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A good tip would be to have a mix fat and carbs every couple of hours to help you steady your weight so things like dates + tahini or nuts, Avocado milkshakes, full fat chocolate milk and a couple of tbsps. of peanut butter, Full fat yogurt with nuts, full fat milk with honey, just generally nothing low carb/low fat. For me personally, protein fills me up way too quick so maybe try high fat, high carb moderate or lower protein until you stabilize. Sorry you are going through this, please make sure to see your healthcare provider ASAP.

I rarely bought brand new clothes while losing post-op. I love thrifting and had a blast as I shopped for smaller and smaller sizes. I sometimes hardly had a chance to wear some of the clothes I bought before I outgrew them. I go through my closet once a month pulling out what I have outgrown and donating. It's slowing down now as I near goal weight. When I was at my largest I could never find anything to fit me locally. I mostly ordered online and even then a lot didn't fit right. 4-5x Funny now that I'm in a smaller size, I'm finding cute plus size stuff. Go figure. But I ain't complaining. Here's a pic of my latest closet clean out. Yeah I wear a lot of black. I'm trying to change that but boy a few of these items were hard to part with. I did find a loved one who wanted a bunch of it so that made it a bit easier to let go.....

I had to do the liver shrinking diet pre-op for 2 weeks. 2 shakes a day then I ate a bag of frozen stir fry vegetables with 3 ounces of lean chicken or beef season fried in soy sauce for my evening meal. It was delish. I lost weight. High volume, low calorie. I'd enjoy the food while you can. JS

No! No! No! Besides why would you? Let’s be honest. We enjoy eating. The smell, the textures, the flavours, the look and sometimes the sound of food ( like the crunch of an apple) is appealing & gives us pleasure. We celebrate with food. We share food with loved ones. We give thanks with food. Why would you sacrifice that to drink a protein shake for every meal? Yes, you may be prescribed shakes in your pre surgical diet and you will be prescribed them for usually 2 weeks after surgery. The pre surgery shakes are to increase your weight loss to improve your surgical success odds & to shrink your liver so the surgeon can see the surgical field more easily. Post surgery it’s to support your healing & not strain your digestive system (remember all those sutures & stables holding it together). Short term reliance on shakes. The goals of the surgery include you changing your relationship with food and establishing a healthy, nutritionally dense, sustainable way of eating. Drinking shakes for any extended period of time is simply not sustainable. It’s not nutritionally sound, only gives more power to cravings, creates new bad relationships with food and will highly likely result in weight regain & poor health. Key word here is supplement. If you are struggling to get your protein in via the real food you eat, sure a protein shake can be beneficial as a supplement to your earring. Same with any vitamin or supplement. If your body is lacking in specific vitamin or minerals, sure take a supplement but they should never be what you totally rely on to get the nutrients your body needs to function unless you have a specific medical condition that means you can not eat real, solid food. I never touched another shake after I began purées (start of week 3). My goal was always to get all the nutrients I needed through real food. And I do. I don’t even take vitamins now (except in winter when I have a dip in my vitamin D - I feel the cold so hibernate in winter & rug up if I have to go out so little sunlight for me then). Ask your nutritionalist, surgeon & GP. I bet they agree with all of us.

I am asking for your help/advice. I am a physical therapist and I underwent my own bariatric surgery in 2022. I am looking to develop a unique bariatric program that provides exercise programs and support to people undergoing rapid weight loss whether from surgery or from medication. If you guys could answer a few questions for me it would be greatly appreciated and would help me build my practice! 1. Did you exercise before surgery? And what was your biggest challenge? 2. Would you have benefited from a preop physical therapy appointment to develop a customize strength training program that took into consideration your current limitations and orthopedic issues. 3. how were you educated on post operative activity and physical restrictions? Would you have liked a week by week guide on what activities you can return to and when? 4. Were you educated on exercises to maintain muscle mass through your first year postoperatively? 5. What kind of exercises did you do postoperatively in the first year? Did you hire a personal trainer? Join the gym? Search online? 6. Did you develop any new or worsening musculoskeletal pain as you were more mobile and your body composition changed? 7. Let me know if you have any other ideas on how having a physical therapist on your bariatric team would have benefited you both before and after surgery. Thanks so much everyone. I may be piloting this program with a few patients. Email me if you’re interested (I’m licensed to treat in N.C.) contact@localpointpt.com

I would start the habit now of following your surgical team’s instructions to a T. I think most who have had long term success here did just that. I know it helped me immensely in my first year, when I lost the most weight, to do what they said rather than trust my own instincts which led me to being overweight in the first place.

