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I assume my ferritin level is OK. It has been tested as part of the bariatric blood work required repeatedly over time. So I imagine he would tell me if it was low, but the next time I talk to him, I will specifically ask. My protein should be fine, but I am going to go back to ensuring it is daily. I haven't fallen off the wagon, but a year out now - I am not as focused on counting every little thing. I just eat well and proper portions and much of the food I enjoy in general is protein rich. Thanks!

@Dchonlee I first went to the Bariatric clinic October 2023. I was 363 lbs. I had my gastric bypass surgery Feb 7th. I lost 79 lbs. from October to my surgery date. Since, I've lost 50 lbs. Right not I'm in a big stall, and I've actually gained a few pounds. I did find out I have an ear infection in both ears. Currently on meds to take care of it. So, i assume the gain is from that. But the stall is nearing a month long. I've lost a lot of weight since October. I know it's slowing even being only 4 months post-op. The stall is still concerning. But, in saying that. I can tell I have other changes happening. This is a marathon, not a sprint. Just keep doing what you're supposed to and you will be fine.

took your guys' advice and am going to meet with two other plastic surgeons who have STELLER reviews! Both have worked on bariatric patients, they both are pricier but also more local. I am excited about this process its something to look forward to

This happens to a lot of people, both bariatric and not. One reason, I think, is that we restrict ourselves early in the day to "be good." It's an old "dieting" way of thinking, like if I eat nothing all day, I will lose weight. So your body gets tired from lack of fuel and starts to send hunger signals, and you ignore them until evening comes, by which time you can't fight them off as much. Plus, now you are probably getting cravings for all sorts of junk food that will give your body a rapid energy burst because your body is sneaky like that. Eating your biggest meal in the morning or early afternoon can help reduce evening cravings, as can adding in more fiber with each meal in the form of vegetables, if you have the capacity. Try to shift your major calorie intake to early in the day so your evening meal is just a light bite to finish the day. If that doesn't help, try breaking the cycle of what triggers cravings at night. For me, watching television is a big one because of the association with old snacking habits, plus the constant food commercials. Sometimes recognizing the bad habit and naming it to yourself, like "I only think I am hungry because I am watching a commercial for a fast food restaurant right now" actually helps you overcome it.

I think the best encouragement I can offer is to help manage your expectations. WLS is a treatment with results measured in months and years, not days. For perspective, my day of surgery weight was only 6 lbs higher than yours. I am 4 months post op as of tomorrow and I hit 189 lbs...yesterday. That's 17 weeks to lose 34 pounds. And I promptly bounced up to 190 this morning. Barely eating anything has very little bearing on how much weight you will lose in the beginning. Your body is going through some stuff. Like, a lot of stuff. We don't even know the half of all the systems that are recalibrating in the first weeks and months. Calories in and calories out is just not a useful equation to describe what is happening to you right now. The weight on the scale is a single data point, but it doesn't even tell you what type of weight you have lost. Fat? Water? Muscle? No idea! And the smart scales aren't actually very smart because they give you averages, not actual measurements. I only lost 2.8 lbs the entire month of May, but I went down a dress size and a bra size during that time. Then I lost 10lbs in 2 weeks. Why? Who knows! So, for long term sanity, I suggest focusing on the things you can control and not worrying about what you can't. Focus on meeting protein and fluid targets. Add in a sustainable exercise routine (for me, that is just walking consistently every week). Do some reading and watch videos about good bariatric nutrition (I recommend The Pound of Cure videos on YouTube to start with). Collect and try new recipes as you move through the food stages. Take your measurements and a monthly progress photo. You may see the changes better in photos than you do by looking at yourself in a mirror. Basically, you are only 2 weeks into a 52-week-plus journey. You'll get there, but it will take time. And you will drive yourself crazy if you're like the kid in the backseat asking yourself "Are we there yet?" from the minute you pull out of the driveway.

