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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 had gastric bypass in July of 2019. Highest weight was 400 before losing a bit on my own. Current weight varies from 167 to 173. I still feel some restriction to this day. My meals are usually small although I know we can all 'eat around' the restriction by eating smaller, but continuous meals and this was a slippery slope I fought back against. About 2 yrs ago, I started having right sided pain. It felt like the pain I used to feel when I ovulated so I assumed it was ovarian. Saw OB & had 2 ultrasounds and they couldn't even see right ovary (and the left was fine. Since they couldn't 'see' the right one, they said that was good since there was no obvious signs of..I don't know tumors, growths? The pain continued to worsen & I finally had gall bladder taken out 1.5 yrs ago. I adjusted diet again to deal with gal bladder being gone and things seemed ok. A few months after that the right sided pain returned. About 4 mos ago, the pain got so bad at times I'd be in a ball on my bed considering going to ER (which I HATE doing). Went back to primary got CT scan. CT came up with no findings. Then he referred me to GI doctor for colonoscopy & upper GI. I thought finally 'this was it, we've ruled out most other things'. I also had seen blood in my stools and it was old blood, like coffee grounds so I thought ok, not hemorrhoids? Just got back home from colonoscopy & upper GI. I thought doing prep was bad yrs ago, but much harder having had bypass surgery. Good news is no polyps or other concerning things. Bad news is main finding was on bypass "Patient's surgical anastomosis noted to be widely dilated, raising possibility of Dumping Syndrome as a cause". OK, most know what dumping is. I thought it was post surgery when we ate food (i.e. sugar, high fat) that processed too fast, etc. and you had dumping. Is the type of dumping they are alluding to different from our post surgery dumping? They recommended I see gastric bypass revision specialist. Has anyone else had revision NOT due to 1st bariatric surgery not being successful but for a "medical reason" like this (other than GERD, heartburn). I'm not even sure insurance will pay, but I have 2 yrs worth of history on this pain. Even it if does pay, I dread what this means for me - more hair loss? If I do this, will I need another revision in 5 yrs again at which point I'll be getting up there in age. I also still feel restriction kick in although yes, nothing like 1st 2 years My highest right now hovers at 173. I hoped I'd get to 150 but closest I've come is 167-168. Is revision another 'nuclear detonation option'? I've also wondered with the CT scan, etc. is there any chance of some straggler/stone from my gallbladder surgery 1.5 yrs ago that should be considered? Should I post this in the revision group instead? I read through some and was unsure. Are we allowed to cross-post? Any input would be appreciated. This is causing issues on my job as the pain hits out of nowhere (not X amount of time before OR after a meal, that I have been able to discern. Thank you!

Thank you!! I am incredibly happy. Getting my Vitamin D from 13 to almost 100 has done wonders for my depression. The extra energy DOES feel amazing, especially because I have Chronic Fatigue Syndrome and I never really expected the surgery to impact that favorably. The first 4 weeks were hard energy-wise. I remember how exhausting even taking a shower was until I was past a month out. Bariatric surgery is major surgery and it takes our bodies a while to heal from that. Add in our dietary restrictions as we slowly incorporate food again and it is a great recipe for fatigue. I'd say by about week 8 the nausea disappeared and I noticed I was gaining energy steadily. I could stand in the kitchen and cook. I could go for a short walk. I could shower and actually leave the house without a nap first. I had not been able to do those things in several years so it was a striking difference. Hang in there!! It is a good sign you feel about back to normal energy-wise right now! Yes, according to everything I've read, the goal is 50% by 6 months for a DS surgery, so I'm ahead of my goal. I really hope things continue on steadily. A lot of people lose a chunk early on and then taper down slower after month 3. My body doesn't like to follow general trends, so I stalled out for most of that time and then suddenly my weight loss sped up! It is quicker now than it has been since about a week post op. Isn't that funny? Everyone's body has its own rhythm. It is so, so hard to trust that, but it seems to be true the more people I see go through this surgery.

I have yet to get a date. I was trying for the Duodenal switch. Insurance denied, it was expected since that was the only bariatric surgery they don't cover, but it was worth a try. Resubmitted for Rouen-Y gastric bypass. Should hear back in a week or so. Hopefully I can get a surgery date in February.

