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Thank you for your time and your answer 'Cat'! It helps me alot. I had the sleeve and I have being obsessing ever since that something is wrong because my hunger (I don't which type) never went away and my restriction seems quite forgiving. Till yesterday that someone told me that maybe the surgery didn't cut a big enough piece of my stomach.. I've been crying all day. I do follow the portions the nutritionist gave me but got scared when I compared myself to others, some of them saying the could not even tolerate soup 2 or 3 weeks post op. It is surely a struggle, mainly mentally, and I have decided to go to therapy about it. I will keep in mind the things you said about hunger and head hunger and try not to panic when I feel them. Thanks again for your reply❤️

I went through similar for the first few months and couldn't keep them down. In the end my surgeon agreed that I could take 'normal' vitamins for a month, which I had been taking pre-op, and then to go on to a different format of the bariatric vitamins once my stomach was ready to accept them. I had been taking the hard ones that were so big, dry and tasted disgusting and couldn't keep them down, even the smell of them turned my stomach. Now I can take the capsule format as there is no taste or smell. I also tried a different brand of bariatric capsules but they were cherry tasting (hate) and couldn't keep them down and even putting into a smoothie turned the the taste of the smoothie vile. For the calcium I have to just buy generic ones on Amazon as the special bariatric ones I can get here can only be sold as a package with the horrible cherry capsules. I also had to take a daily dose of iron for a month or so when my levels got too low as I have pernicious anemia. Picture attached of the daily vitamin one I take. I also took their special hair capsule one in addition for three months to help when I was losing so much hair.

I use the Baritastic app. It tracks food macros and fluid intake. I track EVERYTHING that goes in my mouth, even condiments and coffee. LOL It helps immensely with staying on track. My Apple watch doesn't help with intake. It helps me remember to stand hourly. It counts my steps. It annoys me with messages all day. It reminds me to take my meds and vitamins. But it doesn't help with meals. Though there might be something to set in it to help with that? I just don't because my meal times vary a bit depending on when I wake up and eat my first meal. I highly suggest you get a pill case and dose out your vitamins for the whole week, or in my case, the whole month! A dietician can provide you with a list of supplementation or you can hunt down the ASMBS guidelines for your surgery, that's what most good dieticians use. It sounds like you may need to be watching your protein, fat, and calcium intake. Many people a few years out from the various surgeries start to show nutritional deficiencies if they haven't been keeping up with their protein intake and supplementation. Good hydration is important too. If you can, it would be wise to go have bariatric labs drawn, your GP can do this if you aren't still seeing your surgery center. A bariatric practice could do this too and would be good to follow up with if you are struggling with regain and getting back on track. You can do this!!

