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I took collagen powder & silica for about 5 or so months for the supposed benefits but didn’t see any difference. My hair didn’t grow faster than it’s usual cycle & wasn’t any thicker, my skin was much the same & my nails were the same too. 🤷🏻‍♀️ It does take time though to see any effects as it’ll only boost new growth but I should have seen some effects even for a time after I stopped. Then I started slathering on a collagen serum my beauty therapist recommended. Cost a fortune & 10 months later still no noticeable change. Gave it up & began using a vitamin C serum & within two weeks I was getting compliments about my clear & glowing skin & was being asked what I was doing from like everyone: friends, family, my former dysport lady & even my doctor. Actually had to order the vitamin C serum for my 82 year old mother she was so impressed - 😁. Maybe it works. Maybe genetics plays a role. Maybe your diet & how your body absorbs & uses nutrients contributes. Maybe hormones affects how successful it will be. Always worth giving it a go. PS - When I recently starting going to a cosmetic physician for my dysport I heard this crunchy sound as she injected my forehead (never heard it before). I asked what it was because it was weird. She said it was collagen & she loved hearing the sound. Still freaked me out.

I’m having it on my face next week again by the cosmetic physician (supposed to be yesterday but doctor had to take unexpected leave). She’s using dermapen which is supposedly more advanced & a deeper treatment than the roller used in micro needling. Having it for my open pores & the acne scaring (had cystic acne). Friend had a series of micro needling treatments for loose skin on her face after her weight loss but she said it did nothing 🤷🏻‍♀️. https://facemedstore.com/blogs/blog/dermapen-vs-derma-roller

Yes, for the past couple of years, I always take collagen (Verisol collagen bioactive peptides, recommended by ConsumerLabs.com) in my coffee for skin elasticity and health. I am in my sixties, and I go in for Botox (forehead) but my dermatologist always comments on how I do not have any wrinkles under my eyes, nasoblasial area, and how nice my skin is. Unfortunately, since I am at my lowest weight, I do look more haggard but there isn't much I can do with facial fat loss volume except for fillers or facelift. I opted for Sculptra since it has always given me a natural look, promotes collagen and helps with facial fat loss. It has helped a lot in the last few months. Hopefully, once my weight stabilizes, so will my skin.

I use powdered collagen every day with no dangers. I think it does help with skin elasticity -- I did it more as a preventive measure to avoid losing hair or having brittle nails. My go-to breakfast is: 8 oz of black cold brew 1 scoop of collagen 1 scoop of unflavored whey protein powder 2-3 squirts of skinny syrup Blend all of that together, then pour in a 12 oz premade vanilla protein shake

Pre weight loss surgery I drank the International Delight creamers, and went through a phase of using half and half. Then when I began my weight loss surgery journey 9 years ago, I swapped out those types of creamers for cashew milk and always sugar free sweeteners like Stevia. To me it was creamier than almond milk. Now that I'm 7 weeks post op revision, I've switched yet again. Now I make 4 oz of strong coffee with a full reusable Keurig pod and add it to a Fairlife protein shake. I make them both hot and iced. Then I add complimenting sugar free coffee syrups to that if I want. I can't recommend these syrups enough! https://www.skinnymixes.com/ (I also add these to Greek yogurt, SF tea, SF lemonade, and I've read that some people add them to oatmeal, but I've not tried that, I don't eat oats very often) I'm sure you could switch to half caffeine and half decaf for a while if you want to slowly eliminate the caffeine from your diet. If you truly enjoy the benefits from a warm beverage, maybe eventually you can go straight decaf and use a protein shake so that a warm cup of coffee is beneficial to your diet and you ensure you reach your daily protein goals. That's what I do. I have two cups a day one in the morning and one in the afternoon, so that's 60 grams of easy protein a day for me. Best wishes!

