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Hi there. I'd recommend checking out a program like StrongLifts 5x5. It's an excellent program for building lean muscle mass while also helping to improve your skin tone. It's a strength training program that focuses on compound lifts to help you build strength and muscle with minimal bulk. Plus, it only takes three workouts a week, so it's easy to fit into your schedule. Good luck! It's also completely free, so you don't have to worry about spending money on a program. Have you looked into using ibutamoren from behemothlabz.com? It increases the secretion of growth hormone, which can help you achieve your goal of lean muscle gain without putting on too much size.

I'm happy that I've now lost a little bit more than half of my goal. I've lost 19.8 kilos (43.65 pounds) and I have 19.2 kilos to go to reach my goal weight. Also, since I'm at 93.2 right now I'm likely to reach my goal weight of 93 this month. Of course, it's Christmas this weekend, and I have to be a bit careful, but I think it will be ok. The only negative is that I have an UTI, for the first time in more than a decade. I looked it up, and yes, there's an increased chance of UTI's after bariatric surgery. So, I went to the drs office and got antibiotics. Hopefully, they will work and I won't be sick during my Christmas break.

it takes a long time to wear down your iron stores , although I don't know what your iron level was before surgery. it's super common to lose your sense of hunger for several weeks or months after surgery (up to a year for some). I know it seems weird at first, but take FULL advantage of that. It'll never in your life be easier to lose weight than it will right now, when you're not hungry and don't give a flip about food. I found it very liberating, too! My hunger came roaring back at five months out, and I honestly wish it never had. It was so much easier to stick to plan when I was never hungry!!! and no, what you described was not dumping syndrome. you're extremely tired because you just had major surgery, so I wouldn't worry about that, either.

I am just starting maintenance. I'm being pretty rigorous about tracking calories, and I weigh every day. I think, for me, it's the only way to stay within maintenance guardrails. I know that otherwise, I'm prone to calorie drift and weight creep. My concern is that even though I'm no longer trying to lose weight, planning and accounting for food still takes up massive amounts of brain space and attention. I feel like I'm thinking about food all the time. Does it get better? I really don't want to go through the rest of my life obsessed with food intake. I also don't want to regain the weight.

I’m three yrs 7 months post surgery. I’m about 3lbs heavier then my lowest weight (2 of which are above from where I initially settled). I eat about 1400 calories a day & don’t really exercise apart from from resistance exercises, sit ups & stretches (wouldn’t burn 30 calories 😁). I am pretty careful with what I eat & there are certain foods I don’t eat or eat very rarely. Some are foods that don’t sit well in my tummy like bread, pasta, rice, quinoa, cous cous & starchy vegetables. Others are things I’ve realised I feel better without like sweet foods. I don’t eat fast food like burgers & rarely eat takeaway like Chinese, Japanese or Thai - only with others & make careful choices. I don’t consider this a diet but just how I eat. Some may think I’m fairly restricted in what I eat but it’s only with certain things & I don’t feel I’m missing out on anything. I still have cravings - salty foods are my challenge - but I understand the why & the when behind them like craving salt after I eat yoghurt (🤷🏻‍♀️). Sometimes I surrender though I’ll have some salted macadamia nuts, a couple of multigrain rice crackers (carefully as they’re a slider food) or roll some cucumber in salt. I changed some of my cooking styles & use have incorporated some alternative ingredients & more if others. Like I use an air fryer or oven more & incorporate more lentils, pearl barley & beans than I did before. I don’t track as such but I do random checks of portions, calories & nutrients. I still keep a close eye on protein, because I have an absorption issue, & on my water intake. I weigh myself a couple of times a week just to keep myself on track & honest. A lot of how you manage your maintenance into the future is a personal thing. My body, how it works & what it needs, is different to yours. My lifestyle will be different. How I want to live my life & the demands on it is likely different too. And you may be more or less active than me. Health, age, etc. are a considerations too. So how I choose to eat may not work for you or for anyone else. Same with the other changes & choices I’ve made. Best advice is to experiment with different eating styles & cooking styles, introduce new foods, reintroduce old favourites, etc. & see how you go. It just need to be sustainable, complementary to your lifestyle & you’re happy & healthy.