I remember the first time I realized I have food noise. I was given Saxenda and several weeks into it as I increased the dose, I noticed that the mental pressure to eat was gone... It was like that voice that often brought up food throughout the day was suddenly silenced. I never even realized it was there before, it was such a familiar thing in my mental landscape it didn't occur to me that not everyone has that! GLP-1 medications in general are known for this side effect. Meds for ADHD like Vyvanse and anti-depressants like Wellbutrin are also known to help with this. When I went off my Ozempic before surgery, the voice came back with a vengeance!! I didn't have much of a appetite pre-op, but man did it come back post-op... For the first month I was sooo hungry. And the voice was SO loud. Thankfully I have a lot of techniques to manage inner voices, due to a decade of somatic based trauma therapy. I think without that, the process would have been so much harder for me. One thing that helps me the most is distinguishing that part as a PART of me, not ALL of me. So instead of "I'm hungry!" it is "I'm noticing a part of me feels hungry." This may seem like a weird distinction, but research has shown when we do this with emotions "A part of me is angry." vs "I'm angry!") it helps us create a little space between us and the feeling and helps us remember that there are other parts of us present and not all of them are caught up in the emotion of the moment. Remembering there are parts of ourselves that are like Switzerland helps us navigate internally when voices get loud. So I apply this to head hunger too. I identify the part of me that is hungry. I ask it what it needs. I validate its experience. And then I offer to just sit with it for a while and be present with the feeling of hunger. Then I let it know when we are next going to eat and orient that part to thinking of what we might want to eat at the coming meal. I'm sure this approach won't work for everyone, it is just what I tend to do. I notice when I hear the parts of me that feel things and give them some presence, they often start to soften, or have something important to tell me about what we are experiencing in that moment. For instance, I have severe ADHD. I get easily distracted and forget to eat. Post op it has been a struggle. That voice is there to remind me to tend my body. It may be louder than most people have it, but it still serves a purpose and when I can give it a job it tends to fight with me less. I eat every 3 hours. Without exception. If I go past 3 hours the voices get really loud and I feel sick, probably my blood sugar dropping... So I eat every 3 hours. But I eat within a 30 minute window, then I'm done. I don't snack in between. If my body tells me we need more food before the 3 hour mark I stop to reflect why this might be. If it is because I am bored, I find something to redirect the energy to and wait. If it is due to a workout or being sick and burning through energy faster. I may add in an earlier meal. Seeing my body as something to partner with, as something I have a relationship with that I want to be a GOOD relationship, seems to help me remember to treat my inner voices with kindness and compassion instead of judgment and irritation. If someone you were closely connected to constantly ignored you or snapped at you, over time you'd either get louder or go away. That is what I did to my body. So now when I hear the voice it is a reminder that this is something I'm working to relate to in a healthier way, so I choose a reaction to it like I'd choose a reaction to a friend reminding me to eat or drink water. Sorry for the long ramble, it just happens to be something I've been reflecting deeply on over the past 6 months!! ETA: I do take Wellbutrin for depression. I have never noticed it affecting that internal voice, but some notice an impact. If you are struggling deeply with this voice, you might consider a medication that can support you in this. I have a good friend who has ADHD and noticed when she started Vyvanse it significantly helped with the food noise and binging behavior. It isn't a good solution for everyone, but it is a good solution for some. ❤️

There is nothing wrong with you... First, when we have surgery, a lot of nerves are cut that need time to heal. These are the nerves that tell us we are full, or getting full. So you are not getting accurate feedback from your stomach right now. These cut nerves take several months to heal fully. I noticed a distinct change in my fullness cues around 3 months out. Second--just because you CAN eat that amount doesn't mean you SHOULD (I'm so thankful the regulars here remind us all of this early post-op). You aren't getting accurate messages about your restriction right now, and different foods will cause different feelings of restriction or lack thereof. Try to stick to the small portions your dietician should have gone over with you. You have a lot of sutures holding your healing tummy together, you don't want to stress them. Take your time here, there is no rush. Third--different foods will cause different feelings of fullness. Purees often don't cause fullness, even meat purees. When you get into soft foods you might start to feel restriction when you eat denser proteins. But again, your stomach is still healing, so it may take time to feel your restriction, and some people never feel strong restriction, or don't feel it until they are overly full. This is where it is important to measure out your portions and eat tiny bites, slowly, watching for any signs of fullness. For us post op that may feel very different than it did pre-op. For me, for the first few months, all I would get is violent sneezing, intense hiccups, runny nose, etc... It took a while before I started feeling internal pressure with fullness. Fourth--Hunger is a b***h! Some people lose it, not everyone does. I woke up in recovery STARVING!! I was so mad. 😂I felt like I'd been given a faulty surgery. LOL But it really made me learn to work with my hunger cues and to sit with the discomfort of being hungry for a while. I was very, very hungry the first few weeks because nothing feels like it has enough substance to calm that ravenous hunger. This will ease in time as you progress your diet. For now all you can do is learn to distinguish head hunger from body hunger and learn to deal with the fact that sometimes we feel hungry and that's okay. Lastly, many people can drink water freely post op. You don't list your surgery, but this is very common with gastric bypass patients, though I have seen it with sleeve patients too. Once the internal swelling goes down, many can drink water easily. This is a blessing, since dehydration is the #1 reason bariatric patients end up in the ER post op!

I've had this happen! My body seems to have some set points it is familiar with and I have noticed myself stalling at them or at least holding there for a week or two. My first stall post-op lasted 6 weeks and was at around the same weight I got to when I took Saxenda. I hope your stall is gone and over WAY before then!! It is interesting that your body picked that spot to stall at. I really wonder if the body has a variety of set points within it as opposed to just one. The way I understand it is that stalls mean our body has reached the point that we've lost enough it needs to reassure itself we aren't starving to death. So it stops weight loss, recalibrates, and assesses things before moving forward. It makes sense to me that for some of us this may happen at previous points of stalling or previous weights we stayed at for a while...