your body doesn't store B vitamins - whatever it doesn't use is excreted in your urine - so a high dose isn't toxic, it just might be wasteful if your body isn't using most of it. I'll check the requirements of the American Association of Bariatric and Metabolic Surgeons and post it - they've changed their Web site since I was last there, so I have to hunt for their supplement list. also, it's the thiamine part of the vitamin that smells and tastes awful. The other B vitamins don't smell. I switched to B complex capsules, since they don't start melting until they hit your stomach. Much better - these don't smell or taste weird. EDITED to add: it looks like their supplement requirement sheet is now in the "members only" section. Cripes. I'll see what else I can find. I had my surgery nine years ago, so I don't remember how much thiamine I was told to take, other than whatever it is is in the B complex capsules I take. EDITED again to add: I'm still looking for Thiamine (B1) requirements for bariatric patients, but NIH does say that 100 mg is a common dosage for people with thiamine deficiencies, which I guess would be us (for normal people, 12 mg is recommended). I'll let you know if I find anything else, but I'm guessing 100 mg wouldn't be considered too much for us, since we're prone to vitamin deficiencies. EDITED yet again: I just cut and pasted this from a very long report by the NIH. Since it says 12-50 mg twice daily, that would be 24-100 mg if you only take it once daily. SO...100 mg isn't too much. I would take it - the problems with thiamine deficiency sound pretty awful, and if you're taking the upper end of this recommended dose (100 mg/day), it should keep those at bay. Try capsules - they changed my life. Not sure if that much comes in gummies. Maybe liquids - but then with liquids, you're still going get that smell/taste. Postoperative bariatric surgery patients should receive thiamine supplementation as part of routine multivitamin therapy (12–50 mg orally, twice daily)

I have similar case but at lower back, I got MRI and I have inflammation in facet joints, the doctor give me 8000 IU a day of vitamin D for 3 months and 15 pain killers pills (I take every 2 days in first month, and one a week in second month), my pain is gone since 3th month after surgery, l still have multiple prescription to buy painkillers, if one year pain is not gone, she suggest to retake MRI, since my pain is not comeback after my BMI below 33, so I stop take painkillers, but I will continue take 3000 IU vitamin D (basically once daily bariatric vitamin)

My bariatric team says my daily vitamins should be (1) Bariatric Multivitamin (1) Super B Complex where they want the Thiamin in it to be at least 100mg (seems high to me?!) and (2) 650mg Calcium chewables taken (at separate times). I am absolutely struggling with the Super B vitamin, due to its very strong odor and taste. It makes me gag easily, it upsets my stomach.. it's wretched. Yes, I've called the office about it and they pretty much politely told me 'suck it up buttercup' and wouldn't offer alternatives. Anyone else have an issue with this one? How'd you get past it? Are there alternatives that work out okay? I really couldn't give a rat's behind if its a chewable or a gummy with sugar or whatever, I just need something to go down easier than this and not taste disgusting lol Pretty please some advice/recommendations would be great.

Thank you! I felt the username was well deserved. Lol yes I have tried everything and my brain is the problem, i can't seem to leave old habits behind or let them die. My biggest issues are snacks. I'm a snackaholic i love salty sweet crunchy gooey snacks and I'm having a hard time. Good luck to you also! You will do great! So glad I found this forum. I recently was listening to an audio book called the big book on the gastric bypass. Super helpful information and it lead me here as bariatric pal was mentioned so I figured I'd try it out. Nice to talk to other people in the same boat.

@LisaCaryl I wouldn't worry about it too much yet. We're still pretty early out from surgery and according to the nurse practitioner in my office, a lot of the results at this point are in flux. My A1c went down a bit, but my cholesterol was all sorts of weird. Just keep doing what you're doing and give your body time to adjust. I doubt you're getting too much sugar or carbs at this point, but if you're doing a lot of sugar alcohols (sometimes in "low sugar" processed foods) you could maybe see about cutting those back. Otherwise, a lot of the studies for A1c and bariatric surgery are looking at results a year out or more from surgery, not a few months.