I am about 1 1/2 years post op and I have an issue. I lost 100 pounds, going from 305 to 205 in 7 months and then..... I started coffee again. Sugar sugar sugar. That crack like creamer, International Delight. I totally regret it because since that 100 pound loss, I've been going between 205 and 212, with no more weight loss and I have about 4 cups of coffee a day. Doing the math, that's 560 calories, 80g sugar, 80g cards a day. I have a problem and I am only just now realizing the extent of it. I'm at the point where I want to stop cold turkey today. The reason I drink so much coffee is due to self medicating for my ADHD. I didn't realize that's what I was doing until recently. I started real medication for my ADHD and it helps with it a lot, but I'm still addicted to caffeine as a byproduct. Additionally let me say this right now because I wish someone told me when I was first post-op: Sweetened coffee creamer, whether artificial or real, will increase your desire for sweets and risk your post-op health. Sorry for the scary text formatting, but this is important and I feel it needs to be said. --------------- Moving on, I now need to find a way to navigate this addiction and remove it from my life. Do any of you have experience with quitting coffee, especially cold turkey? I tell myself I like coffee not for the caffeine, but for the ritual and because warm beverages are comforting to my anxiety riddled brain. Coffee is my safe place, but I need to find a healthier replacement. What are some good bariatric friendly, creamy, hot beverages?

Once a month right now. I don't want to drive myself crazy as my loss slows down over the next 6-9 months. Some days it's difficult to not get on the scale, but I try to tell myself that if I keep doing what I am supposed to be doing, the weight will keep coming off. And my clothes continue to fit differently, so I know something is happening. I don't know what I will choose when I get to maintenance. Sent from my Pixel 4a using BariatricPal mobile app

My endocrinologist was FUMING when I told her about it. She's the one that referred me to the new Cardiologist. Now with the weight loss a lot of my problems are disappearing but the old guy didn't have to be a terd about it.

I have an arthritic back and a bum knee so walking long distances is difficult for me without a rollator or cane. This is how I get my exercise when I'm not at the YMCA pool. "Alinker" walking tricycles are powered by our feet, not pedals or motor. I try to do at least a mile or more daily--on pavement, not gravel! My cat often runs with me around my neighborhood and my friend's little dog sometimes runs with her or rides in her basket. I’ve had mine for almost two years. I got mine before I started my weight loss journey even though I was well over the recommended weight limit. At first I could only go about 50 feet and my heart would be pounding and I’d be short of breath. There is a steep learning curve. In the beginning they are NOT EASY to ride. but people with Multiple Sclerosis, Muscular Dystrophy, Rheumatoid Arthritis, amputations & paralysis can use them successfully. I decided so can I! Now I can go 2 1/2 miles at one time but usually go about a mile. I tend to run rather than walk on the level but it's hard work to go up hills! I can go up moderate rises, but if the hill is steep I stand up and walk it or get off and push it. It gets easier with practice. I rode two miles today including a couple of hills. It’s a lot of fun, especially when my cat runs with me. My friend and I are planning to run a 5k next spring with the trikes. I haven't traveled with mine yet but my friend has. She rides hers right up to the jetway at airports and gate-checks it. Alinkers are mobility devices and are permitted anywhere wheelchairs can go. Unfortunately, they are expensive, about $2600 in the US, but they do have a rent-to-own and crowdfunding programs. Sometimes used ones can be found on eBay and elsewhere. A good 2-wheel bicycle is expensive, too, and electric ones are even more pricey. For more information visit the website at alinker.com and Alinker on YouTube. They have a member-only Facebook page also.

Every morning, in my panties, after I pee, before I shower. I know it's not recommended but I like the loss and when I go up, I review what I had the day before. My app plays different music for going up and going down. Going down over a pound is a bunch of trumpets. Pretty incentive worthy! Sent from my SM-F926U using BariatricPal mobile app

A lot of people who have never struggled with their weight (or people who have only had to lose, like, 20 pounds) want to think of weight as a personal or moral attribute. They want to believe that their ability to control their weight is indicative of their personal superiority, so they feel threatened by the thought of some of us -- whom they view as inferior based solely on weight -- can "cheat" our way into their category. Many people who haven't looked into weight loss surgery also have no idea how hard it is. I think back to the first time I read about gastric bypass and thought it sounded like absolute magic -- the answer to all my problems! You get your stomach stapled and the weight just falls right off. And then I found out about all the risks and potential complications, dumping syndrome, and the fact that some people still regain the weight, and that was enough to turn me off from weight loss surgery for 15+ years. And even then, it wasn't until I actually started the process that I found out about the pre-op diet and all the post-op phases, having to constantly sip water all day just to avoid dehydration and go for weeks without solid food. I'd be willing to bet that most people have no clue how hard it is to get through all the pre-op requirements and post-op phases. Ironically, it's those people who have never had to think about weight loss surgery who really have the easy way out in that they don't have the propensity for weight gain in the first place. They have no idea how hard some of us have to work to lose weight and/or keep it off.