Hello @Averdra ! I'm so glad that you decided to speak up and join us! I feel honored to have helped inspire you - I was a big RP junkie on WoW and it even overflowed to Tumblr there for a while, for me Man, Covid is such a bear to deal with! I completely feel you on the delay - My 24 year old son moved from Missouri to Portland Oregon in the summer of 2021 and I was BEYOND excited for him to come visit me last fall. The date approached; and I got Covid for the FIRST time about four days before he was scheduled to land. It was heartbreaking to have to socially distance visit with him; he still wanted to come to be able to see his Granny and other family, plus had everything scheduled off work at that point. We risked ONE hug with my double masked, wearing plastic gloves Stupid Covid, screwing things up! That said - yeah, the dehydration weirdness that Covid can cause and the cough - it's so much better to be safe than sorry. Hopefully yours passed quickly without any lingering negative side effects. Welcome to the club, fellow WoW nerd! You certainly don't need to worry about 'jumping in' - we're all going through this at our own pace and the conversation it TOTALLY open! To @draikaina8503 - Yes, you DO got this! You're so very close now! Don't forget (if you're going to!) that this is the time to take those post op photos and measurements! We're here cheering for you to have as pain free a surgery process and recovery as possible Enjoy your sugar free popsicles if you're allowed them - not sure if it's allowed in the clear liquid state. Also, I will say that when it comes to the shakes try to prepare yourself some variety, if you can! I ended up doing french vanilla and chocolate for several days and thought I was going to lose my mind! I'm way regretting all this 'cream of' soup that I got because they just taste beyond awful to me (maybe it's the 98% free? Idk.) and wishing I'd gotten more chicken noodle soup to strain. I got a container of chicken broth but it tastes SO plain. @Onemealplan - I meant to comment previously - I've been having a lot of upper left shoulder pain as well. I wonder if maybe I had a nerve block as well - my pain hasn't been severe unless I move wrong or stand for too long trying to DO something like cook for my family, Your suggestion of a thermal cup dinged a bell for me - My fella has one of those I'll totally be using! Oh and @ShoppGirl that IS a really good idea, with the warmer. I had already been thinking along those lines but I figured I'd just set my little plate on a heating pad turned on high lol Welcome and congratulations on getting your surgery date, @caseyash30! It will be here before you know it! I just woke up from a nap and I'm pushing my limited a little to have something NOT a shake - I stirred a little bit of low fat cottage cheese in with some of my sugar free vanilla yogurt for variety. I'm mashing the heck out of the cottage cheese part and eating super slowly while also sipping a little bit of chicken broth I warmed up SLIGHTLY and added a touch of salt to. Hopefully everything sits right; so far so good. Other than water and splitting a Strawberry Premier shake 30g Protein between breakfast and lunch this is the only other thing I've 'eaten' today. I know I'm not 'graduated' to puree yet but good gravy I've been following everything to a T as far as instructions. I may have missed someone here - Oh! @ShoppGirl - Thanks for sharing a bit about yourself. To ME you seemed like Superwoman getting everything so prepared - and I completely understand that anxiety that the progress you made will be lost. I'm cheering you on and betting it won't, though! Every friend of mine I've seen go through Bariatric surgery so far ended up finding themselves bursting with energy by about month 3, and they really threw themselves into cleaning and organizing in an effort to keep busy. I've struggled with depression, anxiety, and overthinking, so I am hoping the same for myself! I didn't get as much pre-cleaning done as I would have liked and as expected, looking at the clutter is driving me up the wall! On the upside, having these mobility issues has clued me in to a few that I've now taken steps to solve for my Mother, who I live with and help care for. She was always reluctant to take regular showers and I didn't understand it until I went to shower myself and it occurred to me - the grab bar on the side of the tub is totally inadequate if you are unsteady, and there needs to be one mounted to the wall. I've already taken steps to make that happen and am very glad that this afforded me the realization @Pepper_No_Salt - Woot! You're so close as well! I hope the liquid portion of your pre-surgery diet goes smoothly and we're here cheering for your surgery and recovery to be as gentle and painless as possible! @AndreaJD - Congratulations on getting through it! Yeah, the gas pain can be SO real. I hope your recovery is going smoothly! Congratulations to @Everyone on your progress, again, sorry if I missed anyone!

