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I've heard/read of this before - so yes, some people do seem to develop lactose intolerance after weight loss surgery. You could try something like Fairlife milk. It's ultra processed although it has higher protein and less sugar than regular milk, and it's lactose free. There are other brands of lactose free milk on the market, too.

Absolutely loving the hair!! And your face looks so slim and your eyes are really striking! Congratulations all round 🏆

Very happy this week! The London gain of 3.5lbs has gone plus another 6lbs has joined it this week so I’ve hit my 2stones loss target 😊 Hubby has documented this by taking pics and I can definitely see a difference - my backside isn’t as much as a shelf now 😉 I will post pics when I gain more confidence but they are definitely worth doing for your own records, even if you hate and despise your photos being taken. I’m sat here with my feet on a circulation booster, with my feet and calves twitching away. I’ve got it for both me and hubby in the hope that it will help both of us with our circulation and start helping me strengthen my muscles around my knees. We had a chat yesterday and agreed to rejoin our local gym. I know I won’t be able to do cardio like the treadmill etc but I certainly do need to spend some time on the resistance machines and hopefully the free weights. I want to try and get some muscle tone going and avoid masses of sagging skin if I can. I desperately miss going to the gym so I’m definitely looking forward to it. I’m due at physio next week for knee exercises so we’ve said we will begin 1st Sept (helps with keeping monthly finances straight too) Lots of NSVs this week…can now take my wedding/engagement/eternity rings off when in the bath. That certainly hasn’t happened for a long, long time. I’m finding more clothes to wear when ‘shopping in my wardrobe’. I’ve actually had to buy a BELT for my jeans 😮😮😮 I bought 3 pairs in the sales some time ago. 1pair fit fine, 1 I could just about fasten but not breathe, 1 I couldn’t fasten for love nor money. Fast forward to Saturday and it’s now 1 too big, 1 fasten easily and 1 fasten but can’t really breathe!!! Hopefully a belt will let me get some more wear out of them before they go off to the charity shop pile. It’s our wedding anniversary in September and I’ve set myself a target of wearing a dress that I wore for our wedding anniversary dinner 2 years ago. It’s a lovely dress and I felt fantastic when wearing it so hopefully it will fit again. I would like to lose another 10lbs or so before trying it on so fingers crossed 🤞🤞 Hubby knows what I’m aiming for and is all for it. Need to remember to record my food diary next week, ready for the dietitian appointment the week after. I record everything now but not the moods pre- and post- eating which they need. I’ve already recorded a dietitian diary just before I began my weight loss journey so hopefully she will be able to see the differences. Have a fantastic week everyone 🤩 Onwards and Downwards!

You look amazing, great weight loss

I would follow the nutritionist advise but I also wanna know how you achieved this - 2 months post sleeve and my weight loss has slowed I feel

Hi, sorry to hear about your struggles 😔 it can be so tough! I'm 17m post op bypass, and although my team was happy with my loss at one year post op, I wanted to lose more and was really aware of how much I wanted to eat, like I never stopped thinking about food. I started taking compounded semaglutide in April, and the low doses didn't do much for me, but I've recently reached the therapeutic dose, and it has been great! Just this morning I hit a normal BMI, something I thought I could never do. I've been thinking about posting about my experience with it, because it was made a huge difference in both my physical appetite and my thoughts about food. I weighed 157 at my one year post-op, and 144.8 this morning! And most of that has come off just the last two months. Any drawbacks - I have had a few "learning experiences" like I did post-op, but overall it's been fine. If your doctor thinks it might be worth a trial, maybe give it a try. ☺️ I know it's making a big difference for lots of people.

ok, so i did quick math on your macros and u are currently consuming less than 900 cals a day (i used the mid point of all your reported ranges). this calorie level (which doesn't take into account exercise) is weight loss level calories, unless you are like 4'10" tall. so its no wonder you are still losing weight. if you double your fats, you could reach up to 1300 a day, which is closer to maintenance level for some, but i suspect you'll need more based on your height and activity level. aside: i am a shrinking 5'2", and have been maintaining a range of 115-120 lbs for over 5 years at a calorie range of 1800-2300+ a day (it all depends on my activity level). currently, im on a (so far) 10-mnth long, high volume exercise kick so i average about 2100 these days. i weighed 116 this morning. further, as is my m.o., i dont eat alot of volume at once, but i eat often (i.e., im a card-carrying grazer lol)...otherwise i would not be able to reach my maintenance calorie level.