Sharing a blog post I wrote a few years ago that I thought might help some of you... On the face of it, losing weight seems so simple. How many times have we all heard statements like “just eat less and move more!” While that type of sentiment is factually true, it can be incredibly hard in practice. The reason is because we all are creatures of habit. Now when I say habit, I don’t want you to think of the negative connotation we sometimes give to the word habit. Habits can be and often are, good things. An example would be brushing your teeth before bed. If that’s a habit you have (may of us do), it would be hard to classify that as a bad thing. We do it partly because we know we should, but also because it’s just become a habit, and things would feel off if we didn’t do it. In fact, because so much of what we do on a day-to-day basis is routine, habits help us get those things done without having to exert much extra mental energy to them. It follows that if we want weight loss or other healthy behaviors to become habit, we have to “hack” our brains a little. We do that by replacing old behaviors with new behaviors. Over time, the new behavior become a habit that replaces the old behavior we want to get rid of. This again sound simple enough, but because we as humans are wired to seek out rewards, we sometimes do things we know we shouldn’t. This means we can’t just flip a switch and start working out, or ”eating better” (whatever that means). We first have to make sure the reward we get for the current behavior is minimized, and the reward we get for the new behavior is maximized. By doing that, we can slowly change behavior. To make this easier, I have grouped behavior change into six dimensions we need to focus on: We’ll start with the 3 dimensions of motivation. Motivation is often misunderstood, so I want you to think about it a little differently than you may think of it now. Motivation is simply the mental processes that drive your behavior. Thus when someone says “I have no motivation”, that’s actually incorrect. They do have motivation, they just have motivation to do something else. Personal Motivation – These are things that internally motivate you as an individual person to act in a particular way. There are several factors that make up personal motivation, but the most important factor is how a new behavior makes you feel vs. the current behavior. To change behavior, we need to minimize the negatives associated with the new, desired behavior and maximize the positive aspects of it. We also want to do the exact opposite for the bad behavior we want to replace. For a more personal example, I like fishing but am not a big fan of slow cardio (too boring to me). I can turn boring exercise into playing simply by using a row boat or kayak to fish from, rather than a motorized boat. If you have small children, you could play tag or hide and go seek with them, rather than walking on a treadmill. Social Motivation – This form of motivation is all based on the fact that at our core, people are social animals. In short, we crave acceptance by others. While this can be a negative if taken to the extreme, we can also make it work to our benefit. Examples would be having one or more accountability partners or using social pressure to ensure compliance. Structural Motivation – Also known as the “carrot & stick”. The goal is to find ways to add in additional punishments for bad behavior and rewards for good behavior. For example, many people find that meaningful financial rewards or punishments can drastically impact behavior. An example might be “placing a bet” with a family member that you will not eat any highly processed foods for the next month. If you succeed, you get the payout, but if you fail, you have to pay instead. Obviously the carrots & sticks don’t have to be financial at all, but for many people money is a big motivator. We move now from Motivation to Ability. I want you to think of ability as how prepared you are to replace bad behaviors with good ones. It does us no good to be super motivated to take on a new good habit if we don’t have the knowledge, skills, or ability to actually incorporate the that habit into our lives. Personal Ability – This is all about learning and developing the skills, tools & knowledge you’ll need to actively engage in the new behavior. For example, if my goal was to use horseback riding as exercise, I’d have to get a horse, find a place to board the horse, learn to ride, learn to care for the horse, etc. before that could become a reality. This is obviously an extreme case, but too many times we expect that simply having motivation will be sufficient to reach a goal. The fact is it’s not. No matter what the goal is, there is some level of knowledge or skill needed to make it happen. A more concrete example might be “wanting to eat more vegetables”. For many people, this is a challenge not because they don’t like vegetables, but because they have no idea how to prepare them. Learning to do so would be the TRUE first step to a better diet. Social Ability – Teamwork is the operative word here. Perhaps you really struggle to walk enough on a daily basis, but you also know if you have someone to walk with you, it would make it much more enjoyable for you. This can also refer to using a coach or expert to help. If you know you need to use strength training to reach your goals, but don’t have any idea where to start. Enlisting the help of a professional might be just the thing you need. Structural Ability – I like to think of this one as cheating to your advantage! So many times, we create environments where we’re almost bound to fail. Examples are things like keeping a bag of chocolate or saving your “fat clothes” just in case. Another classic example would be failing to plan meals ahead of time. Instead, we need to change everything we can about our environment to support us making good choices and eliminating anything that causes us to stumble. Taken together, these six sources of habit change can help you replace bad habits with good ones, but it’s not magic. You still have to work at it and you still have to make yourself more aware of when and why you are choosing bad habits over good ones. This awareness is really the first step to success.