I had surgery on 12/4/23 and I’m currently down 58 lbs. I’ve hit a few stalls and it seems like I’m not losing much at all anymore BUT it’s the non scale victories for me honestly. Like clothes fitting loosely. Joints feeling wonderful. Energy levels finally returning. Stairs being easy!! Confidence levels rising!! I’m feeling happy and healthy. Honestly choosing to enjoy this whole journey to better myself and my habits has been the biggest key. You have to change your mindset. I think the stubborn belly fat is the last to go for most all of us. I got a facia roller… I use it about every other day on my stomach, thighs, and batwings lol and I think it helps break up the tissue and my skin is appearing smoother. As far as others not noticing… it sucks but sometimes when you see someone daily you don’t notice changes. It takes time away that creates the shock. Don’t let that deter you or make you feel like this whole process has been worthless. You’re doing this for you! No one else! Also, my doctor seems to be the only one that would prefer me to fast and only eat once a day. He says to focus mainly on protein, but never gave me a daily goal. I eat what fills me and then I put whatever’s left away. Feeling the need to always finish my plate is what got me in this mess in the first place. That’s why we are suppose to be taking our bariatric multi daily. To help assist with nutrients we can’t fit. You’re doing good. Keep up with your routine. You won’t be disappointed!

Okay now that I’ve told my regain story and done as much research as I can (there is not a ton of info out there about the SADI) I have questions. Some that are white awkward tk Ask the doctor. First and foremost is how many of these procedures he had done. He is a very well knows surgeon, head of the bariatric department at the hospital even but I don’t think he has done a lot of this particular procedure. In fact the poster schematic is not yet on the wall and his office did not have any information packets to share about the procedure yet. If he says I am first I want to ask what makes him comfident he is capable? I’m pretty sure he just does sleeve and bypass primarily. So how differnt is if than a bypass?? I sorta understand the gist of it but I admit I don’t understand normal anatomy nevermind the exact differences between the procedures. also, I read some medical research on the procedure and they were talking about less complications after the learning curve a couple years later. Did that mean the individual surgeons learning curve or did they mean the field has learned from each others mistakes. I have to admit maybe being in the first few adds a little bit more anxiety to all this. Next I need to ask him, if he made my sleeve to big if he will correct that as well I have always felt like my sleeve was a little larger than everyone else’s based on how much I could eat so if he gets in there and that’s the case does he fix that as part of the procedure if so, is that now a differnt procedure and does that matter? I am not expecting anyone to know answers to these questions just help me with the way to word them so that I can feel comfortable asking I don’t want him to think I am questioning his surgical skills because I know he is really good but I still need some reassurances here

I didn't have issues with the surgery but had the same because of Pneumonia. To make matters worse I was abroad with a language barrier. I had to learn to sit, stand, walk and feed myself again. Even talking was difficult because of all the time the ventilator was in. I was in hospital 5 months. I had a long time to think about things. It was very tough on my family. So with bariatric surgery you get the natural regret for the first weeks of recovery because its a massive new learning curve and then you have all this other stuff that has happened to you, and oh boy its scary. Give yourself time to let your brain process what has happened to you. Yes it was a lot BUT you have survived. You cant go back and change your actions so look to the future and embrace every new day you have been given.

I started taking my bariatric vitamins back when I got my original surgery date, in October, I think. I take the Celebrate One 45 chewable bariatric vitamin and 3 Celebrate calcium chews (fruit flavored, delicious!) per days, as well as lutein and omega 3 supplements that were recommended by my eye doctor (not weight related), and half a biotin chew because it can't hurt, right? I started early strictly to get into the routine. My memory is shite and I wanted to have it be second nature by the time I truly needed it. I do also add a scoop of collagen powder to my tea in the morning and I use retinol body and face creams, but that's more an anti-aging thing as opposed to loose skin prevention. As everyone has said, the loose skin and hair shedding is kind of unavoidable. The supplements, at best, are hopefully to ensure the new hair growth is as healthy as can be. I wouldn't go with expensive "miracle" products because they probably won't live up to the hype or the cost, but if it's in the budget to get a few things that make you feel better, it also can't hurt. I mean, peppermint and rosemary just sounds lovely. Even if it doesn't do a lot, it smells like heaven!

