) and the fat grams recommended by the ASMBS is 60 grams of fat by 1 year post op. However, SADI and DS patients malabsorb a good amount of fat, so veterans of the surgeries will tell you that you need more fat than that. I seem to feel best around 80-100 grams of fat a day, but there are veterans of the DS surgeries that eat closer to 150 grams, or whatever alleviates their constipation and eases their symptoms of low fat like dry eyes and dry skin. According to most studies, a DS patient only absorbs about 20-30% of the fat they consume, around 60% of the protein they consume, 60-80% of the complex carbs, and every single calorie of simple carbs!! That's why simple carbs are so important to restrict post surgery (besides the digestive drama), you can eat your way around any surgery with simple carbs... And this is why counting calories is pretty useless for DS and SADI patients. We don't yet know exactly what the percentage of absorptions is for SADI patients as they haven't done a breakdown study (as far as I know) but it is safe to assume SADI patients absorb a little more fat and protein than a traditional DS patient would. The best way to find your own perfect macros post surgery IMO is to aim for 80-120 grams of protein and then watch your protein labs. They will tell you if you need more protein or if you can back off a little. And for me at least, I find my skin, hair and eyes are highly sensitive to when I have too little fat in my diet.

I totally get it. My brother had surgery about 15 years ago and his first few months were dramatic. He was losing so much weight daily, and went on to get from 310lbs to 150lbs in the first year or so (he's since regained to about 230lbs). But when I am tempted to compare myself to him negatively, I have to remember he was a guy (they lose 20% more on average) and in his early 30s at the time. I'm female and 50! Plus, his starting BMI was 6 points higher than mine. All that can make a difference. And even with friends who may seem a lot more like you (similar size and age), there are things you can't see like how much inflammation or water weight a person had, or how much muscle. But yeah, it's hard. Especially as most of us had tried and failed so many times, having a few good months and then coming to a halt and regaining everything plus some, time and time again. When you are a slower loser, it messes with your mind and plays up your fears. But I definitely second the idea of measurements. In the past 3 weeks, I have barely budged on the scale, losing only about 3 pounds and doing a lot of bouncing up and down. But I took my measurements and I've lost almost an inch in my bust, over an inch in my waist, and an inch and a half in my hips. At the start of April, I was wearing a size 20w in jeans (albeit roomy, but they stayed up). Yesterday, I had on a 16w and they were comfortable, not even skin tight! I haven't worn a 16 in years! So if the scale is messing with you, see if you have a piece of clothing from your skinnier days that you could try on. You might be amazed.

I think it is probably a lot of trauma related to my weight specifically! People, especially family, should know better as you say. A thicker skin is needed at times, I agree. It is just a shame that we have to develop that, rather than people just being kinder. I need to adopt that haha, I am glad you confronted them! I currently have therapy and it is definitely something I need to talk about! Thank you for your reply

Oh yes, I've heard of Dr. Puebla. Great reputation and the prices in Mexico are incredible. My starting height and weight and end goal are really similar to yours, actually. I swear, I just can't picture how I'll look at the end at all. But I guess if there's a chance I'll want skin reduction surgery, I should get going on Duolingo! I wonder how much Spanish I could learn in two years...

You will be wearing a hospital gown and given non-slip socks, so all you really need is to wear something to the hospital that is comfy with a stretchy or loose waist you can wear home, and bring clean undies and socks. Also bring a toothbrush, travel toothpaste, hair brush, deodorant, chapstick, and lotion. Don't bring meds or fluids as they will need to administer those to you and record them in your chart. But check on this because if you are taking something unusual, they may want you to bring it. In my case, they just gave me my daily thyroid medication from the hospital pharmacy. Bring your phone and charger and a book, maybe headphones if you'd rather listen to music. Hospitals are kinda gross, so the less you bring, the better. I had an incident where my IV came unattached and I ended up with watered down blood everywhere, which would have ruined any pillows or blankets from home. Oh, I brought a small pillow for the car ride home that is made for abdominal surgery (search Amazon for hysterectomy pillows) and can velcro to your seatbelt for extra comfort for your incisions. It was nice but not 100% necessary. For home, I had a weighted heating pad that I loved for sleeping. You will also want a bottle of liquid adult strength Tylenol at home for pain.