Firstly, congratulations on reaching onderland. Yay! Body dysmorphia doesn’t disappear with your weight & sometimes you only start to experience it as you’re losing & when your weight stabilises. It takes time for your brain (& how you picture yourself to be) to catch up with how you really look now. And it affects family & friends the same way - all those ‘you’ve lost too much weight’ comments we all get. I still have days when I look in a mirror or a reflection in a window & am surprised that the reflected person is really me & I’m 3.5 yrs out. But I was bigger for a lot longer than I’ve been slim. It may seem silly but I actually used to look up the height & weight of actors & I also took pxts standing beside family & friends so I could better see my size in comparison. You can always seek support from a therapist if you think your body dysmorphia is hindering your physical, emotional & mental progress in any way.

Good Luck, my revision to bypass is on Friday 12/23 ......I'm so excited. I have to do 3 protein shakes a day, I do 2 ready made and make my own shake for lunch in my Ninja blender. Add Better than Bullion to my broths for better taste and I like Sugar free chocolate Ice pops. Since I do not like water I'm adding Cold Enhancers to my 64oz jug which are pretty good and I drink Zero Cherry flavored Gatorade and Propel water......I'm 195 today and Goal weight is 145lbs.

I get a lot of weight related videos on Tiktok, I'll see certain girls & think "ah yeah she looks like me!" (in a good, relatable way) only to find out they weigh 40-70lbs more than me. I don't think I'm used to being a smaller size yet, I still relate to the bigger girls way more than the girls who wear my current size. I think I will always feel big until I get close to my final weight goal. If not, I'll definitely have to seek tharapy

I remember being 180# and too chunky for bikini. I seen the BMI chart and said for 5'8" 199# was overweight, 200# was obese. So 199# is my realistic goal. Started at 333# 2020, lost 30# on Noom in a year but gained a lot of good habits with food selection. At 8 weeks post surgery lost #40 and am at 270#. Lost #10 every 2 weeks from presurgery appointment. Stalled for two weeks but seeing impacts with trying on winter wardrobe!

So omg my body hates me today lol Absolutely everything hurts. But it's that good hurt, you know? Today is strength training, and then I get to have a rest day tomorrow. I'm doing 50 sit ups, 50 stomach crunches, 25 push ups, 25 calf raises, 35 front and side lunges without weights, 35 squats without weights, 50 step ups (stepping up and down a step or elevated surface), and 50 side leg raises. Let's see how it goes!!!

I'm 5'5 and 150 lbs is the highest end of a "healthy" weight for my height. I got down to 168 lbs. about 5-6 years ago and while I looked good, I knew I had a few more lbs that I wanted to lose.

Hello, I just wanted to share my story. I was on a fb group through the weight center that did my surgery on 12/5 but they didn't let me share my story. I went in for my sleeve surgery but shortly after while in recovery my BP dropped really low, I started sweating badly and my skin/eyes turned gray. They gave me a blood transfusion which brought my BP back up. I was brought in for an emergency surgery because I was bleeding out. They said leaked 3 liters of blood and had multiple large dark blood clots in my stomach. I was bleeding and oozing through the staples so they double stitched me and cauterized some of the stomach. Since the 2 surgeries I have had very high pulse, which they call Tachycardia. Also, I am anemic. I also get this uncontrolled diaphram spasm where it makes me gasp for air. The 1st week it hurt to swallow anything, even a sip of water. I started to get pain up my throat so they gave me heartburn meds which helped that matter. I went home after spending a few nights at the hospital but quickly after I was home I went back into the ER for low BP and dehydration. I am home again now, monitoring my BP. I am taking fluids ok and getting my proteins in. I still have to drink slow but I am able to. You can feel/hear every sip go down and every pill go down. I still get times where there is pressure from air stuck under the rib cage and the pain goes up to my shoulder. They just ok'd me to start cream soups, yogurt and cottage cheese 2 days ago. I get full really fast. I just wanted you to know that the 1% they warn you about can happen. It happened to me and I cry myself to sleep about the events that happened every time I close my eyes. It was very scary to go through. They said it will take about 6 weeks for my body to rebuild its own blood back up. Your body rejects some of the transfusion since it isn't your blood. Until then I get weak, dizzy and lightheaded every time I get up to walk around and my pulse goes really high and my heart beats out of my chest. I have a couple of mins to walk or shower and then I need to lay back down to catch my bearings. I am starting to get color back in my lips on occasion. The most important thing is I keep fighting to get up every day, walk a little and drink my fluids in order to get better. They tell you that you need support at home and I live alone so I was worried. They are right, you can't do this alone. After the ER trip it helped to have my parents coming in to remind me to keep drinking and to do things around the house that I couldn't. Thank you for listening. Sent from my SM-N960U using BariatricPal mobile app

