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@Greekmom4 that bean recipe sounds good. Is salsa considered a purée though? I guess you can purée it a little more. I’m gonna order some now and try to use my little hand blender with it and see what happens. You have to tell me how exactly you went about making purée chicken salad. Was it totally mush? I am allowed canned chicken and tuna and a little low fat Mayo but that seems like a big jump from liquid to me. @Hiddenroses i haven't experienced that but have heard of lots of weird physical aches and pains, especially back pain that occurs as we lose because our posture changes so quickly. And lots of people do end up needing a cushion when they sit after a while. I’m gonna guess it is the loss. Your first NSV!! Needing extra butt cushion 🎉 @Onemealplan are you allowed the egg substitute? I had never tried them until my pre op diet and they are surprisingly good. The first ingredient is egg whites but they add some stuff to make them taste a whole lot more like regular eggs which is great for me because I really don’t care for egg whites. They are also super soft and moist which is good for us right now. @Hiddenroses I am editing this post to add that now that I am paying attention I am feeling a bit of tingling in my butt cheek. I am lying in an adjustable bed watching tv and I’m actually not in a very comfortable position at all but I swear I just noticed some tingling in the right side and shifted my weight. 🤣 I guess if it happened before I just didn’t pay much attention. I’m lucky that I haven’t had to do any desk chair sitting this week. That just got me to thinking about when will be the best time to get a new mattress. One thing I do remember with the sleeve was that the mattress seemed uncomfortable after I lost a significant ***** of weight. I think it’s because I was not sleeping in my same dented in spot with the posture changes. I flipped the mattress a few times and then ended up switching mattresses with my husband who is tiny because he can sleep on anything and that worked last time but I don’t remember if they have been replaced since then. I’m thinking not so I’m going to have to for sure this time at some point.

I did an NHS weigh loss education session before I was approved for surgery and one last week after I was approved. It was basically the same session twice and most of it was what to eat after the surgery. It's informative, but it's not really new information that I didn't have before. It's very clinical. I agree that hearing other peoples' stories is much more helpful.

Stories from the other side (i'll be 6 yrs post op this Oct): Sleep: about 1 month after surgery, i was able to sleep through the ENTIRE night without getting up to pee or waking myself up with snoring for the first time in YEARS (decades?). it was (and still IS awesome). I am always well rested and have seemingly endless amounts of energy during the day. the only thing that is a bit of a downer is that i can no longer sleep comfortably on my stomach (which was my previous preferred sleeping position), i've long suspected my lack of stomach padding now seems to contribute to hyper-extending my lower back when i am on my stomach. so its back and/or side sleeping for me now. no biggie though, i've got used to it. Activity: as per my aforementioned endless amount of energy, i am like an energizer bunny during waking hours. i've become a bit of an exercise addict (who me???) and am probably stronger and fitter than i have ever been in my whole adult life (and i'm 52 yrs old for effs sakes). i also LOOK the fittest i have ever looked in my entire adult life...and i was already fit-ISH up until my mid-30s. it's funny and mind-blowing (and ridiculously ego-boosting) when the young 20-30 yr old girls in my Pilates and yoga classes come up to me after class and tell me that they aim to be able to do the things that i do in class, and, wait for it...want to LOOK like me. cray. zee. Fashion: don't even get me started. even before i ran out of "skinny" clothes to wear during weight loss phase, i was already in the throes of being an over-the-top-clothes-buyer (and shoes, and purses, etc lol) i've calmed down a little bit compared to those first couple years, but i do admit i could probably calm down a little bit more. i have way too many clothes in my closet (some of which i haven't even worn in public yet). not sure when i will cure myself of this habit, but i'll enjoy it until i do, ha! one last thing not on your list the deserves mention: CONFIDENCE. i found that i am just bursting with it (maybe too much as i really do think of myself as the absolute BOMB.). but the confidence is not just feeling good about and trusting myself, but it translates also as feeling good about others, trusting others, patience with others and self, calm, peace, courage, all the good stuff! of all the things, the confidence is the one i value the most. thanks WLS. (and thanks ME for doing what i needed to do to get here).