I have noticed more loose hair in the past couple weeks but nothing terrifying. If this is the worst it gets then I'm ok even if it got worse I'd be ok. The benefits of the surgery far outweigh any temporary hair loss. Not just the scale either, I'm moving better, I got strep and I didn't get a sick as I would've 75 pounds ago, I have SO much more energy, I care more about how I look and take better care of myself, I'm more active, I'm off so many meds, the list just goes on. So hair loss, possibly... but if you follow your plan you'll have so many other victories. You'll see some hair loss is a small thing and doesn't last. Your body will balance out and you'll regrow what you lost. Sent from my SM-F926U using BariatricPal mobile app

Based on that, and a starting weight of 345, that means your lean mass (muscles, organs, bones, etc.), is 172. While you will lose some of that lean mass as well as fat post surgery, I hope you can see why 125 is just too low. If we pick a healthy percentage of body fat of 27%, and use a proprietary calculator I developed that assumes a certain percentage loss of lean mass into account, that would put you somewhere between 185 and 220. I know that's a lot higher than what you were thinking, but I feel that's a better goal for now. Like I said, once you get to 220 (or 200 if you want to split the middle), you can always adjust downward if you're not happy with how you feel.

I'm two years post-op, and my appetite has returned, but not nearly to the extent as before surgery. In the beginning, it was easy to lose weight because I wasn't hungry at all and physically couldn't eat much, but that has gradually changed. It feels upsetting at times to see the portions that I am able to eat because I think, "I shouldn't have room for this big of a salad," but I think my perception is skewed because I'm comparing my current portions to my initial post-op portions, not to what I used to eat pre-surgery. I remember pre-surgery often feeling like my stomach was a bottomless pit, and no matter how much I ate, I could still feel like I was starving. There are times now when I eat a reasonably-sized meal and still feel hungry, but even then, it doesn't take much to get all the way full. I'm probably doing it wrong because we're not supposed to eat to the point of getting really full, but I'm not perfect. And sometimes it's still hard to tell whether it's real hunger or head hunger. I can definitely see how people can regain a lot of weight after a few years, because I feel as though my stomach has stretched out quite a bit and I could over-eat if I'm not careful about what I eat. However, I have COMPLETLEY changed my eating habits and shifted toward low-calorie foods. I've been tracking everything I eat in MyFitnessPal for over two years, and I consider that the #1 key to my weight loss, other than surgery itself (in fact, I lost 70 pounds before surgery this way). I'm not stupid -- I know how to read a nutrition label -- but there's something about actually logging my food intake that makes me confront my choices and think about what is and isn't worth eating. I still track my calories in MyFitnessPal and I'm afraid to stop, but I suspect that I would probably be ok without tracking because I've gotten into good habits. I've also found that at times I've eaten more than I should (e.g., eating at a restaurant or getting hungry between meals and having a big snack) and think, "I need to limit my calories for the rest of the day," I actually end up not being hungry for the rest of the day, anyway. My tastes have also changed since surgery. I used to be kind of a picky eater, and I'm not sure if my actual tastes have changed or if I've just become more open-minded, but I eat all kinds of things now that I wouldn't have touched before surgery. I used to hate seafood and now I love it and eat fish almost every day. I used to hate a lot of vegetables, like squash, peppers, radishes, cauliflower, etc., and now I'll eat just about any vegetable. I consider cauliflower rice to be the greatest diet hack of all time because it simultaneously eliminates a high-carb food and sneaks a vegetable into the meal. Plus, if you buy the frozen stuff, it's faster and easier to prepare than actual rice. Before surgery, I turned my nose up at the idea of cauliflower rice, but now I eat it several times per week. I suspect that a lot of people who regain the weight rely too much on the restriction and don't change their eating habits, so when the restriction wears off, they're kind of back where they started.

