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I was almost scared to open this this morning as I’m headed to hosptal on 25’ minutes. 😆 That is the absolute worst. I had one near what going on down there so my primary sent me to gyno. He said that wasn’t necessary but it was more comfortable knowing he looks at that All day long. Mine had to be landed and then packed with something soaked in antibiotic several times while it healed it was really bad. He said it just happens in a perfect storm of unlucky events that can bappen ti anyone. This was long before any weight loss surgery. Anyways, I hope it heals real quick and your back on to living your best life real soon.

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

I had a revision to SADI on 8/7/2024. Lost 70 pounds but then I started chemo for breast cancer that I was diagnosed with a day shy of my 3 month surgiversary. I was told not to lose quite as fast by the oncologist and the oncology dietician so I have since only lost ten more in 2.5 months. Anyways, my double mastectomy is tentatively scheduled for 5/8/2024. During that surgery they remove all the breast tissue and put in Empty bladders they call expanders and then they slowly fill them each week with saline in the office to stretch the skin making room for the implant. The cosmetic dr says that I could take my time and try out all the sizes and go up and down and then do the reconstruction surgery to put in the saline implant when I’m sure of the size I want and I loved that idea because I want to go smaller but I know it’s going to take a while for my brain to get used to it. The problem is that I have to begin radiation 6 weeks post surgery and the process does something to your skin that makes it very hard to stretch so the radiation Dr says I need to decide on a size before I start radiation treatments. Well I don't think it would be a good idea to postpone radiation just to decide on a breast size so I kinda need to know what my goal is right away so he fills it fast enough for me to get there within 6 weeks. At the same time it will hurt worse the faster we go. I am currently a 36 G. I was thinking maybe a 36 C or D would be small enough that they don’t get in the way with exercise and hurt my back and neck but not look too small after seeing myself larger for so many years. Also if I drop more weight and get to say a 34 I would be a D or DD but what if I lose more weight I mean I want to keep going if I can and then I’m a 32 DDD. I was a 32 C when I was younger and I think when I got my implants I went to a small DD but I sorta doubt i will get that small again, honestly. how much weight did you guys lose between band sizes. I was thinking that if I get to 158 I would be thrilled and that’s only 20 more pounds so I know that I won’t get to a 32 at that size. Do you think it’s possible I will get back to the 120’s. I know the last two months threw my pattern off a bit but I was losing steady at 3-4 pounds a week before all of this. Is there anyone with similar stats that can tell me about their experience with SADI or maybe a virgin bypass. My loss trend was similar to that according to the NP at 3 months out. I really wish I could do this after I get to my low weight and stabilize. All I want is to be able to buy bras in a normal store and not have to pay a fortune for lunch lady bras anymore or have my back breaking and poor posture from a too large chest. But at the same time I don’t want to look too small. I figure that I would find the smallest size that I could get used to so when I lose more weight it will probably be perfect but I won’t have time to get used to it like the surgeon and I hoped. 😢 So I get that cup size is a matter of preference but can anyone with similar stats tell me how much they ultimately lost if they were losing 3-4 pounds at 3 months or how much weight they lost between band sizes or 36-34 and 34-32. Or anything else that may help me. I’m so scared I’m gonna decide on a size and my body is going to change but since it’s all implant after this surgery my boobs won’t change with me with loss or gain and I will be way too big or small for my frame.

So I agree with everyone else and should definitely be asked of your team for clear answers. However my slight insight to the SADI is that it really limits fat absorption and what your body cannot process leaves your body rather quickly by way of BM. At least from a few people I've heard say they really cannot handle high fat or high sugar foods for that reason. So I would caution against trying to get more fat in until you have the answers from your team. *side note - (not in any way making this related to the surgery ) - but do you remember when they came out with those chips (lay's i think) with olean? the fat that couldn't be absorbed and people were complaining about bathroom runs. Oh the things we do in the name of weight loss.

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

Congratulations on your loss, I’m glad something positive has come out of the horrible experience you have had. Would it be worth talking to someone who specialises in PTSD? A year isn’t long, especially as you spent 4 months in hospital with all the attendant stresses on both yourself and your family. Be kind to yourself. Sometimes we’re harder on ourselves than we would be with others in the same situation 💛

If you're basing your bypass opinions on 20 years ago, it's come a long way! I chose bypass and have been very happy with the choice. Having said that, I am an avid listener of Dr. Weiner's Pound of Cure podcast and videos, and I found these videos so valuable when making my choice. Ultimately, I went with bypass for the more durable weight loss and avoiding GERD. But there are good reasons to make either choice, and these kind of walk you through some of that.