Just wanted to say I'm starting Day 13 of my 2 week preop liquid diet and it's not so bad at this point. I mean, I wouldn't recommend it to friends, but my energy levels are good and the hunger isn't terrible. The first few days I was tired and cold all the time, but it is winter and I live near Boston, so cold comes with the territory. 4 weeks would be hard, but you can do it! I suggest getting any source of temptation out of sight, and keep yourself busy. Also, if you're like me, you will start thinking of the most random food-related things, like a food you like or a restaurant you went to one time 10 years ago, just totally out of the blue. Avoid cooking shows. I stupidly was halfway through an episode of Great British Baking Show before I realized what I was doing! OMG, why am I watching someone cook a tart right now?!? If you're allowed it, get the chicken soup flavored shakes (I know Bariatric Fusion, Unjury, and Celebrate have versions, if those brands are available to you). That has been such a life saver as I'm really tired of everything being sweet. Sugar free jello is lovely and only 5 calories, so it should be fine for you to have. It's almost like chewing, sort of. Good luck!

Bariatric surgery is a permanent change in your digestive system that requires following a specific diet plan that may interfere with operational deployment. Active duty service members who have bariatric surgery can't re-enlist. Service members who receive bariatric surgery while on active duty may be separated. I found this on the tricare website

I thought about this a lot when considering surgery. I talked to my surgeon about it and he said as long as I ultimately live in a city where there is at least 1 surgeon trained in my particular surgery (the DS), he'd feel comfortable doing the surgery. Fortunately I knew where I'd be moving in the next few years (New Zealand) so I can ensure that will be the case. I also tend to travel to major cities instead of obscure, out of the way areas. But my surgery is rather rare, so it does limit my options some. You however are getting the bypass. This is a very common surgery the world over. We have members here from all over Europe (and other places) and they don't seem to be lacking in care. Though their post op diets can be pretty entertaining! LOL If you were looking to go to a rural area like a small village in Africa, then I'd have reservations. But these surgeries are commonly done in the UK, France, Italy, and Spain. I don't think you'll have an issue getting care in any major city in these places. Again, I can't really account for rural areas, but I have met people in the UK, France, and Italy that have had WLS and while their options for shakes and vitamins may be a bit more limited than in the US (usually due to the artificial sweeteners allowed in that country) but they didn't seem to me like they were struggling to get care. I'd scout out a few bariatric centers in the areas you are considering and see if they offer your surgery. When you pick a place you could consider emailing to ask what their aftercare looks like for a client that may be coming to that area post-op and in need of follow-up care. Then have a look at the travel medical insurance policy you are considering and check to see what (if anything) it says about bariatric care. Keep in mind the medical complex in other countries is structured differently. Some places (like the UK and NZ) rely very heavily on GPs to coordinate care and specialists, even moreso than in the US, so they may ultimately be the ones monitoring things like labs, and then refer you out if you need more specialized care.

