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If it's the same doctor who did your sleeve, then the post op diet and progression will likely be the same; if it's a different doctor, then it will be whatever they normally do, but usually the sleeve and bypass are treated the same (there's usually more difference between doctors' practices than there are between procedures.) While there are variations, you will probably be set back to much the way you were with your sleeve, and will evolve to eat similarly over time. Weight loss will not usually be as quick or as much (and may be disappointing if you are expecting a lot,) as you have already learned how to eat around a small stomach, and the size difference isn't nearly as much as between a virgin WLS and natural stomach.

What is everyone's goals after weight loss? Mine are; To be able to keep up with my son. To have more energy. To be healthier. My weight actually embarrasses me and I do worry if people are making rude comments about it. So to be able to be confident. To not have to worry if a piece of clothing is going to be in my size. To finally work in a salon. (I swell up if I stand too long) To not swell up if I stand for a long time. If I go to a theme park, it's my goal to be able to fit in the rides without embarrassment. To take photos with my son again. Those are to name a few, what are yours?

I was approved today for my revision. I had a sleeve done in 2017. HW 255, LW 160, CW 210 😒. Anyway, I’ve had this horrible GERD and put off my revision all through COVID, I have Barrett’s esophagus, I’ll vomit from the reflux, bad teeth, and sores in my throat. So I’m getting this done, pretty nervous!! So my questions are- (wish I asked my dr, I was so nervous at my appointment my mind was blank) what is the diet like compared to the sleeve? Same? What does the restriction feel like compared to having a sleeve? I still have some restriction but can eat way more than I could the first year out from my sleeve. I’m hoping for weight loss along with getting this GERD resolved. So this is a fresh start I’m grateful for!

I have a Fitbit charge 5. It's been reliable with my calories in and out as far as weight loss. Been trying the maintenance program the past month. So far so good. It helps with my sleep patterns and tells me how long I am in each of the sleep stages for the night, week, month. Also my heart rate variability, skin temperature...Etc. I like the ecg scan too. The battery lasts a week or more. I also like that I can set goals for steps or whatever. I don't have any other experience with any other watches but I am very happy with this one.

I was in high school (late 90’s) and saw some kind of dateline/news special about bariatric surgery. By that point I was already doing diets with my mom. It had been in my mind since. Fast forward 20 years to 2019 and I had my appendix removed. At my post op appointment my surgeon (who also happened to be a bariatric surgeon- I didn’t know that when the hospital asked me if I had a surgeon I preferred. I chose him because he had previously saved my dads life) asked me if I had thought about weight loss surgery. I said I had and he recommended that I sign up for the program his office offered, so I did.

I’ve lost 60 lbs in just under 4 months. 🤗 liquids: all I drink is water (64 Oz) and I have 1 cup of coffee a day. I have lost my taste for coffee. I go through phases craving other things. I haven’t done Crystal Lite except for my first 2 weeks post op. I felt like the longer I drank it, my weight loss slowed. I have always noticed that about me and artificial sweeteners in steady, large amounts. on the liquid phase of post op, I had bone broth, sugar free jello, sugar free ice pops, AND water. 🤦🏻‍♀️ there is some recipe floating around on this site I think for mashed potatoes with cream of chicken soup and the lumps are strained out. It’s delicious and I was happy to have that for dinner every day. It’s all really a blur now. I had no appetite and I still dont, so I made sure I met hydration levels. When I was able to do that, I added in protein. I think I used Atkins because I detested Fairlife and Core and the others. The surgeon told me to be hydrated first and then concentrate on protein. Atkins has a 30 g of protein shake that I try to have once a day now. I know that I don’t eat anywhere near the calories I am suppose to, but I am simply not hungry and I take my vitamin with iron so I’m not going to worry about it. my biggest most constant craving is salad. 🤣🤣🤣 With a small amount of sugar free salad dressing and crisp lettuce, and white meat chicken (Panera), I’m good. I try to meet the protein numbers with Atkins Protein Wafer Crisp bars (1 a day). I read every single label before I buy anything, and I’m enjoying cooking for the first time in forever. Making things yourself is a great way to be sure you are getting what you need. Shrimp, salmon, egg white/egg salad are all things I enjoy. mom wracking my brain trying to remember 2 days post op. I know I was supposed to drink clear s/f Gatorade or something, but I was so nauseous (even with patches, etc) that I did ice pops, jello, and the next day I was able to graduate to broth, and protein shakes. I stayed on liquids for a long time-maybe 5-6 weeks because I wasn’t hungry, it was the dead of summer, and I didn’t feel like going on to the soft foods phase. Mashed potatoes were great, and I literally could not eat more than a tablespoon before I was full.

Congratulations for you both. One of my biggest decides was the birth of my daughter. It amazing how we can love something so small and precious. Best wishes on your weight loss journey to being a heather you. Keep at it.