Greetings, I live in Canada, so things may be different from US recommendations - but after having the sleeve, I was told that 2 multivitamins a day with no less than 9mg of iron was all I need. I have a slight iron deficiency with blood work I had done and looking into it online - it seems some patients are required to take a separate iron supplement in addition to a multivitamin. It just seems to be random depending on where you have your surgery. My doctor isn't that concerned, but I have noticed some hair fall/thinning - so I am assuming it is the iron deficiency even if slight and so I am kind of freaking out about it. Going to a dermatologist to see what they have to say. So I was just curious to get some feedback here. Are you just taking multivitamins or additional iron on top of that? Thank you, HM

While I have always been an avid exerciser (think everything from running, cycling, weight lifting, marital arts, HIIT, hiking ...etc.) I have always taken up a supplementary form of exercise that is fun and that I looked forward to. A few years ago I played tennis twice a week, then hiking, then taekwondo (reached the blue belt then had a very bad ankle injury that cause a lot of my weight gain), now I do Pilates twice a week in addition to my gym routine and these two sessions are the highlight of my week. Once you find something you enjoy be it tennis, padel, hiking, cycling, swimming or even walking it will be easier to build on that routine and do the things you don't so much enjoy (like weight lifting for example). It is also always good if you have a group you can exercise with (or play certain sports with) or a gym buddy. I also made sure to build a gym studio in my new house and that has been wonderous, I wake up early and workout and don't need to worry about the commute or how to shower and do my hair before work, so a set of dumbbells and a bench at your home can do wonders (if you have that option). I was always asked by friends and family why I am so adamant and a freak about my exercise regimen and if I get bored or sick of it, and my answer is I do it more for my mental wellbeing than for my physical appearance. Nothing comes close to that post workout feeling, it is literal therapy to me. I love to challenge myself and I love to work hard and feel like I've earned it, and I feel sluggish and not great on days I don't workout. Once you commit to a sort of movement daily, it will become a healthy addiction and the feeling that that brings is euphoric, if I say so myself. Just make sure you start easy and build on that.

A loss is a loss!! Especially if you've been struggling with pain (and pain killers). Honestly, even if it were a gain, the fact that you're learning from it and identifying where your problems were this week would still make it a plus, in my book. This is a life-long journey you've (we've) started, and we're going to keep re-negotiating things with our bodies and our digestive systems -- so anything that teaches us is at least a small win, right? Sodium has been a toughie for me post-op. So many food items take out sugars/carbs or fats but really seem to up the sodium to make up for it. I was always a little sensitive to sodium, but post-op? JEEBUS, the sodium headaches if I'm not careful. (Looking at you, sugar free drink crystals)

I am the same, have lost my boobs and bum and just feel I look flat. I was feeling quite down about it a few weeks ago so I went out and for the fist time ever bought padded bras. I look and feel so much better but I would like to get a little work done on them at a later date. @ms.sss I think yours look how I would like mine to be. I was around between a 36-38 DD/E and now a 32-34D but saggy. I am not sure if boob jobs are covered here under the state insurance here, will ask in the coming months as I think they say I have to wait at least a year and a half, until the weight loss slows down and remains stable.

This is the what one Hospital provided me for Gastric Bypass Medicare costs and requirements. One thing I noticed is "Consecutive diet counseling within 1 year of surgery" but did not specify a duration time for the diet. Anyway, thought some might derive some useful info from this. TRADITIONAL MEDICARE Insurance Requirements Primary Bariatric Surgery - covered benefit? Yes Revision/Conversion Surgery - covered benefit? Yes - BASED UPON MEDICAL NECESSITY Special Facility Requirements? N/A Specialty Referral or Authorization required from PCP? ● No referral required for clinic ● Policy Copay Fees Registered Dietician (RD) ● One on One Counseling Session ● Diet Class $0 DX: DIABETES $30 Psychology $0 Specialist ● (Surgeon, APP/NP/PA, Cardiology, Pulmonology, Obesity Medicine Specialist) $0 ● BMI requirements ● ‌ BMI >= 40 - OR - ● ‌ BMI >= 35 with 1 of the following: ● OSA on CPAP ● TIIDM ● HTN ● Nutrition Education ● ‌ Consecutive diet counseling within 1 year of surgery ● Documentation includes weight, diet education, supervised by an MD ● Must meet weight goal set by Dietician to return to see your surgeon and schedule surgery ● Psychology Evaluation ● ‌ Clearance within 1 year(s) of surgery (Special considerations may apply, to be discussed if needed) Medical Evaluation ● ‌ Letter of Medical Necessity by ANY medical provider Yes ● On his/her letterhead ● Signed and Dated by the MD/DO/RN/ARNP/APP ● Documents previous failed attempts at weight loss ● Lists co-morbid conditions related to obesity ● Additional Medical Clearances no

Went to my crochet group again today and I didn’t need a nap afterwards. I’m hoping maybe I’m done with the afternoon nap stage. I plan to wake up earlier tomorrow and really try to power through again so I can hopefully get my sleep cycle back to normal. Day by day I get a little closer to my normal. ooh and yesterday was a follow up for the muscle cramps that I got in my calf which went away with the magnesium they gave me but I kept the appt anyways because i start soft food Monday and I had questions. She said that since my pre op appt I have lost 19 pounds so that’s one month exactly and the expected loss for a revision is between 5-10 pounds month so I’m doing good.