Taking care of your mental health doesn't have to cost money. You can talk openly with trusted friends or family about your body image issues and low self-esteem. Or you can post here in this forum where you will find hundreds of people who share a lived experience of navigating the world in larger bodies. You can heck self-help books out of the library. Or buy a notebook from the dollar store and start journaling about your thoughts. You can meditate with the help of free YouTube videos. Or listen to relevant podcasts. You can find free sources of help if it's important to you and you want to make a change. Then again, I don't know you, so I could be completely misreading the situation. You can ignore this advice if you think I'm wrong, or if you just don't think anything I've suggested is worth trying. But after reading your original post, I thought it was important to say that if you can't immediately reverse your weight gain, it doesn't mean your life can't be really good.

I have heard a lot of people talking about completing a liver shrinking diet some weeks before surgery. My surgeon has told me that because my BMI is only 36 I don't need to do this and that it is only for larger people. What's your thoughts on this guys? I carry all of my weight around my midriff, I haver super skinny arms and legs so I'm more inclined to think that my liver does need shrinking before my op. I am intending to do a 2 week diet consisting of meal replacement shakes and at least 2 litres of water. Those that completed a liver shrinking diet, what did you consume? Those that didn't were there any problems with the surgery? Thank you!

it really resonates with me! I actually love setting small targets because it keeps things fun without too much pressure. I tend to expect less deep down, so I'm not as disappointed if things don’t go exactly as planned. For example, this week, I told myself I'd probably lose just 1 kg, and then it turned out to be 2.2 kg! I really believe in choosing our words carefully too—don’t say if you lose the weight; say when you lose the weight! Shifting those small things helps reinforce our mindset, making it feel like reaching the goal is just a matter of time. And great job on finding different programs to keep you excited! It’s fantastic that you’re trying new things, and it sounds like you’re setting up a routine that truly feels sustainable. You’ve got this

I struggled to eat enough to slow my losing though not as much as you are. I reached goal at 6 months and was barely eating 900 calories. It took another year to get to about 1300 calories and for my weight loss to stabilise. To increase my intake I was eating all day long or it certainly felt that way. I had three meals and 5 or 6 snacks, predominately in the afternoon and evening. It took another year +/- to get to around 1600 calories which is about what I eat now to continue to pretty much maintain that initial stabilised weight.. And yes I still snack but only 3 or 4 times a day now to meet my caloric needs. So, yes, some of us do take time to get those calories up. But you are a more extreme case. If this has happened in rare other cases, what did they say what treatment was used in those cases? Can they stretch your pouch via an endoscopy or balloon? Have they suggested you incorporate those nutrient dense, high calorie smoothies like Ensure used for those with digestive and eating issues?

I think I will use them more once I’m out of weight loss phase but I want to incorporate some now just to get the variety of nutrition that they offer. Got my labs back this morning and they are good so far. I would like to keep them that way.

It's not that we're trying to pick on you or force you to justify yourself. But honestly, what you're saying doesn't make sense. How is it your insurance covered your surgery and a panni but won't cover you for organ failure? How are you not in the hospital now? If your organs are shutting down, no way would they have just sent you home. I work in healthcare, and we've sent people to the hospital for way less than that. I would suggest eating carb and calorie dense slider foods. Mashed potatoes are great for that. Add sour cream and butter. There's a lot of stuff you can have that will add weight. I've been struggling to get my weight up, but adding protein shakes, avocado on nearly everything I can, slider foods, etc... And eat every 2-3 hours during the day and the evening before you go to bed. You shouldn't have to get up through the night to eat.

My B-12 levels are right where they need to be. I have systemic lupus, which has always caused anemia. I actually have wrist and ankle weights, so I'll try wearing them and see how things go. I didn't even think about it, honestly. I'm just nervous about burning more fat and calories before I build any muscle. I haven't mentioned it yet, but besides my butt being flat and flabby now, I literally have almost no muscle there. When I sit on anything, I have to be careful because I'm literally sitting on bone. Actual bone, and it hurts. So I have to do this carefully.

@ms.sss 😂😂😂 yasss the clearance section I miss it 😩😩😩! That is definitely a win! Thanks 4 tha compliments! Crazy how sometimes the face changes drastically after weight loss. Before my poor cheeks looked like a puffer fish 😂. Meh life

Welcome to ONEDERLAND 🙌🎉 Our starting weight is v similar. Getting into the one hundreds was a big thing for me since I hung out so much here. In UK and Ireland we don't do things so much in pounds as in stones sometimes! Anyway, enjoy every milestone on the way down. It's a crazy ride.