I can absolutely understand where you are coming from - I have a friend going through this about a year past her Gastric Bypass and it is one of the reasons I opted for the SADI instead (not that I know this will make a difference in terms of weight loss!) I'm a bit worried about getting to this point myself, where the weight keeps coming off - but then again, I seem to always need SOMETHING to worry about. My surgery is Monday morning. There are a lot of knowledgeable people who have commented here and I'm taking notes on their suggestions! That said - it kind of sounds like you might be remaining in ketosis from being so low sugar / low carb and I wonder if that's what is causing your continued significant weight loss? When I went shopping for all of my sugar-free items for my liquid diet I noticed there were keto versions and low-carb versions of some items. The advice given to add a small serving of potatoes or healthy fats like avocado sounds really smart and might help with that. I bet it also gets tiring hearing people comment on your weight loss. Has that been hard? Just curious - and honestly, even if you aren't right where you want to be atm - congratulations! It's a HUGE accomplishment to have reached this point and know what weight you LIKE your body at, and I hope you give yourself lots of pats on the back!

When I was trying to slow my weight loss I was snacking 5 x a day. I felt like I was eating all day long. In time my meal sizes got a little larger though I still snack 3-4 x a day to get the calories in. Peanut paste, nuts, protein bar, string cheese, yoghurt. baked fava beans or chick peas, half an apple, small bunch of grapes, & my left over rolled oats, yoghurt & dried cranberry breakfast are all snack options. I’m a full fat milk & full fat salad dressing girl too. No low fat foods in my kitchen (in many cases it’s high sugar &/or high salt to compensate for the low fat). I wouldn’t get worried yet. Yes there is the bounce back many experience to keep in mind. Your remaining fat will resettle and changes your body shape & you’ll look less gaunt especially in the face. Much like we tell people while they’re losing not to worry about the number on the scales too much, the same is true now while things are stabilising. Though you say you look bony & too skinny how much of this is body dysmorphia & you’re not really seeing yourself? Are you too skinny or is it too skinny in comparison to how big you were before? Are you really seeing bones sticking out or just seeing some shadowing of bones or feeling bones which you’ve never seen or felt before or have forgotten? It takes time to really see yourself after weight loss. Our brains can really twist our thinking.

The hair, as promised! IMG_20240801_224349_240.webp

4 years post Gastric Bypass. Zero complications, maintained weight loss and found exercise I love. This journey inspired me to get into healthcare.

@AndreaJD Yea. I woke up with an abdominal binder after surgery and I had to go home with meds too after my sleeve. The binder is just a fabric thing that Velcro’s around you. Warning. Once you take it off. You will most likely need someone else to help you get it back on as snug as them had it if your still in pain. I didn’t really want mine back on though. They told me it was just a matter of personal preference whether I wore it. The meds I went home with were a PPI and pain meds of course and it seems like I got an antibiotic too.this time they told me I will also be on something that is supposed to prevent the hall stones that are common with quick weight loss. Omg. The before pictures. I need to have my husband take them too. I am the same way with photos. I see an entirely different person 😩. If you can, take pictures like every month or so and look at them side by side. It can be just as hard to see the loss iN the mirror but side by side photos really help to see them. Measurements help too, anything to keep you motivated when the scale doesn’t move for a few days and you’re getting discouraged. Ooh yea. The spirometer. I had one too @Greekmom4 after my sleeve. It’s just a little device you blow into that has a little ball or something to let you know you hard you are blowing that you try to get to a certain place and keep trying to get it higher for anyone who’s never had one.