Oh and you're doing great! Almost to a triple digit loss!!! 🎉

What led me to weight loss surgery isn't what led most people here. I didn't (don't) have food addictions, etc. I had medically induced obesity due to auto immune disease and long term corticosteroid use. So, I got a Lap Band in 2013, and lost about one hundred and forty pounds. I never got to a "normal" weight. It's like I reached a new set point and stopped losing. I pretty much maintained that for about five years or so and then I developed GERD. As @Tomo said, the GERD associated with Lap Bands/Sleeves doesn't respond to meds and there's always a gnawing, hungry sort of sensation that makes you feel like you always need something in your stomach to stop the torment going on in there, and that led me to eating slider foods, because they felt the best to my GERD tormented stomach. So I regained maybe ten pounds during my GERD period. Then in 2021 I had the band removed, then I lost the ten pounds that I had gained, because the GERD eased up a bit and I was able to eat healthier fruits and veggies that my Band wouldn't tolerate before and kicked the carbs to the curb. I'm currently almost 7 weeks post op RNY revision and I've lost twenty-nine pounds. So the scale is finally moving after years of being stuck. I feel like I didn't regain weight even after my band was removed due to a change in eating habits and behaviors that I adopted when I got my Lap Band. I maintained those, and yes it was easier after my Band was removed because I could eat healthier again. My Band wouldn't tolerate fibrous, healthy veggies most of the time. So I would say maintaining success in the long term relies on a change of behaviors and eating habits. One other thing that I think helps a lot of people maintain success is lifetime tracking of calories/macros.

Yes, your body adapts to the changes made by surgery, and it will still want to gain weight, as it does now, but it is harder and slower to do so. This means that you have to adapt to to counter that tendency - the surgery will indeed help you to lose the weight that you can't lose now by yourself, but you still need to work at keeping it off. This guy gives a pretty good presentation of how it progresses, and some ideas on how to live with those changes to help maintain things. You don't have to follow all of his recommendations, (I'm not so sure about his green smoothie thing....) but it helps to understand what is happening so that you can develop your own plan that makes sense for you. My takeaway from him is that you will see increased ability to eat more at a meal, though not as much as pre op - his progression is consistent with my experience, though my wife maintains a greater restriction than I do, YMMV - is to fill in that increased ability/desire to eat more with bulky, low calorie veg to minimize and control the caloric increase over time. The salads that I make now for lunch have about the same amount of protein - meat and cheese - that they did early on, but a lot more veg than earlier. Our protein needs doesn't increase over time - our "high protein" post op diet isn't really all that high, but rather a maintenance level of protein while everything else is dramatically reduced at that time. I found that it really helps to work on your long term maintenance diet as early as possible - long before surgery if you can - to get used to how you should eat 5-10 years from now rather than just next month or next year. Learn how you should be eating for good weight maintenance (and satiety) and start developing those habits early - don't worry about rapid pre op weight loss, let the surgery do that. If you are seriously concerned about your long term prospects on weight maintenance - if you have had a long history of yo yo dieting, and/or are starting at a very high BMI, you should also consider the DS, duodenal switch, surgery as that has demonstrably better regain resistance than the RNY or VSG, which are very similar in that regard. There are more trade offs involved - what in life doesn't have them - but it is worth considering ahead of time rather than as a revision later on, as the bypass is a difficult thing to revise.