You definitely have a serious issue, but I don't think it's your weight. Your weight isn't going to kill you, at least not at the size you are right now, but your mental health might. And it certainly is robbing you of the joy in life that you deserve to experience. That's tragic. And unfortunately, surgery or weight loss isn't a cure. Gaining weight can take a toll, both mentally and physically. I understand, because I went from 5'6" and 127 lbs at age 16 to weighing 225 lbs by age 32 and hitting 250 lbs by 49. I tried many diets. I exercised. I worked with a dietician for about 7 years and tried many medications, including Saxenda and Wegovy. I developed high blood pressure and became prediabetic. For 33 years, I gained weight, lost a bit for a while, and kept gaining more. But I also lived a fairly happy life. I got married, bought a house, had two children, started a career I enjoyed, traveled to lots of places I had always wanted to see, learned new hobbies, spent time with friends and loved ones. Was I frustrated that I had to buy clothing in the plus department? Yes. Did I sometimes look in the mirror and feel sad at how I looked? Absolutely. But that wasn't my identity and it didn't dictate what I allowed myself to do or experience. Feeling like your life is destroyed, that life is a cruel joke, and reaching a point where you do not wish to continue living is an extreme and unhealthy reaction to gaining weight. It's a huge red flag that something else is going on with your mental health. That, in my opinion, is way more pressing to take care of right now than reducing the size of your body. I had surgery because I knew it was what I needed for my health. It would clear up physical issues and help me live a longer life with more activity and less pain. I did it because I loved myself and I knew I deserved to get every ounce of joy from life that I could. But a year ago, 80 lbs heavier than now, I loved myself exactly as much as I do today. I don't love myself any more now because I'm thinner, even though I do love how I look. And I love myself now way more than I probably did when I was downright skinny in my youth. There's no magic number on the scale that makes you worth loving. You're worth that at every size, shape, and age. I'm not saying to give up on losing weight or on getting weight loss surgery. If it's important to you, you can find a way. There are some amazing and affordable self-pay surgery options available in Mexico, for example. You could start saving a little bit of money each month now if it feels worth it to you. I hope this won't happen, but if you continue to gain weight, you will eventually qualify for surgery through your health care. In the US, it's at a 35 BMI with comorbidities and at a 40 BMI based on obesity alone. I assume the standards in Canada are similar. But no matter what you do, I would encourage you to find help with your mental health and self-image. You deserve to be happy with who you are and not to have how you feel about yourself be based primarily on something as arbitrary as a number on the scale or the tag inside your jeans.

maybe try body weight exercises instead? instead of using additional weights? i.e, yoga, Pilates, calisthenics. you can build muscle mass, but more slowly and less bulk.

based on your height and weight, your BMI is 35.2. if you have 2 comorbities, you would qualify for WLS in Ontario. what province do you reside in?

Officially 8 weeks and 2 days Post-op and honestly I'm pretty comfortable with my progress though a little disappointed with my hydration. The weight loss is steady, protein intake was a little tricky but I think I got it, and keeping up with physical activity has been smooth. Last month's first follow up with the nutritionist did get under my skin, I questioned returning to my previous vitamins vs these nasty Flinstones...and she went on and on about my calcium, iron and protein levels wouldn't be sufficient due to me not eating meat. I explained I had no problem taking additional calcium or iron IF necessary, and finding new ways to add my protein BUT I wanted to see how my bloodwork came back. She finally conceded in saying "well, you're an adult, if you want to take more vitamins that's your choice". I mean OBVIOUSLY it is my choice and her condescending tone is one of the many reasons I've never cared for nutritionist. Nevertheless, guess who's blood work is PERFECT?! In other news, I will say this ketosis stage, while extremely beneficial... it is giving me the "ick" with side effects, smells, body odor etc... I've introduced some carbs hoping things will balance out but it seems to be a slow process. Uranalysis confirmed I'm still burning ketones sooooo there's that. 🤷🏽‍♀️but when will these side effects end ? Speaking of introducing carbs... I had a small bowl (4 oz) of mac and cheese (chickpea pasta)... this is a true trigger food for me, but I ate it, I enjoyed it and I moved on... it wasn't until the next day, I was thinking wow, I really didn't "Want" another bowl... "I'm good". In the head scratching category... I overheard my co-workers having a convo about individuals on the show "My 600lb life"... DISCLAIMER: I say overheard loosely, there's 3 of us in a small room, they were speaking freely as we usually do but I had my earbuds on and wasn't a part of the beginning of the convo. While I can't say I've ever watched a full episode, I am familiar with the premise of the title as well as what "reality shows" really entail when it comes to production and I'm sure I've caught a snippet of an episode on a meme, commercial etc. They also do not know I've had a procedure. I digress, at some point in the convo, they were both giving their opinions on "how could someone let it get so bad"..." when your pants stop fitting..." "when you're out of breath walking from house to mailbox..." etc. and while I have no doubt that they did not have malicious intentions nor have I personally fit into any of these examples... I suddenly became very offended. I even thought to myself have I lost that much weight that this is how "skinny" people speak freely among you ? (The answer is no, regarding me... I've lost a good amount, but they've known me for several years...at my heaviest). I thought, are they thinking I'm really deep into my work and not paying attention ? (The answer is no, we always engage with each other based off of body language to get the others attention and they were engaging). The answer boiled down to, they were just ignorant to the reasons this could happen to someone and the fact that reality tv has a way of making people look and behave at their worse. So I chimed in with "As a fellow big girl..." and explained to them that food addiction is real, and it's real easy to forget that unlike, drugs and alcohol, people have to eat for survival/nutrition and if you are addicted to such it's easy to forget how someone can "let it get so bad", there are also health issues and medication side effects. They were both receptive and admitted that didn't even consider that thought. We went on to talk about the state of "healthy" food choices, labels, vending machines in schools and all. But I definitely walked away from that convo scratching my head because they are both thin and love to eat and not always the "healthy" stuff... so I'm thinking it didn't occur to you others JUST CAN'T do that. Anyways, it was an experience and I'm glad I had it.