Wow. Congratulations on your loss and thank you for your thoughtful response. I had a pretty easy recovery with my sleeve too. Same surgeon so fingers crossed that I don’t have the gas pain this time either. I think my return to eating plan is a little longer than yours but thats probably better for me to lose a little more early since my stomach won’t be as small as virgin surgeries. i am so glad to hear that you can eat what you did before. I know we aren’t supposed ti have certain things but sometimes you truly can’t avoid it. I had a nutritionist tell me that if I ate certain things post SADI that I may as well take it to the bathroom with me to eat because that’s where I’m going to need to be. I have already had to explain the surgery to my primary provider. I plan to ask the surfer in before I leave hosptial if he knows anyone familiar with the surgery. Im glad to hear it wasn’t just her though to be honest. Omg That tote idea is so clever. So simple yet somehow I didn’t think of it before. Thanks again and keep us updated with your continued progress.

Though, I will say my circle is used to me having chronic, non-weight-related health issues. [ FWIW, my health got worse the more weight I've lost. [ Especially the transition to a Healthy WeightTM. ] I (and my doctors) did not expect my health conditions to improve in any specific way, but a decline is just r.u.d.e.. I am not saying I was not a recipient of the Importance of Weight Loss Soundtrack - most just didn't bother claiming it would help. ] So I can see why most leaned towards - concern - before normal weight judgement. [ ^ The person above is more in the small talk/friendly greeting outer circle.... sooo yeaahhh. ]

I actually had virgin sleeve/SADI surgery nearly 4 years ago now. I don't think SADI is an option for the "my surgery" part of the profile on this site so I listed DS as the closest. Honestly, I had a pretty easy surgery and recovery. Of course there is soreness and healing like there would be with any other surgery but I felt well enough to go back to (extremely sedentary) work in a week. Really, the worst thing for me was a sore throat from being intubated. My doctors gave me a three week eating plan to follow one week each of clear liquids, any liquids, soft solids before eating a regular diet. I followed this faithfully even though I felt like I could eat more and was a little hungry at times. Now, I eat pretty much exactly the same things that I ate before surgery, just smaller amounts. If I have a lot of sugar or simple carbohydrates, I will get gas and loose stools. It's not painful though, it's just . . . happening. Still, I usually try to avoid it but treat myself now and then. My iron got very low about two years out from surgery. I was getting lightheaded and they ran some labs to find out my iron/hemoglobin was tanking. I had to get a series of IV infusions and then take extra iron supplements. Almost two years after that now and I am able to keep my levels in the low-normal range with just the supplements. I take three doses of an adult multivitamin per day, no special bariatric formula (don't tell the admins!). Be prepared to explain your surgery to any non-bariatric doctors you deal with. Unless they are bariatric specialists, they will NOT be familiar with the different kinds of surgery and they will likely have no idea what SADI is. A lot of them generically call any weight loss surgery "bypass" (e.g. the hematologist I see for my iron tests). Get a big plastic tote and put it on the floor of your closet. When a piece of clothing is too big, take it off, put it in the tote, and don't think about it again. When the tote is full, bring it to your local women's shelter or similar. If you can, get one new piece of clothing for every two you put in the tote. Build your new wardrobe thoughtfully. My only regret is that I didn't do it 15 years earlier.