I wanted the best surgeon I could find that wasn't too far from where I live (within two or three hours). Although I would have been open to traveling if I couldn't find anyone in the region. I don't think he had the best bedside manner of those I did my consults with, but he specialized in plastic surgery for massive weight loss patients and had been doing this particular type of surgery for years...and years. He had excellent reviews. Of course, it's great if you really connect with the person, too - but you'll only be seeing this person a handful of times - if that - but you'll be living with the results of your surgery for the rest of your life. You might want to schedule a couple more consults before deciding. I found realself.com to be somewhat helpful when I was coming up with my list of potential surgeons. you're in California - Dr. Katzen is nationally known and specializes in massive weight loss patients, I believe. EDITED to add - looks like he does all kinds of plastic surgery, he doesn't specialize in massive weight loss patients. However, he's very well known in the bariatric community.

Hi other newbie here! Pre op was difficult during those periods for me too. As I'm sure nuts/surgeons and everyone here repeats a billion times (lol) protein helps you stay fuller longer, so up your protein even pre op to help keep sated and if you haven't already- avoid caffeine and sugar *now*, they can worsen hunger cravings. I cut both cold turkey and would reach for a protein bar if I had a snack attack. But I think the most helpful was people distracting me from hunger. Get out more, get busy with a task that requires your focus, socialize more, do anything to keep your mind off it. If you're stationary and doing something like playing video games or reading, that hunger sneaks up on you real quick! I also recommend this post surgery (but don't do anything your bariatric team says not to!), as being active and busy distracted me during the healing process and some phase struggles. Hope this helps!

I've been trying to find all the podcast I can to get other perspectives post op. The other one I listen to is called "Active bariatric nutrition" podcast. The woman is a nutritionist. She has a lot of insight as well.

I've listened to some podcasts on bariatric surgery. The one in particular I've just listened to a couple times is called "Former fat friends" I listened to their finale of season 1. There's some things they talk about that may help. I'm an audible junkie, I listen to podcasts and books while I work. So, I'm not sure how many platforms they are on. I think everyone can take something from that podcast.

I wish I had a suggestion.. Unfortunately you've eliminated my suggestions for jello/pudding protein additions that would qualify for the liquid diet portion of bariatric programs.... I just added both to different soups etc. Good luck!

Hi, I know this thread is old, but I have recently approved for medically needy program by medicaid, and I want to go through the bariatric surgery process. I don’t know where to start and what to do, if anyone had a same situation can help me it’s really appreciated 🙏

As far as getting ready: I've got a binder my doctor gave to me. It has basically all the information that I should need going forward. I do look at it periodically to refresh my memory about what is expected of me. For the dietary changes and stages, I write everything I need to stop/start on a calendar. For example: I need to stop drinking coffee and need to taper off to avoid headaches. I am also weaning myself off carbonated water and need reminders. I'm struggling with a few things such as taking small bites, so I like to put reminders in my calendar so i have to see them every day. I'm also changing my vitamins over to different brands and also needed reminders for that as well. (I'm forgetful!) I've made a list of the things I need to buy such as different kinds of protein powder, unjury protein, chewable vitamins, calcium chews, small utensils, small plates, a drink blender, etc. I've made a list of things to pack for the hospital (thanks to several threads here on this website, I have a list going). As I purchase them, I mark them off. Along those lines, I have fairly good ideas of the types of things I will be eating in each dietary stage so that I can plan ahead for grocery shopping when I get to that point. I purchased several books off amazon that were used, and very inexpensive. Things like bariatric cookbooks and bariatric mindset success books. I do try to read a little bit each day and then journal about what I read. I drive a lot for work so I have plenty of time to listen to podcasts. There are several that I enjoy that I feel are science-based, supportive and informative. I've learned many things from these podcasts about bariatrics. They're free and it's easy to just put one on a few times a week. Besides bariatricpal, I am trying to avoid other websites that deal with bariatrics at this point. It felt overwhelming and felt like I kept going down a rabbit hole of horror stories and it was not helping with my anxiety. There is one person on youtube that I enjoy watching because she's many years out and is very inspiring. Now that I have a date for surgery, this all feels very real and scary. I am trying to not give into the fear too much and remember why I am here at this decision. I need to take charge of my health. I have ONE precious life. I want to live the rest of my life in the best health that I can. I've tried desperately since I was about 20 (in my late 40's now) to lose the weight and keep it off. I've had high blood pressure for 15 years and no matter what I do, It continues to be an issue for me. I've been warned that I am pre-diabetic and likely someday soon that will catch up to me and I'll officially be diabetic. I cannot do this on my own and maintain it. It's that simple. This is my second chance and I will not turn back. This is honestly a story about saving my own life by asking for help. I hope this helps.