August 7th isn't too far away! You're close to the preop diet. I started mine a few days ago and it's testing me, but I knew it would. If I were a smaller person, I don't think it would be such an issue. If I weren't having appetite issues even before the diet, things would be easier, too. What's helped has been sipping on broth or slurping on sugar free Jell-O all day. I go slow with those so it feels like I'm eating/taking in more than I am. I'm only nervous about one thing: the gas pains immediately after surgery. I've never had surgery before, so I am not sure what to expect. I want to have a realistic expectation of pain before experiencing it. I know I will handle it better that way. Luckily, I have a few family members who have had laparoscopic procedures before and we willing to be honest about the experience. I've been avoiding stories online of others' experiences of that moment, because we all have different pain thresholds and it's too easy to go down the rabbit hole of scary stories. Especially with AI/algorithms thinking we want to see the worst of the worst. I want to share why I made my decision to have the SADI-S vs a sleeve or bypass. While I cannot speak to what things will be like after surgery, I am confident I'm making the correct decision for myself. I'm in my 30s with no kids, but would like some. I have been struggling with my weight ballooning up and down for the last 20 years. At my heaviest, I was over 320 pounds. I hit that as I made the decision for surgery. I didn't know what surgery I wanted, so I started doing research into the best bariatric surgeons in my state. I read through their websites and looked at reviews for the surgeons through my insurance provider, google, yelp, and other such websites. Then I asked a few friends in the medical field which doctors they would want doing surgery on them. All of that narrowed my list down significantly. I ultimately went on gut instinct and don't regret it at all. My surgeon is amazing. Her teams is extremely supportive. Here's some information she gave me on my options: -- Gastric Bypass: She does not recommend the procedure to any patient. It has more points for potential surgery complications and, in her medical opinion, the highest chance for weight regain. -- Sleeve: potential to lose 70% of excess weight. Less than 1% chance for complications. -- SIPS/SADI-S: potential to lose 80% of excess weight. Less than 1% chance of surgical complications. I want to have children, and she advised that the SIPS/SADI-S (there really needs to be a better name for this) is the best choice to allow me to get pregnant a year or so post-op (depending on how I'm doing) and reenter weight loss when appropriate post-birth. I will have to work very closely with my weight loss team throughout the entire pregnancy, but it really feels like a bonus to have more support. My surgeon's office also recommends patients to very talented specialists for all surgery clearances. They all treated me like they were part of a huge team dedicated to helping me get through surgery clearance. It was amazing. I was given a packet with all the possible issues I might encounter post-op, what can be done if they happen, and how to avoid them in the first place. When I read through it spelled out in black and white, it's easy to see what my life would need to be to avoid a horrible experience. The most embarrassing ones are noted as being most common with gastric bypass than sleeve or DS. Most of these complications can be avoided by chewing well, not drinking during meals, and not overeating. One of my doctors said I am going back to being a baby again, digestively. I will need to reteach my body how to process what I eat and not be afraid to push back milestones if I'm not ready to start the next leg of the journey. I'm definitely anxious. The unknown is always scary. I'm confident at the same time because of the team I'm working with. And because of the support I have at home. I know I'm extremely lucky to have the surgeon and support I do. It's definitely a burden to afford this surgery right now, but I don't believe I will feel that way in 5 or 10 years.

I have been struggling with how to tell my family and friends about my surgery. It's not even because they would judge me, it's kind of the opposite. My brother was super skinny until about late high school and then struggled with weight gain and loss for years. Then 6 yrs ago he got the gastric sleeve and after seeing the results, my parents immediately looked at me and said I should do the same. I have always been bigger and curvier than everyone in our family, which is hard to ignore when you're an Asian girl (I'm not stereotyping here. They are all under 5'5 and the largest cup size is a B). While it has hurt me, it also pushed me to find a version of myself that I can accept and be happy with. Oddly enough my existing health problems (which are mostly the known side effects that occur from wls) stem from a blood disorder from birth and I don't suffer from the common issues from obesity like diabetes, high blood pressure, high cholesterol, etc. Having dealt with a number of specialists and doctors over the years without any real solutions, I eventually decided to consider bariatric surgery this year. I planned on telling them about it after I had recovered, but it has been rough and I am still undergoing further tests and treatment. My brother gained a lot of his weight back while my sister has pushed herself and lost weight- both about the same amount that I have lost in a few months. I don't want either to feel shame or resentment towards me, not that I can control that. It looks like I may have to go back into the hospital a 3rd time and get my gall bladder removed. How awful would it be if I lied and said that is the reason behind my weight loss? My family knows that I have been dealing with stomach problems and pain for years. I'm also losing weight much faster than the doctors expected due to this, in addition to nausea, and we're trying to figure how to slow it down. I HATE attention and it's getting harder to try and hide how different I look. Any advice or motivational speech from anyone would be greatly appreciated! 🙂

Is there anybody that has marketplace insurance that covered Bariatric surgery? If so, what insurance did you get?

