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I am 20 years out and have experience just about everything that comes with having weight loss surgery. I am also a pharmacist and have been like a community resource for the docs in my circle. It was a struggle to keep the weight off and to get back on track after regain. sw 296 lw: 126 regain weight 177 cw 145-150. But it is possible. I’ve put together a few lectures from time to time for some of health events. Recently, I've received some messages with questions similar to yours…asking how I got rid of the unwanted weight I gained after surgery. Ive given lectures on this and I also talked about my struggles with how I wanted to have a fuller life without a negative body image. I’m finding many of us struggle with this after WLS.
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it's when you go through a period (usually about 1-3 weeks) when you don't lose any weight - or maybe gain and lose the same pound for a 1-3 week stretch - even though you're sticking to your program.
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monthly weigh in and measurements
Billy123 replied to liveaboard15's topic in Gastric Sleeve Surgery Forums
liveboard15 - it looks like your measurements haven't changed in 3 months but you lost 10 pounds so you could be gaining muscle too. Looks like even though the numbers don't scream huge loss you are still going. Good luck and congratulations on the loss so far. -
Can you tell the difference?
mags22 replied to mags22's topic in Weight Loss Surgery Success Stories
Thank you all so much!!!! I can feel the weight loss but still don’t see it in myself. It’s weird! But thank you all for your comments ❤️ -
7 weeks post op stall
Alex Brecher replied to awilkerson036's topic in POST-Operation Weight Loss Surgery Q&A
It's not uncommon for weight loss to slow down or plateau after initial rapid weight loss. There could be a variety of reasons for this, including physiological changes in the body, changes in activity levels or physical activity, changes in diet, or even certain medications or medical conditions. It's important to remember that weight loss after surgery is a journey, and it's not uncommon to have ups and downs along the way. It's important to focus on making healthy lifestyle changes that are sustainable over the long term, rather than trying to achieve rapid weight loss. If you're concerned about your weight loss progress, it's a good idea to talk to your surgeon or another healthcare professional for guidance. They can help you identify any potential issues and work with you to develop a plan to help you reach your goals. -
Your goal will change as you get closer to a healthy and fit body. I wouldn’t even worry about a goal weight as much as a fitness and general health level. As others have said, your body and lifestyle will reach a set point where your weight is healthy and happy and then it will stop. Most people gain some weight back anyway. I’m 8.5 months out and 130 lbs at 5’7”. My body is still slowly losing maybe 2-3 lbs a month and I’m not concerned if I end up at a low bmi as I ignore it anyway. Obsessing over my weight only leads to stress eating anyway 🙃 I probably eat more than I should but am a fairly active single mom so my calorie burn can handle the amount of calories I eat. Enjoy the ride and your body will end up where it’s supposed to be. 😃
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7 weeks post op stall
Jeanniebug replied to awilkerson036's topic in POST-Operation Weight Loss Surgery Q&A
My first stall happened about 2 weeks post surgery and lasted about a month. Now, I seem to stall about every other week. *shrug* As long as I'm staying on track, I'm not worried. The weight is coming off - even if it's a bit slower than I'd like. -
Buyer's remorse is normal. Being tired and dizzy and sluggish is normal. It took me a couple of months to start feeling like I was myself again. Like you, I was a low-BMI patient with other health factors that got me approved. Also, like you, I tried all the diets - and nothing stuck. Only 5% of people will keep their weight off, long term, just with diet and exercise alone. Bariatric surgery is BY FAR the best way to keep your weight off for life. Don't be fooled, we still have to diet and exercise, but the surgery helps us do that. Hang in there. This too shall pass. It might pass like a kidney stone, but it WILL pass.