Today's podcast episode was really good in addressing weight loss plateaus and making reasonable dietary changes:

I am going to recommend something I personally subscribe to, which is the online support groups through the Pound of Cure Weight Loss's nutrition program. It's $49 per month and you get unlimited online groups and classes, including groups run by Dr. Weiner, the bariatric surgeon, and Zoe, the registered dietician. They are both so nice and really helpful in answering questions and offering thoughtful advice. While he's not in your area (the practice is in Arizona), I know he's one of the few doctors out there who is happy to take patients who had surgeries elsewhere. If you're not already familiar with Dr. Weiner's book Pound of Cure, I can't suggest it enough. I bought it from Amazon last summer and it helped me start turning around my nutrition while I was waiting for surgery. Their podcast and video series on YouTube are also invaluable.

The SADI is a modified version of the DS where when they bypass a portion of the bowels they only need “Single Anastmosis,” which means connection and is the first two letters of the acronym SADI, instead of two anastomosis that the DS uses. They are both almost a combination or the sleeve and bypass to simplify it. They combine the sleeved stomach for restriction with the bypassed intestine for malabsorption. In terms of least to most aggressive it’s sleeve, bypass, SADI, then DS. The SADI is fairly new and is considered to be a relatively safe option with that single connection lessening the risk for leaks by at least half and overall risks are less than the DS considering the weight loss is not a lot less. Like the DS it can be done in one surgery or in two steps beginning with a sleeve first and then completing the bypass portion In a second operation later (often after a patient loses enough weight to make the bypass portion safe or as in my case if they do not lose adequate weight or experience regain after the sleeve). You may also see the SADI referred to as the modified switch or SIPS surgery. And the -S in SADI-S just means with sleeve as in when the two components are done at the same time in one operation.

I am a revision so I hwe sleeve 3.5 years ago and it did tend to go in spurts for me too. A few days with nothing lost and then a couple of pounds drop. Or a week or two worth 3-4 pound loss. Apparently that’s not at all uncommon.

Today is my 1 year anniversary since surgery! It has been a wild ride! I am so glad I decided to get the surgery done. I used to get winded just walking up the stairs from my basement. Now I walk between 2-3 miles per night. Next on the agenda, possible skin removal next year and both knee replacements (holding out as long as I can). I have had continuous weight loss, however, I have stalled somewhat but still had small losses during those stalls. Keep on track and use this tool to its full advantages! I have been of Blood Pressure meds since surgery. I may not need my cpap any longer, but I haven't done another sleep study. STATS: I have lost a total of 227.2 pounds: 17.25 inches around my chest 32.5 inches around my belly button 27.25 inches around my waist 6.25 inches around my neck 4.5 inches on bicep 10 inches around my upper thigh 4.25 inches on my calf HW: 469.8 PreOp: 450.6 (19.2 pounds lost) SW: 430.8 (39 pounds lost) CW: 242.6 (227.2 pounds lost)

I was one of those "model patient" presenters at my clinic for the three years before COVID! I loved doing that! I had a partner - a VSG patient (I was RNY). I'd had a stricture at four weeks out - she never had any complications. I'm hoping we didn't sound too "vanilla" - but neither one of us had any issues (other than my stricture - which is a mild issue and very easily fixed). We were both super happy with our surgeries and both lost a ton of weight (she lost 100 lbs, I lost over 200). Although I think people found us entertaining (we were quite a pair!) and most groups asked us lots of questions. We always told the groups about the three-week stall (since it happens to almost everyone, and very few clinics mention it to their patients, so people freak out when it happens to them). Also told them about how we ate a month out, a few months out, a year out (our clinic's plan wasn't low-carb, like many of them are - it was balanced - although even given that, the typical eating YOUR presenter does sounds carb-heavy even to me). We mentioned how we typically eat when we're at a restaurant. Talked about the extra skin (my partner even lifted her shirt to show them her extra skin). Also talked about our experience with hair loss (since extra skin and hair loss are huge concerns among pre-ops). Also talked about constipation (we both have chronic constipation) and how we deal with it. And how we dress to "hide" all the extra skin (although I've since had mine removed). We always mentioned how most people lose their interest in food and hunger for several months after surgery, and how they should milk that for everything it's worth since it's way easier to lose weight when you don't give a flip about food. Basically stuff they likely would not have picked up during the classes they had with dietitian and the health psychologist. when I went through the classes in 2015, the presenter was kind of underwhelming, like yours. I'm sure he would have answered some of the questions we addressed when we were presenters, but he didn't, and the "students" wouldn't necessarily know enough at that point to even know what to ask. Shelli and I decide early on to talk about the issues they SHOULD ask about, but wouldn't know to. P.S. now I'm sitting her wishing I was still doing that - it was great fun! But COVID hit, so everything went online, and they didn't have the "model patient" class. Since everything is in person again, they may have some people doing it, but the two of us are pretty far out now (nine years), so they may have gotten people who had their surgeries just a year or two ago.