I'm only four months post-op and have lost 65lbs as of this morning. I've been trying to maintain 900-1000 calories per day with a minimum 70g protein and trying to limit carbs to 50g or less and fat to 35g or less. At my three month post-op consult with my bariatric nutritionist, she was satisfied with those numbers and was happy with my weight loss progress to that point, which was 48lbs. I'm currently riding a plateau and have only lost 3lbs over the past couple of weeks, but it's my second one since surgery and while frustrating, I know it'll pass.

It really is amazing to see how all the different doctors approach the pre diet, surgery, out patient vs hospital stay, post diet length of phases, what you can eat, what you can't in each phase. Of course we probably all think / hope that our own doc is doing it right. I'm trying hard to follow my doctor's course, even though when I read where some of you are, it gets difficult. Had first puree tonight (cheated by starting 12hrs early.. Oh well!) It was really good but really surprising how different your stomach reacts to it. I was definitely full after a few teaspoons as compared to eating pudding. I have a nutribullet, so you really end up making many servings so there's enough volume to puree. The mental part of the recovery has been awful. Hoping that being on the puree for the next two weeks will start to bring up the mood. FYI.. My insurance doesn't cover a nutritionist/dietician. Some of my doctor's dietician appts are considered part of the procedure and thus discounted cost. I paid almost nothing for the procedure itself, but not the dietician part. I looked online and found Health Loft. Many insurances cover them, including mine. They advertise as services for eating disorders, but they also have specialists for bariatric. It's virtual. Now I can use a dietician and get some counseling for many more visits as I try to change my life. Even though I've known for decades how I should be eating, I need all the help I can get.

Thanks for the reference. I ended up having a capsulorrhaphy procedure on my right shoulder about two months after my VSG surgery. They also repaired the labrum, rotator cuff, and she spent over 45 minutes just cleaning up the bursitis. She put in 4 anchors during the procedure just to try and stabilize the shoulder. I used Alison Cabrera @ UTSW, and would highly recommend her. I ended up on daily hydrocodone just to get me to that surgery, however, I was still able to maintain my daily steps. Shoulder surgery is no joke! And this was all done to try to get me another 10 years so I can get reverse shoulder replacement 😐 My range of motion is limited now, but that was to be expected. I'm doing my best to protect my left shoulder so I can avoid surgery as long as possible. I've finally gotten used to sleeping flat on my back. For VSG follow up, I ended up about 80lbs lost. Right now I'm sitting about 75lbs down (gained 5lbs back) as I am noticing I can eat a little more (but still really restricted). I have a little anxiety about that as I am just over 10 months post VSG surgery. The last thing I want to do is undo all of the work. I'm still staying positive and using the Streaks app (iOS) to help with motivation (70K steps a week, plus 360 minutes of workout per week (includes walking)). I need to get back into putting all of my food into the fitness pal app. After the VSG surgery and the shoulder surgery, I ended up in a depression. Talking with a therapist who had experience with bariatric surgery helped. I don't think it was a depression just because of the VSG. I'm sure the chronic pain followed by a shoulder surgery (sling for 6 weeks post-op; and PT for 5 months) contributed significantly. As I mentioned previously, make sure your are taking care of your mental health. @Humikrig Good luck on your surgery!

It sounds like maybe you would benefit from a stricter routine. At least, I know I tend to flounder when I am just let loose without many rules. If I have to figure out what to do every day and each day is different, I get totally off track with stuff. But when I get into a routine, it's way easier. I haven't gotten off track yet simply by virtue of not being able to eat very much right now, but I know that establishing habits and routines is the most important thing for me to do before I get to the point where I could. Here are some suggestions, just in case they help! Put your full week's worth of vitamins in a weekly pill case (I use this one: https://www.amazon.com/gp/product/B0C6XZN1YH). It's especially helpful if you get the kind where you can take the day's box with you for those later in the day doses like calcium. Make the same thing for breakfast and lunch every day, or have a rotation of things you can do that are all close to the same in protein value. Plan a dozen dinners that are also roughly the same in protein. Add them up and make sure any breakfast, lunch, and dinner chosen from your repertoire will hit your protein goal. If not, plan for a snack or two in the same way. Don't eat things that are not nutrient dense, and if you do have a treat on occasion, make sure you're limiting yourself to once a month, not once a day! (And if you happen to love chocolate, consider this for one of your daily calcium supplements: https://procarenow.com/products/calcium-dark-chocolate-500mg-calcium-500-iu-vitamin-d) Consider getting something like the Portion Perfection plates and meal prep containers if you struggle with portion size Buy a bariatric cookbook to help with food choices and portions Put your gym or exercise time on your calendar and treat it like you would a doctor's appointment (I struggle with this so much) Or, if you hate the gym, choose exercises you'll actually look forward to. Going to a gym is not a requirement but moving your body is. Put all your reminders for vitamins, mealtime, snack time, and exercise time in your phone so you get reminders