Mine came after an open conversation with my sleep doctor of all people. I was seeing him because I was getting set up with a CPAP machine due to my sleep apnea. In addition to my sleep apnea I had developed several other obesity-related health conditions including pre-diabetes, chronic pain in my knees and back, some minor heart issues and the worst of all, scrotal lymphedema (I wouldn't wish that on my worst enemy). My doctor pointed out that losing weight would help all of those issues and he added that his mother was quite heavy and was dealing with a lot of health issues and that the sooner I could lose weight, the better my long-term health would be, and he recommended I look into bariatric surgery. That was the first time the idea had even crossed my mind. I did some research on it, but found out my insurance wouldn't cover it and it would be around $20,000 to pay for it out of pocket. But 3 years later I started a new job and got on their insurance, and it covered the surgery, so I began the process at that point.

I'm answering your question as a nurse who works with both bariatric patients and diabetic patients. First, these are two completely different meds, two different classes, two different ways of affecting the body. Phentermine is an anoerectic medication and is an amphetamine that decreases the appetite. Tirzepatide (generaic name for zepbound) is GLP-1 agonist and GIP agonist (it's a dual agonist vs typical single GLP-1 agonist like Ozempic) which stimulates insulin production with the purpose of lower blood sugar levels and helps someone feel full longer. Second, there is a nationwide shortage of Zepbound since early April because of it's popularity. Patients have started choosing compound pharmacies to create this formula for them instead of discontinuing or changing to different medication. With that being said, the FDA doe NOT regulate compound pharmacies. Historically, compound pharmacy are popular with patients needing hormone replacement therapy and these pharmacies abilities to customize said medications. Third, medically speaking, the only medication interaction of concern between the two would be once a patient lost considerable weight, that hypoglycemia would be an issue. In my own experience, yes medical providers will write scripts for dual medications like this for various reasons, circumstances and medical conditions.

I have to be honest about my experience so far with dietitians, and with post-bariatric advice and counseling in general. If you ask 100 dietitians what we are supposed to be doing, you will get 101 different responses. And if you ask them a second time, you will probably get even more. Too much protein, not enough protein, carbs are the devil, carbs are fine, low fat, don't worry about fat, count calories, only count macros, work out more, don't exercise too much... You've lost over 100 pounds. You are 12.8 pounds from your goal at only 5 months post-op, work out 6 days a week, and look and feel great. You seem really happy. I fail to see why you should change anything if you are happy with your results, unless you think the advice will benefit you. You know your body and what works for you, and unless your dietitian is a bariatric patient, she's never been through what you are doing first hand. Take what she says with a grain of salt, except salt is bad, unless it isn't because electrolytes are good...who knows?