Here it’s a BMI of 40 or over or 35 with co-morbidities. I know it probably sounds counterintuitive but I don’t want to lose much more pre-surgery once I get to around 18 stones (252lbs) because I don’t want to run the risk of falling off the weight loss wagon and having it bounce back up again, thus putting any surgery in jeopardy. It’s just a little frustrating when I have no idea when WLS may take place 🫤

That’s the word I was looking for @FifiLux- vanilla. Thankfully just a one-off though you can choose to attend more sessions if you want…I don’t want! As for knee surgery - I was only told to get my BMI down to below 40 and nothing else. After checking whilst at the session last night, dropping below won’t be an issue as my initial BMI was 45.3 when the hospital received my referral from the GP. The fact that I have started losing weight shows commitment, as far as the hospital is concerned, to WLS. The only time surgery would be refused based on a lower BMI is if it went below 30 which I can’t see happening for me!! The Musculoskeletal Therapy team will give me a call around the end of October to see how things are with regards to the steroid injections and physio I should be having by then, and to check on my weight loss so I can be referred. I did say that I hoped to be 40 or just below by this time. I guess I will find out more once I’m referred. Honestly, I would prefer at least one knee replacement before WLS, purely because the recovery from the knee op can be pretty unpleasant and take several months but I know I have to be guided by the hospital with it all. I would like to have at least some movement when the heavy duty weight loss kicks in 😉

I wasn’t really given a post op diet specific to the gallbladder removal either but when I googled it a couple of sites had a post op diet specific to the removal and mentioned the high fat and as well as no caffeine, alcohol or carbonation And slowly introducing fiber. I assumed they didn’t mention itr since most surgeons do not allow any of these Early out anyways but mine does allow a Little caffeine. The latte shake has caffeine. I am truly hoping ir doesn’t cause many issues. Especially with absorption and cholesterol like yours. Mild but slowly increasing cholesterol and knee pain are my two comorbidities and what I hoped to resolve with the weight loss (the cholesterol runs in the family even for thin people though).. Also, if my bipolar meds do not absorb I have no clue what I will do. I don’t even want to think of what a disaster that could be. It’s day 8 now and so far I feel okay. Usually if I miss it two days pills in a row I feel different. My prescribing dr says that they are mostly absorbed by the stomach membrane so I shouldn’t notice much change with my revision since they aren’t touching my sleeve. I just didn’t know to ask about the gallbladder thing. I was in such bad pain when they told me they removed it I I honestly didn’t even want to worry about that part until I was feeling better. It sounds like I really shouldn’t even begin to jump to any conclusions though since you’re and your family’s experience were so different. Maybe more of a wait and see what happems sort of thing and why they really didn’t mention much about it.

Yes sounds a bit vanilla of a presentation and she certainly doesn't sound like the best example, even for someone who had no issues with the surgery or recovery as not giving a great example of how to live life after by the sounds of it. Do you have to go to many of the sessions or is it just a once off? Do you need to have the knee surgery first? I was told I had to lose weight for knee surgery but hospital said to have the weight loss surgery first for two reasons, one to still be considered a high enough BMI (like you I had/have no co-morbidities) to qualify for the state paid surgery and also to release some of the weight pressure my knees are under before going through another surgery.