Since 2014 I have been gaining weight. I've gained 75 pounds. I was 150 at 5'7 inches tall and at that time I was relatively inactive but ate normally. A decade later I'm 225 and 34 and have not been able to lose. I cut out sugar, I joined a gym and got a dietician three years ago. I have still gained ten pounds per year. I've been tested for PCOS, Cushing's and Thyroid disorders and they have found no evidence. I eat less now than I did ten years ago. I love in Canada and rely on government healthcare. They won't approve me for gastric bypass. They gave me ozempic last year and it was a nightmare and worsened my IBS. I didn't lose weight I gained another 12 pounds on that drug. I'm out of options. This has basically destroyed my life. I haven't dated in ten years. Tried to commit suicide twice three years ago. The weight gain never stops. It's awful. I'm not doing it to myself. I don't over eat. I exercise, I go to the gym, I don't eat sugar and I just butt. It's a cruel joke this life.

Have you tried getting out your before photos and doing a side by side or trying on an old article of clothing. I mean, you could just be having kind of a blah week and associating that with weight. Sometimes we all can just kind of feel off. Try to think back on all of your non scale victories, and where you were before you started this journey. Maybe that will remind you of how far you have come!!

I am so thrilled for your loss and the way you are feeling especially. Just try not to get too wrapped up in making a goal in two weeks. That’s a pretty short timeframe and just a one week stall could prevent you from reaching it. Even though we all know the way our bodies work, you may drop it all two days later. I like to try to predict my loss as well and I know that it has messed with my head a couple of times. Perhaps it’s just me but I get discouraged when I don’t need a goal even though it’s an imaginary one this morning. I was really expecting to drop that few pounds that I usually drop after stalling for a while and gaining a bit, well, I did not even drop one and I felt pretty bummed Until I realized it’s 6 AM and I jumped up the moment the alarm went off and got right into my walking because I was able to sleep at a reasonable hour to fall asleep easily and sleep all through the night waking up refreshed which I haven’t done in years because of all of the changes that have occurred In the last few months. That in itself is a huge win and I don’t want to lose sight of that as I try to achieve these other goals. I am looking forward to getting under 200, getting to overweight instead of obese, reaching my goal, eventually getting to a normal BMI if that’s in the cards for me, and finally reaching my secret goal. I am just really trying to figure out a way to wrap my head around the fact that even if I don’t reach my secret goal or get to a normal BMI, I am still 100 times healthier and happier than I was before. I really really really do not want to lose sight of that. I got so discouraged about 18 pounds with my sleeve that when I started gaining I think I gave up too easily. I still don’t think about the sleeve was the right surgery for me and what my body needed, but I probably could have kept some of the weight off a little longer. anyways, I am really glad that you decided to do what you thought was best for your body and that it is working for you it’s such a shame that these nutritionist are a little bit more helpful to giving more individualized plans. I am off to my surgeons office this morning, and the automated recording that called me said I was in to see the PA and not the NP that I have been seeing. I am really hoping that he gives me the same help with my food to make sure I am on track and my fitness as well. At the very least, I will find out what my labs looked like though I got an email that the results were ready four or five days ago but I decided not to even look. I figured it would only panic me trying to figure everything out on my own and with my anxiety I would’ve worked myself into something that’s not necessary. oh, and I found a local gym that has a lot of classes that look fun and when I added it up will actually be cheaper than what I’m doing now. It’s pretty tiny and when I popped in to the main gym part, it did not really seem my scene but I’m hoping that the classes are different. My friend told me that she would go to check out a class with me Saturday morning and if it seems promising, I’m going to check out a couple more this week. They have a day pass rate They don’t have yoga early in the mornings at this new place, so I probably will still take my yoga class, but even if I did both, it would still be a little less and I would have the added benefit that I could add more classes at the gym since those are unlimited. I really like to exercise every day for now. Eventually, I think I will probably give myself a free day or two, but until I feel like this is absolutely cemented in my brain as my new normal I want to just keep it up daily.