Long rant ahead sorry ... So, I'm slightly angry (understatement). I saw my french primary care doctor yesterday. She's never been great to be honest. I've been seeing her for 6ish years. 5 years ago I gained over 80lbs pounds in a year and a half going from 118lbs (that had been my standard adult weight since my teenage years with a BMI of 19) to 200lbs ( BMI 32.3) after taking antidepressants. I stopped the antidepressants after a year because the weight gain was making me more miserable than I was being slightly depressed and thin. I have been struggling to loose the weight since... loosing and regaining the same 15-20 lbs again and again. As I've mentioned before, I have slight cérébral palsy - nothing too bad but enough to make walking pretty painful on my legs when I hit over about 130lbs and to make me generally clumbsy - I also lack gross motor coordination and don't have the best fine motor skills either... I can't really do any sports that require coordination and can only really ride a bicycle in a flat straight line and it takes a lot of mental effort for me to keep my balance, crowds freak me out because I'm scared of tripping and falling and don't even mention jumpy little dogs, my nemisis as my balance is so precarious. However I've always made do and It's never stopped me having an enjoyable fufilling life and a pretty decent career. My weight gain really really made me suffer, emotionally of course, my self esteem, my self worth etc ( I live in Paris which is the thinnist city in a thin country ... and it's not a place where people are kind to overweight people at all - I checked and the mean BMI of a Parisienne woman is 22.3 - so when you hit a BMI of 30 here you're really a fat outlier and are basically scorned in all public spaces ). It also made me physically miserable and I lost the little flexibilty I had - constant pain when walking - loss of gross motor skills, trouble showering standing up at 30 years old, not being able to put my socks on etc etc. For the last 4 years I have been to my Primary care doctor about 5 times asking for a referal to a nutritionist - she's always refused as told me "but it's simple, you just need to eat less and move more, it's not magic, No need to waste money on a nutritionist if you have no willpower "No **** sherlock! She has no idea the willpower it takes to get out of bed at 200lbs with cerebral palsy when you feel like your legs are litterally going to snap, when your feet are burning with weight stress induced neuropathic pain. In January I finally cracked after a lot of introspection and thought and booked my VSG for February in Turkey. I've now lost 35lbs since my preop diet so in just under 2 months. I already feel a lot better, the pain when I'm walking is lessening, I'm fitting back into the "second round" of fat clothes I got myself. So I walked into her office yesterday ( I had the intention of "fessing up" to having had a VSG and asking her for iron supplement ideas as I'm still being sick when I try and take iron ) She took one look at me and said "ah, you've finally found your willpower, loose another 20kg (40 pounds) and you'll be an attractive young woman again" I had a surge of red rage inside me, I kept my calm, but didn't tell her about the surgery, I just smiled and told her I needed a refferal to a dermatologist for a mole on my face and left. I'm never going back to see her again. I spoke to my physical therapist on the phone this morning and he sort of helped he said "can I be unprofessional ? Honestly, qu'elle aille se faire foutre, (she can go f*ck herself)" Lets find you another doctor." My physical therapist knew about the surgery, as did my orthopedic surgeon and booth agreed that with my CP anything is better than being even slighty overweight and that the surgury was worth the risk as they've both seen me loose my mobilité over the last few years and has seen how its affected me. They said that if I could afford to go private abroad I should because If not I'd have to jump through hoops for years in france because my BMI (32) wouldn't have been considered high enough as a stand alone. So yeah... this weekend I find myself another doctor who's not a fatphobic arsehole and has a minimum of human compassion. And for the iron I'm just going to go and ask directly at the pharmacy what the have to propose. Sorry that was long but I just had to get it out, I'm slowly realising all the **** I've put up with because of my weight these last years and I am ANNNNGRYYYY!!!! Hope everyone is having an okay hump day!

So... It's seems my stall has finally "cracked" - I wouldn't go as far as broken, but cracked... and I'm happy with that. This morning I weighed in at 69.1kg which is 152.3lbs ( 10st12) and puts my BMI just below 25 ( 24.8!! woopeee). I've just voted because it's the EU elections here and am about to pack before I leave home for work for a week. I'm going to Budapest and really don't like the food there so I'll see how I get on. I'm really hoping to see a number starting with 68 when I get home even if I loose just 300g (10oz) this week I'll be happy with that! @Noelle74 I hope you have some better days comming and manage to eat without being miserable! @RonHall908 I have this fear too... Well done on all the activity! How do you find the time. I struggle to get my 10k steps some days with work and even though I've been for a few 5k runs I don't know how I'd find time to work out! @gracesmommy2 I might try those recipies! Thank you @NickelChip I see we share the same live-in housekeeper dream! I don't even have children and am often overwhelmed by my own mess and laundry especially when I do fast turn arounds for trips! I'd also like someone who could remind me to go to bed at the appropriate time, make me coffee in the morning ( to be honest my partner does this if he's around but we don't live together full time as we both want to keep our Paris appartments!), I'd like someone to say "Hey blue, lets go for a walk before bed, just 30 minutes" or "Hey blue, what about getting up 30 minutes earlier and walking to work?" or "Hey Blue, let me sort that ironing for you, why don't you use the time to do some yoga?" @LisaCaryl How are things going for you, how are you dealing with the stall ? @Briss72 How are you feeling? How's your leg? Have you found a dance routine you like ? If not I got myself a dress and don't feel massive in it even though I still don't like my tummy I thought my legs ( massive heels helping) looked pretty ok!

One site says that the gas and more frequent/ loose bowel movements are a little less than the DS but definitely an issue with the SADI and the gas can be quite stinky as well which is probably the biggest fear I have right now aside from the real scary risks. I THINK the bathroom issues are just when you eat bad and if that’s the case that may actually help keep me on track because I obviously don’t want to have those issues. I have an appointment tomorrow morning with my family PA and that’s definitely a question I will be asking her if she knows. I think the supplement question is more likely going to be one for the surgeon but I will ask her about that as well. I have until the end of next month when I meet with the surgeon to come up with a list of questions for him (whatever I can’t get answers for before then). Thanks again and please Let me know if you think of anything else I should ask. Until yesterday morning hadn’t even heard of this procedure. At least I have a list of questions to start with now.