4+ years out for me. i still track all my calories and weigh myself every morning. if my scale shows an upward trend for an extended period of time, i make adjustments in calorie intake for a while....though i haven't had to do these "adjustments" since i upped my personal acceptable weight limit by 5lbs over a year ago. i found that the effort to maintain a lower weight was just not worth it. yes its a small amount, but not having to worry about those extra 5 lbs and being able to maintain my current weight with little extra effort with my current eating habits and activity level is golden to me. p.s. i do dedicated exercise about 3-4 times a week p.p.s. not sure if it's worth noting that i also inadvertently practice 16:8 IF (i don't normally eat until after noon out of years habit; and i generally stop eating around 7-8 so i sleep on an empty stomach..habit created after wls to avoid nighttime regurgitation.)

Don't beat yourself up. My surgeon said that obesity is like cancer, it wants to come back. That's why 95% of people can't keep the weight off with just diet and exercise alone. And that's why such a large number of people don't keep it off, even after having surgery. Yes, our chances of keeping the weight off after surgery are better than not having surgery, but the weight still wants to come back. Hugs!

I'm having revision surgery on 12/29 and started pre-op diet on the 15th. I had my VSG surgery in Mexico in 2016 and wasn't nervous at all. After gaining over 100 pounds back (thank you Covid isolation and depression) I decided to explore the conversion which was the surgery originally advised for me but my insurance wouldn't pay for it. I'm really nervous this time and I'm having surgery close to home. Also feeling super emotional about it and trying not to keep internally beating myself up for feeling like I failed! I struggle with the protein drinks so I've been buying the high protein yogurts and I found a zero calorie gatorade with added protein that they did a good job hiding the whey aftertaste. It's not as high in protein as a shake but I figure If I'm getting it in that's what matters

basically, the closer you get to a normal BMI, the slower the weight will come off. I lost 16 lbs the first month, c. 10 lbs (give or take) until I was about six or seven months out, then it dropped down to maybe 5-8 lbs a month, then after the first year, it was less than five lbs a month - sometimes just 2 or 3 lbs. it's because the lighter you are, the fewer calories you need. When I weighed over 300 lbs, I was probably eating over 3000 kcal/day. When you're eating that much, you can cut 1000 - or 1500 - or even 2000 calories a day, meaning you're going to drop weight pretty quickly. I'm trying to lose 10 lbs right now. My maintenance level is about 1600 kcal/day. Cutting even 1000 calories is unadvisable. That would put me at 600 kcal/day. if one were to eat 600 kcal/day for more than a couple of occasional days, they'd need to be under medical supervision. And cutting 1500-2000 calories from my daily intake when I normally eat 1600? Ha. Impossible. I can cut 200-300 calories safely. That translates to very slow weight loss - about 1/2 a pound a week. anyway, long way of saying, yes - your weight loss will slow down the further out you go.

I don't think there's much - if any - difference. The first few weeks after either surgery is challenging - but once you get a few months out, you no longer have any food restrictions - you're just eating a lot less than you did pre-surgery. You've brought this all up before - and we've told you that it's really not going to be any different. Lots of us can eat pastries (well, occasionally - else you risk gaining weight back, just like you would have with the sleeve!), drink wine, and try new foods when we travel. I"m not sure why you think you're going to have lots of unpleasantness. I would say that's very rare.

it's super common. It takes a long time for your brain's perceptions of your body and what your body actually looks like to align (I had this issue pre-surgery, too - I was always shocked when I saw a picture of myself (the few that there were, that is - I HATED having my picture taken back then!). I think in my head I weighed in the 200-250 range, not 373! And after I got down as low as the 130's, I *still* saw myself in the 200-250 range for quite awhile (I've gained about 20 lbs since hitting bottom (which is also super common) - between that and the fact I'm several years post-op, I think I'm finally in alignment!!