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Binge Eating Before Surgery
Jeanniebug replied to Hollyserene's topic in PRE-Operation Weight Loss Surgery Q&A
Before my pre-surg diet, I had some food funerals. Not so much binge eating, because I was not allowed to gain weight. But, I did eat things that I knew I wouldn't really be able to have after surgery. I started therapy about 2 months before surgery. I knew that I had issues and would probably have even more issues after surgery, so I got that going. Have you considered working with a counselor? They might be able to help. -
Weirdest None-Scale-Victory - I'll go first
Jeanniebug replied to chiquitatummy's topic in General Weight Loss Surgery Discussions
I've heard that from others. They make special cushions with tailbone cutouts. So far, my tailbone isn't bothering me, but I imagine it probably will when I lose some more weight. I still have a fair bit of padding on my rear. LOL! -
I’m a bit nervous since I’m five months past surgery tomorrow and I’ve only lost a little over half of my excess weight. I spent most of October and November in a stall, did well in December and so far in January I’ve lost a little bit but not a lot. I still have 17-18 kilos to go to get to a healthy BMI, and I’m not going to get there in a year if I will only lose a kilo a month from now on. I lost a total of 19 kilos in the first five months, most of it in the beginning and then in December.
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Weirdest None-Scale-Victory - I'll go first
Tripletsmom1971 replied to chiquitatummy's topic in General Weight Loss Surgery Discussions
This isn’t a NSV, but everyone reading this thread HOPEFULLY can give me some insight. I am 18 months PO. I have lost 156 lbs. (total) BUT, WHY do I bite the inside of my mouth when I chew sometimes! Is it the weight lost in the face, sagging to allow me to ‘bite it easier’ now? -
I don't know how accurate this calculator is overall, but it was helpful for me to see a baseline trend of what could be expected in the first year on a month-to-month basis compared to people of the same demographics (age, gender, height, weight, ethnic group, and WLS type). That being said, my chart predicts an average weight loss of 12 lbs in the first month, and I lost 9.5 lbs in the first 5 days after surgery. I'm only on day 9 post-op now, but I am 5'3", my surgery weight was 221 lbs, and I was at a BMI of 39 on surgery day. https://riskcalculator.facs.org/bariatric/ Hope this helps! Sent from my Pixel 5 using BariatricPal mobile app
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The first few months post-op are the hardest because you’re still healing from surgery and adjusting to a lot of changes, but you’re not yet getting the benefits of the weight loss. It’s very normal at this stage to have feelings of regret and wonder if the surgery was a mistake. As time goes by, though, it gets easier in many ways. You’ll be able to re-introduce more foods into your diet as well as get used to the changes that will become your new “normal.” And in the meantime, you’ll lose a lot of weight and get to experience life as a non-obese person. This rough part of your journey will be a blip in your memory, and if you’re like most of us, eventually your only regret will be that you didn’t do this sooner.
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So you're barely over a week out - it's major surgery and it does take some time to bounce back from the body-shock. Some have a rougher time than others post-op, which sounds like where you're at. It's definitely not an easy recovery regardless, and some people experience very real hormonal disruption that can really bring on some horrible emotional turmoil. Regret right after surgery is actually pretty common. And I know it's a broken record, but it's honestly true - it gets better. Hard to hear when you're in pain, feeling weak, and are trying to navigate a brand new and often overwhelming new life change, I know, but even folks who had a rough time like you will, months later, attest that it gets better and is worth it. If you could have lost the weight without surgery you would have. We all would have. Never having long-term success is what brought us all to taking the surgical help. Be kind to yourself and like SleeveDiva2022 suggested, a bariatric therapist might be a good idea.
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As soon as I put a deposit down for my surgery I started binge eating massive amounts of food. Like a dozen donuts in one day, an entire large bag of m & Ms. I feel so uncomfortable all the time. I bet I will have gained 10 pounds before date of surgery. I am out of control. I guess I want to ask if this has happened to anyone else but I’m afraid I’m alone in this behavior. What will happen if the surgery doesn’t happen?! I’m in a mess.
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Plastic Surgeon Recommendation
ksgypsy replied to Kimmysu's topic in Plastic & Reconstructive Surgery
I'm having a lower body lift, arm & breast lift with Dr. John LoMonaco in Houston. Although he's a 5-hour drive from our Texas home, I chose him because he specializes in bariatric weight loss patients. He has fantastic reviews on RealSelf and everywhere else I researched. I only found 1 negative review and I asked him about it. He definitely lived up to the hype during my in-person consultation. My husband was skeptical about me undergoing surgery until he met Dr. LoMonaco and my fella is very difficult to impress. Because we live part time in Kansas as well, my initial consultation was via pictures. I was gobsmacked when he answered my emails (generally in the late evenings) personally. Not an admin nor a form letter. Good luck on your search!! -
Asking ? for cousin with sleeve...