First time posting on these forums, so hello everyone. Glad to have found this space to talk about my experience as I find it very hard to communicate with everyone else in my regular day to day life. I'm exactly 15 days post op (Gastric Sleeve) as I type this. And honestly, after reading many replies on here, I almost feel survivors guilt, but I do feel blessed as I thankfully did not experience many issues whatsoever. 24 hours after surgery I walked out of the hospital on my own, sore, but proud. I guess my biggest issue has been sleeping as I move around a lot while I sleep and at the beginning it would wake me up from pain for twisting and turning while I slept, and even then, that's no longer an issue. But, I never had nausea, or vomit, did not take any pain medication past the first 48 hours, I'm not trying to brag, just feeling fortunate after reading some stories on here. Everyone has their own stories and journeys, for me I was obese my whole life. This was ok through my 20s as I felt invincible, and eventually those checks I was writing on my body came back to collect. Back pain and diabetes were first. But it wasn't until a week before the world shut down that things went really off the wall. A long term relationship ended, and as the world closed, it kept me from my support groups, and led me down a dark path of basically eating and drinking myself almost to death with nowhere to go. At my absolute heaviest I thought I would die at a staggering 407 pounds. Poetic as that's the area code for my city lol. Knowing I had to make a change or I would not make it to 40 I went to a doctor, which led to a cancer scare. At that moment my life changed, and I knew change needed to happen now. I began diet and working out and made it down to about 375-380 where I had been hovering for over two years. Bariatric surgery is what I knew I needed to help me, and after fighting with insurance for two years, I finally got a new job last November, and the insurance there covered the surgery 100%! So I began the process in January. And on May 30th, 2024, at 10AM, I went in for surgery. To say that life has changed, for the better, is an understatement. In two weeks I have dropped almost 30 pounds. I'm feeling amazing as far as my stomach (kinda weirds me out to say pouch lol) is concerned post surgery. Still in the liquid diet though looking forward to chewing something this weekend, as I'm absolutely sick of Jello. I am still not hungry, and almost feels like a miracle. My blood sugar is stabilizing without medication. My blood pressure is improving almost daily. Walking a mile a day does not leave me searching for oxygen, and I can't wait to start the gym on June 30th and really kick this into high gear. TL/DR: This is a second change at life, and I will not waste it. Look forward to learning more from others through this process. Onwards and upwards.

I spoke with my surgeon today and was glad I'd read a few people's experiences with trying to get the SADI-s/Loop! I felt knowledgeable enough to discuss the difference and did encounter a bit of pushback as though they really wanted me to just go along with the game plan rather than introducing a new obstacle of insurance pre-approval before being able to move forward. Which, from their perspective, I completely understand. The surgeon told me at different points that 'there wasn't much difference' and implied I'd need more Vitamins than with the Roux-Y surgery. I'm glad I read several medical studies and the Centre for Bariatric recommendations that this surgery be approved by insurance, explaining how for some folks it is MORE beneficial. I may have to get to the SADI-s/Loop via a two step method; getting the sleeve and later a modification (if not satisfied) to the SADI-s/Loop. Time (and insurance requirements! will tell!) It's definitely worth it to feel informed and in control of what choice I'm making regarding such a major surgery. I did make sure to let him know that I appreciated working with him and tell him that I certainly didn't consider myself an expert because of things read on the internet, and that I made sure to read reputable medical journals. I feel like he was much less dismissive after I spoke at length enough to make it clear that I actually knew what I was talking about.

i love to eat. i also love to go out and eat and try new restaurants and go to parties with food and outings with friends and date nights with the Mr. or The Kid. i love to travel and for me and my fam and friends, travel == food. given my preferred lifestyle, i can't (won't!) really do all the switching in of alternative foods. i mean if i'm in Italy, there is no way i'm opting for a cauliflower crust pizza. nor will i forgo butter or effing high fat cheese when in france. i looooooove tasting menus, and i have yet to find one that caters to the "bariatric diet", nor would i want to. for me, i just control portion size (and total calories) and its worked very well for me (so far). i realize that alot of people can't do this in fear of slippery slopes and whatnot, but for ME, its sustainable. its been said time and time again on here: do what works FOR YOU. it may not be what most are doing, or even what your medical team is saying...just find the place you are comfortable operating in and LIVE IT. you may not be perfect, but you can be perfect ENOUGH for YOU.

Chicken wings!! My whole family eats it this way, then we all add the sauces we want or keep sauce-less. I dip mine in Bolthouse Ranch Dressing. So good! Also found this site that I might try next week! https://wow.bariatriceating.com/air-frying-recipes-for-bariatric-eating/#lp-pom-box-229