@Hiddenroses you are getting sooooo close. Hows the preop diet going? Bitten anyone’s head off yet? I’ve lost my temper a couple of times. Ticked off one worker so bad that when I called back to ask another question they must’ve seen me on the caller I’D and kept putting me back on hold for over an hour. Oopsie 🙊 I would’ve tried to explain but I figured unless they were in this boat they really wouldn’t get it anyways. Luckily I was home just purging my pantry from stuff I shouldn’t have around anyways so i just put it on speaker phone and listened to the hold music until they finally picked up. i am not sure if I mentioned that I am having lunch with a friend tomorrow at a steakhouse. I am still allowed one meal a day of lean meat and veggies till Monday. Then it’s all liquids. I called the office to make sure it was okay to do the shake for dinner instead and they said no biggie. I’m sure my friend will order exactly what I would rather have so it’s going to be a bit of torture but I figure I may as well get used to it since choosing the healthier option while others are living their non diet lives is going to be my new normal. I am officially done cleaning out the fridge, freezer and Pantry ridding it if all temptation. I just remembered that I do have some stuff stashed in the cabinet above the microwave though. Mostly nuts and salad toppings and stuff that are okay to have around but may expired before I can actually eat them so I may as well give them away too. I also deep cleaned all the floors since it will be a while before I can do that again and i plan to do all my bedding and the bathrooms on the day before so they are as sanitary as possible when I get home. I think I may actually be ahead of schedule and have the day Sunday to relax. I’ve got a lot of calls to make Monday and Tuesday will be all about last minute stuff before surgery but Sunday I think I will do something fun. A pedicure maybe. I could really use one. Without polish I guess. Did they tell you no polish? They used to always say that but I don’t think she did this time. She said nothing on your body or hair but didn’t say to remove nail polish. Guess I will go with clear just to be safe. Anyways, I hope that you are doing well and that you are organized and relaxing a bit yourself this weekend. Good luck Monday.

its been a weird week! Im glad its Friday here and my work day is done in 6hours lol! a GG?! wow I am sure you have nice boobies still even with the weight loss. I think with the weight loss and breastfeeding two of my children for over a year my boobs were like ya there is no way your coming back from this. So booby surgery is a must for me lol! Hoping to have a chillax weekend! You as well and get those lashes girl!!! I am thinking about it too but I spend way too much money on myself as it is hahahah

My week has been decent, school for the kids is almost starting so that is exciting, I have a son who is going into 7th grade, daughter who is going into 2nd grade and a 2.5 rambunctious crazy toddler boy. So school shopping and haircuts are in our future next week! I finished my last final for my bachelors degree on Saturday so I will be getting that degree soon! Cannot wait!!! Probably the funniest thing that happened this week is that I went to F45 and my pants split right in the booty crack LOL!! So I ended up tucking in my top to continue my workout. I looked so silly but meh! still got a good workout in. My eating is not as strict as I was before but still tracking and maintaining a good caloric input and getting in around 120-150g of protein a day. Need to work on water more. Working on my food relationship and how its okay to have things in moderation is okay and healthy! Lately, I been having some accepting my new body issues, I went from a DD to A bra size and I am just not coping well LOL I officially am no longer wearing a bra because bralettes or pasties is all I need. The skin that is wrinkly and saggy regardless of how much I work out, its a reminder of how long I put my body through physical abuse and how there will always be remnants of it. I did however put a down payment on a surgeon for breast augmentation for Jan. Which I know I know I should wait longer but that will be a year and if I need them redone or fixed I'll pay for it. Plastics and my sleeve surgeon told me to wait the year. I will wait another year or 2 for my tummy tuck or 360 lift. My department lost 3 people within a month, 2 of which were tenured so this stings. My workload just got A WHOLE LOT BIGGER. Its going to be more stressful- so going to work with all my tools and make sure I don't eat my stress away. This week is my *spa week* Today- tanning & Brows, Monday- getting my hair did, Wednesday- Nails, so this is my week of treating myself for all my accomplishments thus far. I figure I should treat myself with something other than food. Anyways I needed this outlet more than I thought. LOL Thanks for reading if you did!

OH!!! Ok. I've heard people say something weighed 6 stones or 10 stones and I always thought "why are they weighing things with rocks?" Now I know lol Thanks for clearing that up!! And congrats on the weight loss!!!