Alright guys, 6 months is upon us!! This pic is from the morning of my 6 month post op visit. I weighed in at 232 in office. That is 88 lbs since my highest weight, 75 lbs since surgery! Weirdly, I am smaller now that I was last time I was at this weight. The surgeon found this funny and said the way our bodies lose weight can be really entertaining. LOL I startled myself the other day because I pulled out my smallest clothes (the smallest I have ever been as an adult was 195) and my size 16 jeans fit, zip easily, and are huge in the waist!! That means my smallest size, a 14, will probably fit now snugly, or comfortably in another month. How insane is that?? How can I fit into clothes I had to be 30 lbs lighter to wear last time?? Magic, that's how. 😂 The surgeon estimates I'll be at around 200 lbs by my year mark, though he said if I don't get quite to 200 to not stress it. We each lose weight at our own pace and with my common channel length I can expect to lose weight (albeit much slower) through the second year and possibly into the 3rd year, though at that point it'll be 1 lb here and there. This is the upside of the duodenal switch, it is a long, slow burn. Most stabilize around 18 months to 2 years, but there are always outliers. I feel pretty great! I had a hiatal hernia repair in mid April after I starting having issues choking on my food and pills not going down (I even ended up in the ER with it, which was awful, they don't get bariatric patients at all!!). I gained 15 lbs overnight and it took 2 weeks to get it off, so that on top of my stall for most of March really slowed my weight loss down. But that's okay, I'm reminding myself I have faith that it will come off in its own time. But man, it is hard to remember that when the scale goes up!! In other news, my GP and bariatric surgeon both think I have POTS. I've had issues with it on and off since having a bad case of Epstein Barr Virus (mono) that put me in the hospital a few years ago. It seems every time my body gets stressed it reverts back to having symptoms and it seems it counts any surgery as a major stressor (understandably). She referred me to a specialist and my appointment is October 24th, 2025. Uhuh, 2025, not a typo. He's booking 1 1/2 years out. There are only 2 doctors in the state that specialize in it. So I'm not a happy camper... Meanwhile we are trying a low dose of a beta blocker to see if it helps with the dizziness when I change positions, the racing heart rate when standing/exerting myself, and the exercise intolerance... And doing the lifestyle things like compression leggings, increasing salt and fluid intake, etc... It seems that a lot of Long Covid patients end up having POTS too. Have you looked into this @SomeBigGuy ?? How are you doing? How is everyone else doing??

it's really, really rare to have a stricture that late - they almost always appear - if they're going to appear - within the first three months after surgery. I had two - at four weeks out and again at eight weeks out. The first time I knew something was wrong and I called my clinic. They suspected it was a stricture and sent me over to the hospital for an upper endoscopy to confirm (and "fix") it. The second time I knew exactly what it was since I'd seen this movie before and I went right in to have it stretched. So no, I never got to the point you were at. For those newbies who are reading this, strictures only happen to about 5% of bypass patients (they can happen to sleeve patients as well, but they're very rare with sleeve), and they almost always happen within the first three months after surgery. Just be aware of the symptoms she listed and contact your clinic if you first start noticing stuff like this. They're not going to heal on their own, and they're an easy fix. Just make sure to let your clinic know if you start having these kinds of symptoms (can't keep anything down, nausea all the time) since these are not normal and are usually indicative of a stricture.

I had several stalls - but they all eventually broke and I kept going until I hit goal (actually, about 10 lbs under) 20 months later. When I tried to lose weight on my own, I'd lose at most about 50 lbs before I'd hit a brick wall and my weight would eventually start heading back up. WLS was the only thing that allowed me to break through those brick walls and lose all of my excess weight (100% of it - although I've gained about 20 lbs of it back over the years). I think it's just a coincidence that you're having a stall at your former "brick wall". Just keep plugging away at it. It does get harder the closer you get to goal, though. Those last 20 or 30 lbs were a bear to get off (and It could be that my new, post op "set point" IS where I am now - but this is way, way lower than any pre-WLS set points).