Hey you! So in regards to the weight loss - I'm actually down 22 lbs since my pre-op liquid diet. I think your results make a lot of sense because the low carb has probably kicked you into ketosis, and you did that pre-op diet for longer than I did! I had also read somewhere that if you get off track post surgery to return to a liquid diet and it will likely jump start the weight loss again, so I bet you've got combined factors going with that. Congratulations! I'm sure your surgeon will be happy with your weight loss as long as you're making or getting close to making your protein and hydration goals

Tonight I went to the required education session that my NHS Trust has as a non-negotiable requirement of being accepted for surgery. I will be honest and say I was left feeling completely underwhelmed with it. There was about 16 of us, all pre-op but at different stages of the required tests etc plus some family members (hubby went with me) There was also a Bariatric nurse, a dietitian and a former patient who had had the bypass in 2022. She explained her journey but it seemed very…I don’t know, sterile? Wrong word I know but I don’t know how else to explain her approach. She’s obviously happy with how it all turned out for her but it all seemed very whitewashed, which I found odd. She only mentioned one case of dumping syndrome but everything else was a walk in the park, which had me internally questioning things. She said she was currently in a months long stall but again, everything was hunky-dory. Someone asked about a typical days eating and it seemed really carb-heavy - toast for breakfast, sandwich for lunch, cheese and crackers for a snack, sausage and chips or mash for dinner etc etc. I asked about what additional protein she had - didn’t/couldn’t answer, asked about exercise - some walking and that’s about it. She mentioned hair loss being an issue but that it all grew back and was great. I know I’m being picky but I honestly wanted a more rounded discussion about of lots of different challenges that we could face with WLS and living the life post-op. I’d say out of the group that was there, maybe 5 had done any wider reading or research. I did find out that the hospitals approach to caffeine post-op is you can have a couple of cups of tea/coffee a day but they would rather patients filled up on foods/drinks that added protein, especially at the beginning. I also found out about the vitamins they give you and that they put the timings on the boxes to aid patients with timings etc, which was useful. Something that was bothering me was if my BMI dipped below 40, would I still be considered for surgery as I don’t have any co-morbidities like diabetes, heart issues etc. I need to get it below 40 before I will be considered for knee surgery, and I’m hoping that will happen end of Oct/beginning of Nov all being well. I was reassured about that, saying that they go off the booking weight reported by the GP when referred initially 🙂 I will be completely honest and say that, apart from some very specific questions I had of my hospital, I actually find this forum of much more use and beneficial to me personally. I have found out so much information from people who are further along in their own WLS journey, plus I know I’ve felt really supported by lots of very lovely and helpful users. There is such a wealth of experience on here that I know that if I have a question, someone will be along to answer it! Roll on the dietitian appointment next week 🤞