I'm sorry to hear you we're denied. Just keep pushing them. It amazes me that insurance companies refuse to pay for bariatric surgeries and weight loss drugs BUT have no problem paying for a lifetime for the health consequences of being obese. I know I'm going out on a ledge here for potential condemnation but..those same insurance companies will pay for gender reassignment surgeries AND reconstructive "cosmetic" surgeries for gender reassignment (that in the long run is cosmetic to align with how patient perceptions are - no different than skin removal mentally) but they won't pay for some just as necessary bariatric surgeries and skin removal surgeries! Both can be mentally debilitating! I always thought perhaps a class action lawsuit forcing insurance companies to pay for these things is what's needed. No one elects to be obese and insurance companies treats obesity as "its your fault" you're obese so they won't pay. I wish you luck, preserver and eventually you'll get it! Lastly, I'm told bariatric surgery is cheaper in some states if you have to pay yourself, so shop around and research research research making sure you have a good bariatric team! Also, make sure that if you do go out of state that they don't have a long travel restriction like mine did (90 days) first! Good luck!

I would suggest maybe asking them why your fat target is so low? Is this a temporary target? Most studies now are showing we need 30 grams of fat for healthy brain function and more like 50-60 grams of fat for proper sex hormone function, regardless of our caloric intake. I asked my dietician about this and she said the ASMBS (American Society for Metabolic and Bariatric Surgery) suggests a fat target of 60 grams daily by 1 year post op. I can't find a reference to this on their site because there it is behind a member wall, but your dietician should have access to this and it is the guidelines most good programs follow. By all means, follow what your team says, I'm not saying to ignore their targets, I'm just pointing out with fat that low you may experience brain fatigue, dry skin, dry eyes, and your meals may not feel as satiating since getting enough fat is a component of satiety. But other than that your numbers look amazing for how early out you are post op!! Your surgeon should be thrilled you are able to get that protein in, it is soooo good for wound healing!

Long story short - had gastric bypass in July of 2019. Highest weight 400. Current weight 167 to 173. I still feel some restriction to this day. Meals are small and I don't eat high fat, high sugar food. 2 yrs ago, I started having right sided pain. It felt like ovarian pain so saw OB & had 2 ultrasounds nothing showed up there. Pain worsened & had gall bladder removed 1.5 yrs ago. Adjusted diet again to deal with gal bladder being gone and things seemed ok. A few months after the right sided pain returned. About 4 mos ago, pain got so bad at times I'd be in a ball on my bed considering going to ER (which I HATE doing). Went back to primary got CT scan. Nothing found. findings. Then he referred me for colonoscopy & upper GI. I thought finally 'this was it, we've ruled out most other things'. I also had seen blood in my stools and it was old blood, like coffee grounds so I thought ok, not hemorrhoids? Just got back home from colonoscopy & upper GI. Good news is no polyps or other concerning things. Bad news is main finding was on bypass "Patient's surgical anastomosis noted to be widely dilated, raising possibility of Dumping Syndrome as a cause". OK, we know what dumping is. Thought it was post surgery when we ate food (i.e. sugar, high fat) that processed too fast, etc. & you had dumping. Is the type of dumping they mention different from post surgery dumping? They recommend I see revision specialist. Has anyone else had revision NOT due to 1st bariatric surgery not being successful but for a "medical reason" like this (other than GERD, heartburn). I'm not even sure insurance will pay, but I have 2 yrs worth of history on this. Even it if does pay, I dread what this means - more hair loss? If I do this, will I need another in 5 yrs?. I also still feel restriction kick in although yes, nothing like 1st 2 years My highest weight right now hovers at 173. I hoped I'd get to 150 but closest I've come is 167-168. Is revision another 'nuclear detonation option'? ANYONE have a revision specialist in the North Texas area they can recommend so I can at least get a consultation (north texas = Fort Worth, Dallas, Arlington, Keller, Bedford, Euless, Hurst and Denton) I've also wondered if there is a chance of some straggler/stone from gallbladder surgery 1.5 yrs ago that should be considered? Any input would be appreciated. This is causing issues on my job as the pain hits out of nowhere (not X amount of time before OR after a meal, that I have been able to discern. Thank you!