I'm going on 12 weeks post-op and for the past 2 weeks, I have been stalled. I know this is common, if frustrating. But what interests me is where I stalled. About 7 years ago, I had my most successful attempt at weight loss through nutrition counseling. I started at 251 lbs and I lost fairly rapidly and steadily for 6 months through calorie restriction and daily walking, reaching a low-point of 203.8 lbs. And then I stalled. I never got below 203.8. In fact, I steadily gained about 10 lbs over the next several months and then maintained that higher weight for maybe a year, and then gained more. When I started the surgical program last summer, I was right back at 251 lbs. Perhaps coincidentally, 203 lbs is a number I remember being fairly consistent for me in my mid to late 20s. When I weighed myself, not having dieted at all and just living my life, I was usually between 202 and 205 for several years. My question is, did anyone else stall when you reached a certain weight where you had either struggled to get lower in the past or where your body had been very comfortable for a long time at one point? I'm curious if this could be some sort of built-in set-point where my body is trying to settle itself just because it remembers being comfortable here for some reason. Like after the shock of the last several weeks it's saying "Oh, thank God, I recognize this street. I think I'll live here." I know the surgery is still doing its job and I will hopefully see this stall break soon. It's early days. But I'm just fascinated by how this particular number seems important to my body in some way. Did anyone else have a similar experience?

Hi ! I felt the same around 3-4 weeks post op i panicked thinking i could eat way too much and that something was wrong. Then i started measuring and logging into MFP my food intake and realised i was only eating 800-1000 calories a day so all in all it’s nothing to worry about. Truth is everyone is different, the restriction is different. I can and have since around 2 weeks post op gulp water 🤷🏻‍♀️ some people can’t even months down the line. I think it’s easy to get scared in the first few weeks post op but no need to panic - we are no where near being able to eat the quantities we used to eat. Concentrate on what you’re feeling as you eat, learn your fullness cues and it’ll reassure you 💯

I am really worried here and I am searching for your advice and experiences. I am 2 weeks post op gastric sleeve and 1 week on purée stage. I am very scared because I do feel hunger and I am able to eat 5 spoons we use for soup (europe) of minced meat cooked without any issue and not taking more than 5 minutes. I stop because I have to not because I feel some extreme discomfort and I am feeling still hungry. (i do not eat and drink at the same time). I can also drink liquids during the day with no issues. What is wrong with me?

I think all traces of pot pretty much leaves your body within about two weeks - I don't think it's necessary to detox for that to happen. I'd eat the protein - your body needs it - esp after bariatric surgery. EDITED to add this. Just found it on WebMd: If you’re a chronic user, more THC will build up and remain in your body. That’s because your body can only break down THC at a specific rate. Your body stores the excess THC in your fat cells. More frequent marijuana use means a longer time for THC to leave your system. Here are the average detoxification times: One-time use: one to three days Moderate use (three times a week): five to seven days Daily use: seven to 14 days Heavy use: 14 to 90 days

I'm 3 weeks post op. I'm vaping but nicotine free. Do not have any nicotine post surgery because it will slow down your healing.

Oh wow, French onion dip is my downfall. That sounds so delicious. I had some big reusable parfait cups in my cupboard with two sections to them, where you could do your yogurt and berries in the big section and then keep your granola or nuts in the other to keep them crisp until the last minute. I used 4 of these to portion out the blended container of cottage cheese dip into 4 servings with about 8oz of carrots, cucumbers, mushrooms, red peppers, and tomatoes. Turns out that for an evening snack, I actually can only eat half. Which is fine. That gives me a week's worth of veg already prepped. Once the ranch dip is used up, I'm doing French onion! And I'm going to try those pepperoni chips. I also want to make some kale chips. Those are so tasty. I need an air fryer. I think I want to replace my toaster oven with one that has the air fryer built in, but I keep waffling on which brand to get.

I had a gastric bypass around 11 months ago. I turned 69 in January, which means I'm in my 70th year. I had no issues with the surgery or recovery. My eating habits are curbed by what I can tolerate and I now go to the gym 4 times a week, most of the time with a very good trainer. It's been a long time since I've felt this good-- sure, there are trade-offs but to me, totally worth it especially compared to where I was pre-surgery. The biggest issue for me has been building muscle mass.