Congratulations on your loss and thank you for sharing your story thus far. I was 258 at my dr when I started my LSD 12 days ago and I was 244 on my home scale this morning with 4 days to go till surgery day although I think my scale is a few pounds below the dr so probably 11 pounds lost. Losing 30 pounds in 7 weeks post surgery is absolutely amazing!! I am so happy for you. I am a revision so I probably won’t be losing anywhere near that quickly after my revision but that’s okay. I didn’t gain it overnight either. As long as it does eventually comes off.. I will be thrilled. Okay, probably impatient at first, but eventually thrilled. I almost forgot about cold food. I am 3.5 years post sleeve so I am able to eat at a fairly normal speed again and I absolutely hated that too. Whenever I was home I would microwave it over and over and over…. And one of my biggest fears are the bathroom ones. My surgeon’s NP says that so far diarrhea bas been the biggest complaint with his SADI patients with one having it so bad that it interferes with work. For all of them they say it resolved at about three months. I am usually near a bathroom and can make sure of it for 3 months but I am really concerned about the smell. I already bought poo pouri 🤣 Getting past just using a public restroom to go number two is going to be a challenge for me. I can count the number of times I have had to do that on one hand I think. Having it be noisy and smelly is going to make it even more mortifying. Hopefully it will be a small price to pay, though. 🤞 I literally just got up and put my measuring tape in the pile I have started for the hospital so I will remember to take measurements the night before surgery. I seen it posted so many times before and never did it. Always wished I had remembered that and to do photos more often. Just like now I’m wishing I had started before the LSD. Thanks for the reminder. There is so much to remember with all of this. Even the second time around it’s an adjustment if you are like me and let old habits slip back. (Please don’t be like me, anyone, so you don’t gain it back) My sleeve portion is already done so they are not doing anything to my stomach. I can already eat a fairly normal sized portion so my issue shouldn’t be with getting food or liquids in a tiny pouch like most of you. It will more likely be that I will want more than my healing anastomosis will be able to handle so I will have to be very disciplined and eat the portions my dr sets for me. I am just hoping that I have some changes in my appetite still because this is gonna be like a really long pre op liquid diet for me that continues on throughout the purée and soft food stages if not. Aka not fun. You are so smart to only weigh once a week. I wasn’t that self disciplined to put the scale away. I did only record it once a week with my sleeve though so I could see the downward trend more easily and looking at that helped quite a bit when I felt like that scale wasn’t budging. Which reminds me I need to start logging my weight again. And such a good reminder not to compare myself to others. That is going to be especially hard as a revision. He did say it should be faster than a bypass revision though. So maybe on a tad slower than the rest of you here. I hope. Thank you again for sharing your experience. I hope to see updates of your continued progress and that the rest of us have as good of a handle on all of this as you seem to at 7 weeks post. Sounds like you are rocking this. Keep it up.

I had the SADI-S on June 14, 2024. Tomorrow (Aug 2) is my 7 week post op day. I was 278 when I started my liquid diet. I was 268 on surgery day. I was 275 directly after the surgery. Last week I was 238 and I had a combined inches lost of 31. I have been experiencing a stall for a few weeks. I’ll lose some and gain some but it’s the same 3 pounds. As such I’ve been trying to get more movement into my life. I’m eating, at the advice of my surgeon, in a trial and error way. He wants me to be able to eat normal foods as it is easier to get to your protein goals. I haven’t eaten bread, sugar, pasta, or potatoes. I probably won’t go back to those foods. The pain feels like you went hard on Abs day. It was pretty much gone after 3 weeks. Eating too much (even by a single bite) or drinking too soon after a meal hurts worse than after the surgery. If you feel full and you think it’s too soon, take a break then pick it back up. You’ll be able to get it down eventually. Your anastomosis will be swollen (the link between your stomach and intestines) so there’s a bit of backing up before it goes down. I found shaking my stomach helps the food/liquid go down. Get good with your food being cold. Even if it’s hot when you start eating, you can’t eat it fast enough for it to stay warm. This has been the worst change for me besides the smell of my 💩. Work on finding low fat/non fat substitutes for cheese, dairy, etc. Sugar free substitutes for drinks can help get water in. I like G Zero and the added electrolytes are helpful. Track your food in an app. Weight/measure everything. Avoid “eating out” even if you can find reasonable foods to eat, it’s impossible to know your macros when you’re only eating small bits of meals and maybe removing bread etc. I only have been out once and that was two days ago. I ate a few bites off my husband’s plate. I kept looking at everyone’s full plates and thinking about how I would have eaten all of that and still been hungry. You will be exhausted from lack of food and energy. However force yourself to at least walk laps around your home. Only weigh once a week. I had my husband hide my scale. It was pissing me off that my weight was fluctuating. You will see more movement in measurements than you see on the scale. Try not to fixate on the numbers and remember not to compare yourself to others. People with more to lose will be losing faster than you. Some will not follow a good diet and lose very slowly. Let your doctor guide you on follow ups. Trust the process. Im new to this message board but feel free to reach out to me if you want. I’m on instagram as @BariatricBunnyBabe and TikTok as @Bariatric.Bunny and when I find things that work I post about them. I also share my wins and my weight loss stats. SADI-S can 100% feel lonely but we’re out here doing the thing!