Also, contrary to popular belief, it is VERY hard to stretch out your stomach with the sleeve surgery!! This is because our sleeve is made out of stomach tissue that is less stretchy than the rest of the stomach. It takes months, sometimes years, for it to relax enough that you can eat your normal bariatric portions. And some people always have high restriction... But even when you can eat bigger portions, it is still rare to stretch out your sleeve. Most stories you hear of it are from people whose first sleeve surgery wasn't done properly. Or else they were overeating by a significant amount at every meal over a loooong period of time! My surgeon told me this is actually quite rare, because the less stretchy stomach material means you are much more likely to just vomit if you try to overeat than to actually be successful enough with it you stretch out your sleeve. I found that very reassuring!!

My mom had gastric bypass a few months ago. Her doctor wanted her to have it because she was Type 2 diabetic and in danger of a lot of other health issues that would be solved by losing weight. She is 69 years old. Things were going well at first - she felt well, she was able to eat as needed, and was losing the weight. She is about 5'5" and I'm not sure about her current weight, but she's lost quite a bit and can now fit into like size large in women's (she was at a 2XL or 3XL before). But recently she has become very weak and has fallen several times (which is dangerous at her age). She went in to the doctor and they were initially convinced based on scans and blood work that she she had fatty liver that had advanced to cirrhosis, and they said it was Stage 3 cirrhosis (and that her only hope for survival would be a liver transplant). The doctor also told her that she was severely malnourished, comparing her to starving kids in other countries. He said that was the cause of her weakness, along with the liver issues. A biopsy was done on her liver and she's Stage 1 of fatty liver, which means she can turn it around with diet and exercise, and we're all very happy about that. However, she is still extremely malnourished. The doctor's solution was that she eat more protein. She has been focused on doing so ever since her surgery; now she is trying to up her intake even further. And despite trying to get as much protein as she can, her last blood work showed that her protein is at a 2, which is apparently really bad. So a couple of questions for you - Have you heard of anyone going through something similar to this? What did they do to improve their nutrition and overall health? (Because at this point the doctor is now recommending undoing the surgery so that she can absorb protein better, but I don't want my elderly mother to undergo surgery again.) How can she up her protein? She is already eating large amounts of protein at every meal and snacking on it throughout the day. She is also eating plenty of vegetables. I know you're not supposed to get your protein from drinking, but would that be helpful here? Just to make sure that she's getting enough? And how many grams of protein should she be eating a day? What kind of vitamins should she be taking, and at what dosage? She is very low on like Vitamin D and B, and assures me that she's taking OTC vitamins that her doctor recommended. I know that's not good enough if you have absorption issues and gastric bypass, and I also know that doctors' recommendations (especially those who don't focus on bariatrics) often recommend way below what is needed. (Her vitamin levels are bad enough that the doctor wrote her a prescription for vitamins to take once a week.) She told me she takes the Fusion brand Multivitamin every day (designed for bariatric patients) and a calcium/Vitamin D that is 1000iu twice a day. Looking at the label for the multivitamin, it seems low to me. Any and all advice/help/suggestions would be most welcome. Thank you!

My bmi wa 37 but I only carried my weight in my belly. I was on 20 mg of protonix then after I was bleeding internally they bumped me up to 40 mg. I’m daily and now dr wants me on 40 mg of protonix and 40 mg if Pepcid which to me is stupid this is my bariatric surgeon. I’ve been arguing with her that none of this is working and my burping has increased back again. That’s a lot of weight loss in 6 months, I’m still at 180 and it’s been 4 months. Idk if I could drop that fast in 2 months……… I already lived through the dos and donts as a GERD patient.