How low is low? How tall are you & what’s your BMI? I was 200lbs but at only 5’3 my BMI was 35. I lost all my weight and more. Got to my goal in 6 months & lost another 11+kgs over the next 11 months or so. I maintained at about 49kgs for a year. I put on 2kgs in a month because of a necessary dietary change & a change of a med & have been sitting at about that 51kg for almost 10 months There have been posters here who started with BMIs of less than 35 & had the surgery because of existing health issues & they were able to lose weight. The main difference between people with higher starting weights & those with lower is that those at a higher weigh lose more quickly at first. But their rate of loss slow as they lose weight just like everyone else. Recovery is an individual thing - just how your body reacts to the surgery & heals. Nothing really to do with your weight as such but existing health factors may influence your recovery. Some people who carry a lot of weight in their abdominal area sometimes struggle with more discomfort when getting up & down & generally moving as the weight around their tummy pulls at the internal & external surgical sites. A binder is often helpful as it supports the tummy & abdominal muscles.

I think most of us go through what you're feeling right now. We all dread a loss of the things we used to enjoy. (Most of these fears are unfounded, by the way.) The reality is if those things are important to you, you'll most likely still be able to do them, just less often. Instead of focusing on the loss, another better approach might be for you to think of new, healthier ways to have fun with your friends. Drinking and eating don't have to be the only ways you interact. Also, if you do end up having dumping syndrome (which is not a certainty), then you may have to make some dietary changes, but many people really have very little problem making those changes. Perhaps the thing for you to do would be weigh the positives vs. the negatives of surgery. When you remember all the ways being obese effects you, you may find sacrificing a few things to get rid of all those other issues is more than worth it. As the end of the day, only you can make that call.

Do yourself this favor and stick to your pre op diet until surgery day anyways so you can really think this through. I think you are just having last minute jitters. I had sleeve so I can’t really speak to dumping other than only about 30% of bypass patients dump to any degree and many of them who do can still have sweets and fat just in much smaller portions. Once you are back to regular food, traveling and eating out shouldn’t be an issue (it is also doable during the staged return to eating it will just take some planning). You will eat smaller portions, but you will be able to eat most of the same foods you eat now (I can tolerate everything I ate before). You will of course make healthier choices the majority of the time and eat smaller portions but I eat at restaurants all the time. In terms of catching up with friends over dinner I think you will be an even better dining companion because you will be less focused on the food and more on the conversation. I go out with my best friend now and I have noticed that our conversations tend to go deeper and our lunches run longer but I actually think that’s kinda cool. As for the glass of wine, teams seem to be all over the map about when or if they allow alcohol again. My team was fine with it after 3 months but of course it’s empty calories so everything in moderation. I honestly think you are starting to morn the loss of food a little and that’s not uncommon. If you find that you really have a hard time with all this you may want to consider a bariatric therapist. As I’m sure you have heard, the surgery will fix your stomach but it takes some work on our part to fix our brains and that’s a very important part to being successful with all this. And if you really aren’t ready, there is no shame in rescheduling. This is a major surgery and only you know if you are ready.

I just chopped my hair off from a sassy Bob to a sassy pixie cut. The hair loss is getting on my nerves. I said I wouldn’t mind as my pre-surgery hair was so thick. But yuck. I’m tired of it. 😂

I get it, major surgery is scary! I think it’s important to examine all the reasons you want to do it. If it’s for a quick fix and quick weight loss to look better, it’s probably not a great idea. If you are tired of being overweight and have health issues that you want to overcome, then this is a great option. I say this because you definitely have to be in the right frame of mind to be successful. This surgery is a tool to help you get healthy, it’s not a permanent fix. You will eventually be able to eat whatever you want again, so it’s up to you to keep with it. As far as dumping, as long as you are following your plan, it shouldn’t be an issue. just my two cents! Good luck with whatever you decide!

If I didn't have a history of all other weigh loss medications failing I would be convinced not to get the surgery. But I am too far along in the process (surgery on 10/11/22) to stop now. It is the best weight loss medication I've ever experienced. I've recommended to everyone who isn't ready for surgery and I will take it again with a heartbeat LOL.