Arabesque replied to marfar7's topic in General Weight Loss Surgery Discussions
Maybe finding a good therapist & a dietician will help your cousin get back on track. They can be very helpful during this process - supporting her through the emotional turmoil & sorting out her dietary concerns & issues. Also speaking with her surgeon (via Skype or similar) or asking them for a referral to another surgeon close to her now may be helpful too. There is no need to go back to the very low calorie, shake diet. This was in place for a specific period of time to support healing. Sure people lose weight on very low calorie shake diets but they are not sustainable & regain is usually inevitable. Eating in a way that was more like what she was doing when she well into her weight loss (say the 6 or 12 month mark) would be more beneficial: observing portions, protein & fluid goals, & eating a range of vegetables, fruit, dairy, & small amounts of low processed multi/whole grains. As @catwoman7 said a bounce back regain of 10-20lbs is very common in the 2nd/3rd years so her regain could be just that. Also I wonder if she was given reasonable expectations as to what her weight loss could be after surgery? The average weight loss after sleeve or bypass is about 65%+/- of the weight you have to lose to put you in the healthy BMI weight range. (Yes, the healthy BMI range is not always the best weight range for someone & yes, some people do exceed the average result.) She may be beating herself up with somewhat unrealistic goals ( though I understand her desire to lose more). This video may be of assistance to help your cousin look at her achievement of losing 175lbs in a different way: a success. -
I straight up regret having surgery. I was a low BMI candidate with a bunch of other health factors that got me approved for the procedure. I am weak beyond measure and dizzy everyday. Can barely handle self care without issue. I had post-op rectal bleeding, went back to the hospital for IV hydration, everything is just difficult. I can’t help but feel like I wish I would have just lost the weight on my own. I did WW, keto, boot camp training sessions, you name it and never had long term success. I know people say it gets better with time but when?! I’m a mom of twins, laying around all day just isn’t my style. I wish I never did this :(
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Asking ? for cousin with sleeve...
RickM replied to marfar7's topic in General Weight Loss Surgery Discussions
Something isn't adding up here. If she's getting in 109g protein, that's 436 calories right there. If she's only taking in 662 calories, then her protein would be about 65% of that. Maybe some misinterpretation of what MFP is reading? I can see that they might "recommend" 35% protein for her low calories - a typical normal diet might be 15-20%, and a bariatric weight loss diet might well be 50-60% (or more, at the beginning when we are eating little else other than protein.) 60-80g would be a typical recommendation for a woman with a sleeve, as there is no significant malabsorption involved, though some go higher than that as a means of avoiding "carbs", or under the false assumption that the extra will help avoid loss of muscle mass (it will to the point that one is actually working to build muscle mass, but the only thing the excess does, other than make expensive urine, is to avoid deficiency, but one doesn't need much extra to avoid that - the typical bariatric recommendations will cover it.) It does sound like a bariatric RD would be a good person to consult, and if she is truly only getting 6-700 calories and still struggling, then there may be some other metabolic issue going on, and some other appropriate specialist may be in order. But a good RD would be a great start in getting a good baseline of what is really happening dietwise. Starting at 400 lb, a sleeve is often somewhat marginal for getting to normal, particularly for a woman of that size (how tall is she - that's a factor as well in determining an appropriate goal and understanding metabolic issues.) You say that she recently moved cross country - where is she now - that can be a help in finding new specialists. It might be that the VSG is indeed marginal for her needs, and she really needs something stronger. A DS is a straightforward conversion from the VSG (as it uses the sleeve as its basis) and is typically the strongest metabolic tool of the mainstream procedures, so that is also a longer term consideration. -
Bari things that give you the ick
ms.sss replied to kbsleeved's topic in General Weight Loss Surgery Discussions