I had the sleeve 3.5 years ago and just had a revision to SADI a week ago today so I can answer for the sleeve and the “bypass type” procedure. With one thing to note. I also had my gallbladder taken out this time but it sounds like you would be the one to ask how much of my pain is due to that. 1. I have dentures will the rapid weight loss effect how they sit in my mouth? Does not apply to me 2. What are some of the best Protein Shakes out there in order to ensure I get the Protein I need? Premier Protein is a popular one If you like iced coffee the caffe latte is excellent but it does have caffeine and a lot of surgeons will have you off caffeine at least for a short time if you love your iced “proffee” though try mixing their caramel with decaf instant coffee and having that over ice it’s yummy too beyond that I prefer core power protein shakes by fairlife. Many people love the chocolate and say even their kids drink them as chocolate milk. I prefer the vanilla and their strawberry banana. I also like protein water for the liquid diet when you sorta get your full of shakes The Protein 2.0 in strawberry watermelon is pretty good . All of these are sold at Walmart. The premier protein is cheaper in the bigger packs but is sold in 4 packs and the core power is sold up front in singles and surprisingly it’s cheaper that way . The protein water I think only comes in 12 packs though . I would check a couple convenience stores for it first if you just want one to try. 3. How long were you down after surgery? How long until you started driving again? The biggest thing that will determine this will be whether you are on pain meds. After my sleeve I refiused pain meds even in the hospital but what I learned after my revision is that the most painful part for many is the trapped gas . After my sleeve I had no gas at all and I went home the next day on Tylenol. I could’ve driven right away if I had to. But I just got lucky because plenty of people with sleeve do have gas and incision pain. Post revision, I had a lot of gas pain and ended up staying 5 days starting off on morphine and oxy every two hours because the pain was horrible. Finally on day 4 I passed gas and realized that was the majority of my pain. Each subsequent toot brought more and more relief and I had about 7 big ones that one morning which I joke and say were life changing. I was able to cut back to just the one pain med less often and in a smaller dose immediately. Spent one more night and went home with normal post op pain script which I took one pill before I realized that the pain was mostly when I got up and down and the pain meds didn’t do much for that anyways and I wanted to be able to drive so I said I was gonna just take it at night but I forgot and then realized it was just silly to take it if I made it without. I did drive without issue on post op day 6 but honestly I did feel pretty fatigued and just wanted to get home. Some people are at a whole other extreme though and they do have a great deal of pain even after they are home and it lasts a lot longer. Long story short I can tell you my experiences but unfortunately no one can really predict this because it is honesty all over the map. 4. Did you have a person helping you with after care and if so, how long? Just my husband both times who is quite possibly the worst nurse ever. Didn’t need much of anything the first time except for things that require lifting, bending and straining this time I did need him to go and get things for me a little more. They want you up at least every two hours walking to prevent blood clots though so as long as something is within reach you can get it yourself. 5. I am disabled due to a nerve disorder; Is there anyone here who has a disability that has gotten the sleeve and how was your recovery? This does not apply to me BUT I know that a lot of diseases and disorders resolve some of completely with weight loss so this is certainly something to ask a surgeon about.

lol. I am SO not superwoman. I have bipolar disorder and I have been on medication for years but I still struggle a great deal with the depression part. My weight gain after the sleeve surgery just amplified things for me and I had let my house go for so long. I guess the anticipation and hope of the future loss sparked a little motivation and then the nervous energy kicked in which mimicked the super woman you guys got a glimpse of. I also have ADHD so as much as getting organized seems impossible for me, being that was makes my life so much easier. I used to have it halfway together though before the weight issues and i really hope to get back to that point at least. I think that’s why I’m so afraid of breaking my momentum. It was just starting to feel a little like home again and it was so peaceful walking through the doors to a house with some order to it. I so badly don’t want to let it get back to the way it was I think this weekend I’m just going to ask my husband to do a few things that I can’t do. I think he will get it if I tell him how I feel.

I can answer a couple of your questions. Yes, you will likely need to get your dentures re-fitted. I’m a nurse and have patients who have had large weight losses and they have needed to have this done. Protein shakes will depend highly on your taste. What tastes good to you now may change post op. I wouldn’t buy a large quantity of anything, Rather, just a single serving to try out post op. I personally really like the premier and fair life protein shakes, but others hate them. I took three weeks off work, but could have gone back after two. I really only needed someone there with me for the first couple days then would have been fine on my own. The sooner you get back to gentle activity, even just day to day care of yourself, the quicker you’ll recover.

I can't speak to most of your questions, but I do know that the Premier Protein product is some of the better protein shakes out there, and you can get them anywhere (Walmart, Amazon, etc.). If you prefer a vegan choice (not whey protein) I like Evolve Protein (which I usually buy from Amazon). If you want to stick with the "medical" protein shakes, you can go to https://www.go4ithealth.com/ as they are the retail site that sells all of the Numetra weight loss products (most hospitals sell you the pre-op diet and a lot them use Numetra for that), you will need a blender bottle for them though whereas the Premier and Evolve and ready to drink (RTD). I can recommend a really good blender bottle called Helimix (I got it on Amazon - sensing a theme? LOL), it doesn't use a blender ball just physics. 😂 Either way, good luck with your journey!

I think the revision has just kickstarted the weight loss again? I'm still pre-op, but I think if you've had the sleeve years ago, the body might be acting as if it's a new surgery? But congrats on the new progress!