WarrenInEC, I saw the bariatric revision surgeon. He doesn't think it is dumping and said that the upper and lower GI done would not have taken an image of the inside of my pouch so there could potentially be an internal hernia. He suggested possible laparoscopic investigatory surgery in a couple of weeks. He said a revision to tighten the opening wouldn't necessarily force me to lose more weight, which is perplexing to me but I'm not looking at it as a solution to lose weight, I just thought that would come with the "package". I'm assuming the reason I still feel restriction when I eat is simply because of the 'pouch' then. I thought I understood all of this 5 years ago when I had the surgery, but I obviously did not comprehend everything. Well, we'll see what the next few weeks brings... I assume you had a revision then as that is a big difference in the opening size..lol. If so, what was it like?

Thank you everyone for your kind recommendations. After I had to get my gallbladder removed last year, I’ve been struggling a lot with what to eat due to my stomach issues (diarrhea). This led me to start smoking weed to control the pain and also to make me feel hungry as some days I was able to just go by with water due to lack of appetite. The constant usage of weed made me quite addicted and now I want to leave weed all together and flush it from my system properly as it started to affect other aspects of my life. So when I told a friend I wanted to flush the toxins from my body he recommended me to do this restrictive detox for 2 weeks which included only green veggies, berries and 4 litres of water daily. However, I found that every time I would start just eating vegetables and drinking water my appetite got kind of out of control like I was constantly hungry and I was also feeling very dizzy. So I would break the detox by eating protein because that made me feel normal again instantly. So I am wondering if you guys have tried something that can help with getting rid of toxins?

So, I'm almost 3 months out from having my RNY gastric bypass. The surgery itself is very safe, but the first few months after can be rough. You don't eat a lot, and you may feel sick and probably exhausted, too. But by 3 months, your tummy is pretty well healed and you've learned to chew thoroughly, slow down, and take small bites. You may have identified a few trigger foods that you really have no desire to eat again (hello, scrambled eggs). At my appointment last week I was cleared to basically eat any type of food I wanted. I was warned a very tough steak or woody/fibrous vegetable and fruit (asparagus stems, pineapple), could still cause issues, but as long as you're reasonable about choices, it's fine. I'm thrilled to be allowed to have raw veg again. And I enjoy food. I just enjoy it on plates the size of a saucer instead of a big dinner plate, and I find I don't want more than a bite or two of unhealthy stuff. Except ice cream, which is why I don't keep that in the house! At restaurants, I either take home enough for 2-3 more meals, or I order an appetizer. And I skip the bread, pasta, and other fillers. It'll be a long time before I feel like I can handle a slice of pizza, for sure. But that's okay. My family ordered a pizza the other day and it smelled delicious, but I literally did not want it. Not even a taste. I never thought that would happen to me because I adore pizza, and it made me glad because saying no to it was no big deal. I can tell you that as a slow loser, I will probably never end up "thin" from this surgery. But it's made a huge difference for me already. The day I left the hospital, I was already off blood pressure meds, which I had been taking for a decade. My joints don't hurt anymore. My inflammation is down. I can walk longer and faster. I feel better. And I like the way I look more now too. I'm already able to buy some clothing that isn't specifically from the "plus" department, and I look forward to that being the norm. I'm 50 and I haven't been this low in weight since I was 29. But, it is an adjustment. It's a challenge. And if you love food, you will probably have to do a lot of mental work about that. Like, why are you eating? Are you hungry, or is it a self-soothing mechanism. And if the latter, is there a better way to deal with your emotions when you physically can't reach for food? I ask myself this a lot. My brother had VSG 15 years ago. If you didn't know him back then, you would think today he's an average weight guy (not skinny) with a slightly smaller than average appetite. We were at a wedding when I was still pre-surgery and he out ate me at dinner. So the "half a happy meal" thing is short term. Only you probably won't want to eat those after surgery because they might not sound appetizing anymore.

Start reading about weightloss stalls .