hunger/appetite usually come back sometime during the first year after surgery (and a minority of patients never lose it at all). After that, things get more challenging. It's hard work - but it does "work" as long as you're committed and stick with your program. during year 3, most people experience a 10-20 lb regain as your body settles in to its new set point. Of course, some people can gain much more than that if they aren't careful. basically, the surgery keeps you from eating a lot AT ONE SITTING. I'm over seven years out, and I can't eat nearly as much at one sitting as I could prior to surgery. As an example, before surgery, I could easily eat half a large pizza. Now, I can physically only eat 1-2 pieces. Again, at one sitting. the major problem is grazing. If I eat 1-2 pieces of pizza at 6:00 pm, and another piece at 7:30 pm. and another piece or two at 10:00 pm - ta da! I've eaten half a large pizza. So you really have to watch that if you want to maintain your loss. like others have said, though, it gives you a huge reset. I lost over 200 lbs, which I could have never done on my own. But after that loss, it's on you.

I hope I can communicate my question to you all. I am in a long waiting period for surgery like about a year. So I've been reading lots. My question pertains to people's tendency to regain. For those of you especially who are years out from surgery has your appetite come back as strong as it was prior to surgery? Do you have the desire to eat even more frequently to compensate for your smaller stomach or can you eat like you did before? I have dieted so very many times in my lifetime with soul searching and introspection. I've been sure this was it to never to regain my weight back, several times. However, its never worked for me. So am I unrealistic to think that this surgery could be the physical help I need to help maintain weight loss? I guess I'm looking for insight as how the actual surgery worked for you long term. I know there is the change in eating but if that were all there were I would think more of you would be unsuccessful. Thank you in advance for any insight you can give me.

I've lost lots of hair. Started shedding about 3 or 4 months after surgery and kept it up for several months. It has now steadied out. It was never patches, just a marked increase in general shedding. Honestly though, if my surgeon had told me last November that I would be completely bald and a normal BMI I would totally have bought into that and sorted a wig. No contest (and I'm as fond of my hair as anyone).

I had mine Feb 7th and the same here I still have back fat and stomach has gone down but as you say a deflated ball and unfortunately my boobs are also deflated and saggy. Once I tuck it away under clothes you can’t tell but when I remove them it can be quit discouraging 😩 but I try and look at it in a positive way and just say that is a sign of all your weight loss if you had to pick one would you go back to all the weight or where you are now. I will take my loose skin and all the health benefits over all that extra weight any day.I will just say it’s part of my progress. We have to appreciate this part of the journey also because it is journey not a sprint. IT’S ABOUT PROGRESSION NOT PERFECTION. Make the best of your journey Every one who reads this post when you get down about where you are just think of where you came from not years ago but just 6-7 months ago and appreciate the progression.🥰

You can’t stop it or reduce it. It’s a bit of a luck of the draw as to how much lose skin you will have. Age, gender, how much weight you carried, how long you carried the excess weight, genetics, all okay a part. I often compare skin with a hair band that gets stretched out over time & use. Can’t save that hair band by unstretching it. Same with your skin. The only way to get rid of your lose skin is to remove it with surgery. Personally I decided against surgery. I don’t have a lot of loose skin & it can be hidden easily under clothes without need of shape wear & that’s under body con dresses too. So not really worth the surgery. Sure I have some tuck shop lady arms/bat wings but no one knows unless I wave my arms out & about. My arms are pretty toned just from doing a couple of basic resistant band stretches. I even got complimented on my arms today while trying on a one shouldered top so …. Did make me giggle to myself.

it doesn't matter if it's bypass or sleeve. As someone else said, any major surgery can cause hair loss because of trauma to the body. I think we see it more often after WLS than some other surgeries, though, because in addition to the surgery stress, we're also taking in very few calories those first few months. not everyone loses hair. I lost very little. I barely noticed let alone anyone else. And for most people, you're the only one who'll notice it. Most pre-ops and early post-ops worry about hair loss (and loose skin, too), but I think i can speak for most of us who are a year or more out that in the grand scheme of things, it's really a blip on the screen. I don't know why I wasted even one brain cell worrying about it.