Thank you! And god yeah I am over the moon I can stop taking it 😂 Though we shall see how my tummy deals with the Forceval haha! It feels like no time at all, but also such a long time too - it is very strange! And definitely, I feel a sense of loss for the old me, and how bad she felt all of the time. I am needing to take some more full body pictures & to do my measurements but I keep forgetting and getting distracted by Animal Crossing 😂

I had a revision surgery from sleeve to SADI a week ago today and I am a little concerned about how fast I am losing. Between the pre op diet and now I have lost 26 pounds. I think 14 pounds Pre Surgery and 12 this week. What’s odd is that the surgeon warned me that with it being a revision my loss would be quite a bit slower than with a virgin surgery and I don’t think I lost quite this fast with my sleeve. Obviously I want to lose And the faster the better so long as it’s still healthy. I have my first post op tomorrow and I plan to ask the NP but I am just curious to hear what others here have experienced. Maybe I’m worrying too soon. It could be that everyone loses this quick this early out regardless of vigin surgery or revision. It’s just something on my mind and I’m curious about what others experience has been with revision surgeries. Did you lose pretty quickly the first week as well?

So glad things went well for you at your follow-up appointment and you can stop taking lansoprazole - hurray!! It’s amazing how much has changed for you in such a short space of time, and will continue to change for quite a while yet. I think it takes a some time to find your feet when you have undergone some transformative weight loss, plus I also think there’s an element of mourning the person you was and not being sure about the person you’re becoming. I hope you’re documenting your experience, just so you can look back on your journey when things get difficult or you get fed up. It always helps to have something to guide us when we’re feeling out of sorts, or the dreaded stall look’s never ending! Well done on your journey so far 👏👏👏

If it was the “easy way out” then people like me wouldn’t need revision surgeries. It’s just a tool and if you don’t do your part it doesn’t work so it’s certainly no magic wand. Don’t wait until your body is in worse shape. Your still young and with a little help you can change you life significantly. Aside from the fact that they are wrong scientifically and statistically, so what if it was the “easy way out.” Do these people bear their clothes against rocks or use brooms instead of vacuum cleaners? Do they believe that power tools are the easy way out and refuse to use them? The fact is housework still sucks and carpentry is hard regardless of whether you have the best tools or not. if you think of weight loss As a task like laundry, surgery would be the washing machine. If you only had one or two loads to do you could probably get it done by beating it on rocks and avoid the need for a special machine but when you are obese and have a lot more loads to do you need a washing machine to make it possible to get it all done. The surgery is just a tool. Just as you don’t wake up from surgery never having to do laundry again, you won’t be able to lye around and eat bon bons and just lose weight. If you don’t do your part for laundry your washing machine will just be a dusty machine in the corner and your laundry will pile up. And like me if you don't do your part with the surgery, you won’t lose what you should and the pounds will start to pack back on. Be kind to yourself. You have a very complex disease that requires medical intervention. An intervention that you deserve just as much as someone with heart disease needs medication or surgery. Don’t let the ignorance of others stop you from doing what is right for yourself and your life. You deserve all the help you can get to accomplish whatever goal you set out to do and anyone that says that they wouldn’t do the same thing is not really putting themselves in your shoes.

Hey everyone, I am new here and I am getting the gastric sleeve done. I am on my journey to become a healthier me after I had a doctor tell me to my face that I am too fat to have my hernia surgery to repair it from when they took out my gallbladder. So here is a list of questions some might be able to help me with. Yes, I know I can ask the doctor but unless they have lived thru it, they can only speculate on what could happen. 1. I have dentures will the rapid weight loss effect how they sit in my mouth? 2. What are some of the best protein shakes out there in order to ensure I get the protein I need? 3. How long were you down after surgery? How long until you started driving again? 4. Did you have a person helping you with after care and if so, how long? 5. I am disabled due to a nerve disorder; Is there anyone here who has a disability that has gotten the sleeve and how was your recovery? I am sure there will be more, but these are the main ones floating in my head right now. Thank you in advance for taking the time to not only read this but answering any question that you can. Also, all advise is accepted.