This is a big issue that I don't feel gets addressed enough before or after surgery. I really felt this alot and spoke to my doctor about this. I didnt try to hide what I was feeling, they are your feelings. I also started a journal that I write positive affirmations about my weight loss journey. If I feel like I am going down that dysmorphia rabbit hole I reach out and speak to someone about this. It really helps when speaking with someone that has had the surgery and the same challenges and understands the process emotionally that goes with this surgery. Its hard to explain stuff or get true feedback and support from someone that doesnt really understand this process in my opinion. One of my coworkers had the same surgery and when we first met we smiled at each other and said "sister". I know that sounds odd but we bounce stuff off each other whenever we work together. For example she reached out to me because she was having issues with her husband (who is very supportive of her, but just doesnt understand the process emotionally.) talking about her watching her carbs. He felt she was getting "overly obsessive" about it. She is 3 yrs post op and has been struggling with some weight gain. Her husband makes her lunch for work and the stuff he puts in there is just bad! lots of breads, pastas, etc. well you can imagine. she has been making her own and bringing more healthier choices and she has started to drop again. The thing is you can't be afraid of your feelings, and need to address them whether its finding a support group or connecting with someone that you feel comfortable talking to. I talk to my doctor (reg doc) and have come up with some approaches that work for me. For me the anxiety is what gets me and I am proud to say I have a good handle on that now and the dysmorphia is so much more under control if you will. One really important thing that also helped me was to be realistic in my vision of myself. I am not 18 years old and will never have that body again. Accepting my self now at the age I am at now (60) and really feeling comfortable with my body now is extremely important. Society does woman an injustice by attempting to dictate how we are supposed to look. I feel great, better than I have EVER felt and I feel more alive now that before my surgery. I embrace that. I am happy and healthier for my surgery and owe it to myself to love myself and enjoy the rest of my life feeling good. Don't be hard on yourself. I recommend getting a book of positive affirmations and reading one every day. It sounds corny but the more positive you put into things (its hard in this negative world we live) the more positive you will feel. Love and light.

This is a great question!!! I have always been UNrealistic in my weight loss journey before my surgery so this was a concern for me. I looked over my past and tried to remember the weight where I felt good, confident as well as taking into account my age at the time of surgery and my activity level. I have some orthopedic issues that hinder my work outs and general walking. I discussed this with the therapist I spoke to before my surgery and it was agreed that my number for me was very realistic. I made my goal weight just shy of a year post op! I followed and still follow my meal plans, I do add in an "extra" here and there but its always worked into my plan and I avoid excesses. I took the time to learn what my eating triggers are and when I feel like I am going down that rabbit hole I adjust and use other non-food coping strategies. Each journey is very personal and once size does not fit all. This is something I have really became fully aware of during my journey.

I had the Loop DS, but my stomach is a VSG stomach, if that counts? And, I'll be 3 years post op next month so I don't know if I count, but... my tip is to take the weight loss phase and use it to learn how to eat in a better and more sustainable way. Make healthier choices, but allow yourself the freedom to eat the things you want in moderation (i.e not all the time). If you start to put on weight then monitor your calories (though in year 2 you WILL put on anywhere between 5-20 pounds back on average, or so I've been told by my surgeons office. I originally put 21 pounds on due to a med I was taking and once I stopped taking the med I worked on getting the weight off and was able to lose half the weight I'd gained, but I can't get under 186 pounds no matter what I do. I'm okay with it though as long as I stay in the 180's, but if my weight creeps into the 190's I start monitoring my calories closely to see if I'm eating too much. Which I usually am lol. I cut back and the weight comes back off, but stalls once again at 186 😒).

Yes, I have definitely felt this, though not currently. I always recommend therapy, even a two month “tune up.” It can be cost prohibitive so other resources I found useful are body movement classes like yoga and Thai Chi that ground me in my physical body. I like to walk meditate, journal. Use what you have done in the past that helped you recover or grieve like art, music, a house of worship. O.A. meetings have discussions on the topic. WLS is a wonderful tool that helps with weight loss, but it doesn’t fix our brains. The fabulous thing is you have already begun your amazing journey of great success to heal your whole self.

If you are over 3 years post op and have kept your weight off. What’s your top tips!

Post surgery question(s)... Has anyone struggled with body dysmorphia? I have reached onederland, and thought I would be more excited than I am. I see some weight loss, but my brain isn't connecting the dots and I feel like I should be more excited than I am to have reached such a great milestone in 6 months. Instead of being excited I am just trying to reach my next goal and keep telling myself that maybe then I will be happy. I just need my brain and body to be in unison. I think this is part body dysmorphia. Any advice would be great!

I found my rate of loss just got slower. & slower. There wasn’t a sudden change. It goes hand in hand with you slowly increasing your calorie intake as your portion sizes get larger & you’re eating a wider variety of foods which you should be doing. Plus every week you have less to lose. The hair loss is temporary & only lasts about three months. Small cost to pay for the weight loss. The thing to watch is complacency in your food choices & activity. It can be easy to let a treat become a more regular addition to your diet, to add extra snacks, larger portions etc., not tracking & measuring as carefully or regularly. Boredom & diet fatigue are real. But stick to your plan, recommendations from your dietician & the new habits & behaviours you’ve been establishing.