My PCP has me recorded at 320 pounds 2 yrs ago at my highest weight ever. I saw her yesterday and she smiled and said well hello there tiny person. I laughed and said well I did lose half of me. She said you look like a small child. I wasn't sure if that was good or bad but I'll take it. LOL 🤔 Same here. I really like it. I hope you kept the pink hair.

I am an overthinker too, so I totally get what you're saying and feeling. A few thing I've learned in this very short journey: 1. Your body will tell you when its done losing weight, don't fight it and don't work extra hard to lose either, follow your plan and whatever weight you lose you lose. If you work extra hard to shed pounds then it's not a sustainable plan for you and you will have to work extremely hard to maintain that loss, you want your lifestyle to be sustainable for you, some people understand that they can't cut out carbs and fat completely and they know the trade off would be a slightly higher stabilized weight and they are comfortable with that. Evaluate your priorities and lifestyle and what you can comfortably maintain. Also, if your body is not done losing weight, don't fight it, it's trying to reach its new set point. 2. If you're seriously working out, try to maintain a 250-300 calorie deficit only, this way your metabolism doesn't get affected by a whole lot and it allows you to lose fat but also perform in your workouts. 3. Balance and Moderation. I know this has been said to death but moderation is truly key. If you strongly feel like eating something, eat it in a portion that allows you to enjoy but stay on track. 100 calories from ice cream or from chicken breast are the same 100 calories, yes chicken will keep you fuller but ice cream is good for the soul lol! If you have a couple of hundred calories to spare, have something you enjoy AS LONG AS THAT'S NOT A SLIPPERY SLOPE. This is something I struggled with when I was overweight (the all or nothing mindset) but I am relearning how to eat and enjoy in smaller quantities and not eating for the sake of eating. 4. Having good habits will make up for slip ups. That means tracking, working out, being active, being mindful of portions and listening to your body (including adequate rest and sleep). If you do all that and end up eating a little more here and there, having a few bites of dessert/things that are not so good, it will absolutely not hinder your results. It is a mindset adjustment as much as it's a physical adjustment, if you have a strong mind, your body will follow suit. Cut the guilt, comparison to others and the overthinking. You absolutely got this!

I am not preventing more weight loss however I am not a fan of how thin I am right now. I work out to build muscle but I like being curvy and I am looking pretty flat now lol I felt really good and *think* I looked good at about 175-180 Not that I don't feel good where I am at, but I am would okay with where I am at. My surgeon said that same lol But like you said I am not letting my foot off the gas, still working out 6days a week, tracking my food and prioritizing protein which I plan to do for the rest of my life. Thank you I am loving joining this new life!

How very amazing! Honestly, 6 months after surgery it's very likely you will lose much more OP. Is there any reason that you wouldn't want to? I am a firm believer in our body selecting its own goal weight after WLS. Loads of us here want to get to a randomly selected end point that we'd be happy with, but find that either we can't make it, or alternatively that we overshoot it. I was one of the latter people. I have regained 8 lbs in the last 8 months (which is common in the third year) but I've levelled out now and I am so glad that I stuck to my programme and kept losing those few extra pounds rather than taking my foot off the gas when I got to my (arbitrary) goal. Welcome to your new life. In a couple of years you'll be glad you used your weight loss tool to the max while it's in its honeymoon phase!