Hello I'm new here... 11 years ago I had gastric sleeve. Had Great success from 205 to 135 then after a horrific time in my life " DIVORCE" I went to 123 lbs. Then got divorce finally over moved to New state, have new career and put every lb back on and at this age weight for a women much harder to lose. I tried my old diet pills QYSMIA and ozempic lost 30 lbs 4 mths ( made me horribly sick) stop and put wt back immediately with diet pills kept getting sicker and sicker back on diet pills and nothing. For over 6months Gerd and reflux so bad when sleeping and anytime I was sitting or laying down. Couldnt eat many things. After several doctors endo and colonoscopy. I Went to ER with chest pain Heart burn so bad thought i was dying i was admitted for srveral days. A great Doc finally did another endo and found issue referred me to a fantastic bariatric surgeon. You name it I had it my stomach was pushed into my esophagus from hiatial hernia. So had to have surgery immediately. Revision repair of sleeve, duodenal switch, hiatal hernia. 5 hour surgery. It took a few weeks and some ups and downs. After surgery Stomach ulcer unknown Bleed, blood transfusion and 7 days in hospital I'm 3 weeks post op and on the mend. Feel Great. I definitely need a support group.

*raises hand* i do! not as often as back in the day, but yes, i'll use one if my guess-timating powers are off, AND if have access to one, AND i,m not feeling lazy. all conditions must be true lol. works out to maybe 3-4 times a week i'll use one. but i don't use measuring cups or spoons anymore...i'm pretty good at visualizing volume, ha!

Hi all, the sun is finally out and I've made my 10k step goal today for the first time since Monday at least! Thanks again for everyones support - it does help! @gracesmommy2 I have thought about SAD, but normally I'm okay in all weather, I even prefer summer holidays in the north with raincoats and wool socks and fires! I reckon I'm probably a bit anemic and low on vitamin D... and that plus the exhaustion, the being cold and the being away from home is just a bit much. I hate lugging luggage around and so tend to travel light and where as when I'm home and it's cold I just wrap out and bundle myself under covers with a hot water bottle... but when I'm travelling it's hard esp as I've mucked up on my packing for the last few trips and not packed enough warm clothes. I do have a sort of lightbox thing at home that I usually use to deal with jetlag but I've been lucky enough since my operation to only be doing short hall... I do go to Canada and the US next month though so will get my lightbox out of whatever cupboard it's hiding in when I next make it home. I'm also aware that I'm loosing fast, which I think is pretty normal as I wasn't overweight for that long ( my BMI got above 25 for the first time in my life only in 2020)... I'm on Thursday I'll be 3 months since surgery and as of today I've lost 19.75kg (43.4lbs or 3st1lbs) since my surgery so over 21% or my body weight in under 3 months ... I know that this must be doing a number on my mental state too. I was 91.1kg on the day of surgery and am now 71.35kg - however I also lost 5kg in the 2 weeks before surgery, my surgeon didn't need me to do a preop diet but just to be safe I still pretty much did a broth fast for the two weeks prior. So all in all in 15 weeks I've lost over 25kg ... and I know thats why I'm so exhausted! However I'm also happy because my team wanted me to have lost 20% total body weight at 3 months and I've exceeded that with a week to go ... I know things will get better... but I would love some proper warmth and light for more than a couple of days! @LisaCaryl I've always shed a lot of hair but haven't noticed things getting worse yet ... but I guess I'll just ride it though when it does happen! On the bright side I have to loose only another 2.2lbs to have a BMI under 25 again ... I know BMI is a crap tool ( and honestly find it a tad unfair because I reckon I have at least a couple of extra lbs of boob!) but I'm still very much looking forward to no longer being officially overweight! Hope everyone has a lovely weekend and that all those far enough north got to see the boreal lights.

it's not uncommon. Once I was over a year out I'd sometimes get dizzy. Had a complete workup and they found nothing. Next time it happened, it was about an hour after I ate a piece of cake at a retirement party at work. Told my doctor - she said it might be RH, and that my blood sugar might have been fine on the day I went for the workup, so it wasn't detected. She told me to eat something about every three fours, protein preferable, and if I ate a carb, to be sure to pair it with a protein. It seems to have solved the problem for me.

You CAN probably do it, but doing extreme diets like that is usually discouraged because it pulls us back into "diet mentality", which is not helpful. Better to go back to the basics - protein first, then non-starchy vegetables, and then if you still have room, "good" carbs (e.g. fruit, whole grains, beans, etc). You don't need to go all the way back to what we were eating for the first few weeks after surgery, but instead, how you were eating once you were a few months out.