I was hoping the OP would return so we could discuss some of the things posted here, but they have not. As such, I wanted to take a bit of time to delve a bit deeper into what was posted in the event anyone reading this was confused. Sorry, but this will be a long post. The TL;DR version is that most of what was posted was inaccurate. Let's start with this section: Dumping syndrome (feeling very sick when eating certain foods), is really variable for both Sleeve and Roux-en-Y gastric bypass patients. Some people have this, and some don't. It's generally accurate to say that dumping is more common in gastric bypass but regardless, relying on this as the way to keep you from eating things you shouldn't, is just not a good strategy. As I mentioned before, neither surgery fixes what's between your ears, so if you go into WLS expecting that this is going to keep you from binge eating, you likely won't be successful. Stomachs can stretch, but it takes repeatedly overeating for this to happen. I wanted to make that clear since some people are overly worried about this. As long as you stick to plan, this should not be a concern. Again, not a good strategy expecting dumping syndrome to "fix" you. Fix your eating problem first, then have surgery to help you get to a healthy weight. The OP seems to have a misunderstanding about how fat cells work. White Adipocytes (fat cells), store lipids (fats) as droplets in the body of the cell. The volume of the droplet stored in each cell can grow or shrink as needed. The point is that the number of fat cells one has does not determine some sort of "baseline" amount of fat you will store. Yes, obese people often have more fat cells on average, though this is somewhat determined by genetics, overall body mass, as well as how long you have been obese. The OP is correct in that you can grow new fat cells if you exceed the capacity of your existing adipocytes to store lipids. What's not correct is that this somehow makes it more likely that you'll gain weight if you overeat. If you overeat, you'll gain weight regardless. This is factually wrong. Yes, being cold does require your metabolism to work harder to keep you warm. Studies have shown that on average, if you were to exercise in a very cold environment vs. a warm one, you can burn as much as 30% more calories when subjected to cold. Keep in mind that this effect only occurs when you are exposed to cold however. Let's take a simple example to illustrate how little of a difference this makes: Let's say your basal metabolic rate is 2000 calories. If you burn 30% additional calories in a 15 minute session of shivering as the OP suggested, that means you'd burn about 21 extra calories. (2000 calories divided by 24 hours is about 83 calories. That times 30% equals about 25. Divide 25 by 4 since it's 15 minutes of shivering and you get about 6. So if you take the OP's advice, you'd burn about 6 extra calories for your 15 minutes of shivering. Now if you actually workout (rather than just sit), in a cold environment, you can certainly increase the calories burned, but again, it's limited. I hope you see that this is not a good way to actually lose weight. Plus, we should be exercising for other reasons like to improve our cardiovascular health. Shivering won't do anything for that. If you want to know the real way to exercise for weight loss, you need to do strength training. Why? Because as you strength train, you also increase your basal metabolism. In other words, you burn more calories even when you're not working out.

I'm also interested to hear other low BMI weight loss surgery experiences! I am having VSG in 6 days and my starting weight (before liquid diet) is also 205.

My results with the sleeve are completely different. I DO get sick eating sugar, rich foods, etc. It has been 8 years since my surgery and I have kept the weight off (100+ lb. weight loss).

I'm getting so nervous and also excited! Just 11 days to go! every time I wonder if im making the right decision I am reminded by some health issue or a painful joint. Today it was feeling huge in my hair stylists tiny chair and how embarrassed I felt to feel and look so squished into it. I'm also looking forward to my HS hopefully going into remission or at least getting manageable!! Can anyone share with me what their first week was like home? I spend 4 days at the hospital and come home to an empty house on the 21st. My husband wont be home until the 24th- is it smart to ask for a friend to stay with me the first night or two? I'm concerned I may have issues standing up after sitting/laying down the most.

So, my new insurance provider, Cigna, is not covering weight loss surgery--it is excluded for my company's policy with them. I contacted Sage Bariatrics, and self-pay for Gastric Bypass is $15k. I know there is a cheaper option in Mexico (OCC), and have sent them some questions. Can anyone recommend any other center of excellence that might have decent pricing, either in the USA, someplace else in the world? Thanks!

Hello, I just started Mounjaro!! I'm on Week 3 of 2.5mg and the appetite suppression is no joke! My doctor put me on this after stalling out at 80 pounds lost post op. Surgery March 2021, stopped losing March 2022 (but haven't gained). I'd like to hear about anyone else's experience so far, the weight loss has been slow, but I'm hopefully because the scale is finally moving again!!

I’m so happy for you and hope it will help you achieve your dream quickly! However, you should be prepared to recover and maintain the diet your doctor gives you. They're also more instructions after such an operation on the weight loss coach page, and it may be helpful for you as well. It is a good decision that you decided to lose weight than keep it continue suffering. And I’m not talking about appearance, because you’re beautiful. But extra weight causes a lot of problems to our organism, as well as public judgment. Moreover, it is sometimes hard to be comforted on regular seats and find good clothes to wear. Now you’ll have fewer problems

Oh bummer. I haven’t brushed my hair in a few years. it’s short and curly. So I’m not sure if I’m going to notice. it’s been 5 1/2 weeks now and I can finally transition to sloppy/purée foods. yay for me.

Oh really?! That makes sense bc i went to doc today and he didnt even comment on my weight loss - you are so right, I shouldnt get wrapped up in it, but its hard lol. Thank you for the kind words, this is a journey

I don't have hunger cravings; if anything, I have the opposite problem. I'm constantly battling dehydration because I still cannot get all my protein and fluid in one day. Luckily my insurance has covered IV infusions, but I know that can not be a long-term solution. My doctor said that insurance won't cover weight loss drugs if your BMI is 27 or below, and I that should start the drugs now still. My BMI is already 31.1. Though, that's not a solution to not losing weight.

Yes, I did. Before my revision to RNY for gerd, I was suffering from severe gerd and as it progressed it gave me a constant hunger-like pain. I ate more and more small meals but the food in my stomach only helped the burning symptoms temporarily. I gained 1/4 of my total weight loss back after developing gerd, so my surgeon put me on Lomaira while I was waiting for my revision. The Lomaira helped a lot for appetite control. I only took it as needed, not daily, often in the afternoon or evening. Of course, it doesn't help with the gerd but it did take away that particular symptom.

I don't know what your starting stats were but 27lbs is pretty great. Keep in mind you don't want to lose weight too quickly. Congrats on your loss!