"journey" "3 week stall" "only x lbs" (in a dismissive way in referring to lbs lost) and, similar to @Tomo, i have a pet peeve about the ANGST folks unnecessarily put upon themselves when comparing their own results to others without CONTEXT. Yes, Sally may drop 30 lbs the first month because she started off at 350 lbs, vs Jane who lost "only" 10 and started off at 200. And yes, Joe, who is also 350 lbs lost 50 lbs, but he is like 8 inches shorter than Sally and is a dude. and there is brenda who lost 5 lbs cuz she has a medical condition and hasn't yet learned how to adjust her lifestyle around it. we all have the same goal: to lose weight. in the grand scheme of things, it doesn't matter sh*t if i lost faster/slower more/less than some random stranger on the internet. *rant over*- 64 replies
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Failed RNY and RNY Revision & Constant Hunger
SleeveToBypass2023 replied to Melosgirl's topic in Gastric Bypass Surgery Forums
Have you tried any other appetite suppressants? If you go on Wegovy, it'll work but if you ever have to go off it (like if there's a nation wide back log again) you'll gain everything back and then some. My friend was on Ozempic and this happened to her. It might be better to look at an appetite suppressant and a metabolism booster and carb blocker (I use those) and do a reset on your stomach to get it used to eating smaller portions and better foods, and try drinking some brewed teas (I drink hibiscus tea, green tea, white tea, yerba mate tea, and black tea. Sometimes I switch some of those out for oolong tea and pu-erh tea.) They help with fat burning, suppressing appetite, some have a bit of caffeine in them for a natural energy boost. I would try that stuff before you go on a medication that will likely go back out of stock, and will cause major weight regain as soon as you have to stop taking it (my friend was working out, changed her diet, and taking Ozempic and within 10 days of being off the Ozempic, she had already regained 5 pounds. After a month, she gained back everything she lost, and after 2 months, she gained an extra 5 pounds). -
This. Your weight loss is likely to be most in the first month after surgery and then slow down and slow down and slow down more as you progress. Added to that everyone's journey is different. I am exactly the same as you - I wanted certainties going into this surgery, and things I could influence or control. Several months in I just realised that the surgery does its job if I do my job, and it was all SO much relaxed thereafter. Best of luck on your journey xxx
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Failed RNY and RNY Revision & Constant Hunger
catwoman7 replied to Melosgirl's topic in Gastric Bypass Surgery Forums
as long as you know how many calories it takes to maintain your weight - and track your food intake to be sure you're not going over that (except for an occasional "splurge" day, like on a holiday - in which case you just get right back on track the next day), you should be OK. Also, decide on what your top acceptable weight is, and once you get there, it's all hands on deck to get it back down again before it gets out of hand. as for the hunger, I'm guessing your body is probably happy where it is and doesn't want to lose weight. That's not to say you can't, but it'll be a struggle, because you'll be fighting biology. I'm dealing with the same thing right now. I want to lose 10 lbs - but the old body doesn't. You'll have to decide if it's worth the struggle. For some people it is, for others it's not. If you want to lose but the hunger is really bad, there are medications to control that (Wegovy might be one (??) - not sure - but they're out there). Some clinics are fine with prescribing those to you, others aren't - but it sounds like your is OK with it. -
Asking ? for cousin with sleeve...
catwoman7 replied to marfar7's topic in General Weight Loss Surgery Discussions
at two years out, she should be getting double the number of calories she's getting now (if not more - depends on her height, weight, activity level, etc) - unless she's super short or has really screwed up metabolism or something. 662 calories is only common in the first few months after surgery, not at two years out. re: the 10 lb gain, most of us gain 10-20 lbs after hitting our lowest weight, so that's not uncommon. It's almost expected...(not inevitable, but it happens to most people) protein - most of us are encouraged to get 60-80 grams a day. I need 100, but that's because we discovered early on that I malabsorb it - my prealbumin level tanks if I don't get that much. But I'm not the norm. 300 is crazy. No one needs that much - not even body builders. That's so weird that the app is telling her that!! you mentioned an RD - might be a good idea for her to see one to get some good advice and guidelines on what/how she should be eating. She may have some issues that we don't necessarily know about (like me and my protein issue....)