I put my surgery day weight in my stats instead of my highest weight because I wanted to track what I was losing since the actual surgery. But if you look at my signature, you can see what my numbers were, and they weren't pretty by any means. Everyone loses at a different weight. It depends on what we have going on with our bodies. It took me 2 years to lose 200 pounds. Some on here have lost more than that in that same time. Some have lost a lot less. We can't compare ourselves to anyone else. HAVING SAID THAT..... you lost, from your surgery date, 367 pounds - 294 pounds = 73 pounds lost. In 4 1/2 months. That's an average loss of roughly 16.5 pounds per month, or just a hair over 4 pounds per week. For reference, I lost 79 pounds by 5 months out. So you're very close to where I was. Don't lose hope or feel discouraged. You're doing well. Maybe try hitting the gym once a week and also going for a nice long walk once a week. You'll see the extra movement really helps a lot, too. Stick to your protein first, then veggies, then carbs, then healthy fats and you'll also do well. If you can't get the protein and fluids in at the amount you need, do your best. Supplement with a protein shake for now, on top of the rest of your foods because that counts for both.

(I just figured out how to respond to something directly!) I can't do food funerals. I would binge like a mad man! The thought is fun, but my reality would be awful. In one of my weight loss classes they gave the advice, "Go to the wedding, get the biggest piece of cake, look at it, smell it, take the smallest bite, then throw it away. And remind yourself that you're better than that." My immediate thought was, What world do they live in? Because I knew I couldn't do that.

Hey guys, sorry I haven’t been too active. Had a rough few days. Not sure if the majority of my pain was the fact that they ended up taking my gallbladder too or just because I couldn’t pass gas for 4 days!! I did a couple little ones yesterday and a few belches which did help some but this morning I had several good ones that were life changing. 🤣. I am home now and loving being in my own bed. Though it is a bit harder to get in and out of. It’s adjustable but I got used to pushing off of the bed rails being in hosptial for. 5’days. Anyways. Just wanted to check in. Still no regrets. Looking forward to continued loss.

I have read through so many posts on the topic of revision and see that people are mostly very happy to have gone through with it but a lot of them seem to be due to regain, hernias or bad GERD so my query is a bit different. My surgeon has mentioned a number of times to me about doing a revision from sleeve to bypass as following my surgery a year ago I had bad reflux. When I was released from hospital in November I was prescribed two pantomed (PPI) a day and since then GERD has become less frequent, for the last three months I am now on just one a day and I don't consider that the GERD impacts me, maybe once a week I might have a bit of gas, but the surgeon was still suggesting bypass and at my last appointment (in May) even mentioned that it would help me lose more weight, even though I was then just 5kg/11lb from the target he gave me and still only 10 months post-op. Given all the complications I had after my sleeve surgery in July last year I am very hesitant to have any further operations as I don't know if it was the medical teams fault and/or my body. If it is something that the surgeon says is needed I am torn between asking for a referral to another hospital or risking his team again in the belief that they would be extremely careful with me after everything that went wrong the year ago. So far, in just under 12 months, I have lost 47kg/103lb and am only 7kg/15lb away from my goal weight (3kg from the surgeon's target) and therefore I was wondering, from those who have gone through the revision process, if you think it is worth it? For me the only benefit I see is that I would be able to stop taking the daily pantomed, so not sure that is worth risking another surgery for. I have not had a single dumping episode and for the last few months have been able to tolerate all foods without issue so am a bit fearful that the bypass may lead to a backwards step on those fronts. If my GERD is not impacting me is there any other long-term benefit to the revision when I am still (slowly) losing weight? I don't want to go more than a few kg below my goal weight as it is not a good look on me. If there is no drastic weight loss, given so much has been achieved already, is there hair loss with the revision? Any insights would be appreciated as I have my one year check-up in a couple of weeks and I want to be prepared for when the topic is raised

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'm 21 years post-op. A sandwich that I could easily eat pre-op is 4 meals now. The thing is, my concept of 'standard' has changed completely. For this thing to work long term it had to*. In the years pre-op I could do any crash diet that came along with 100% compliance for months. I can do anything for a short time knowing the short time would end eventually. That's not change, that's will power, which most of us have in abundance. WLS is forever*. The early "honeymoon" period shouldn't be about losing weight as fast as you can*. It should be about changing "normal" and getting weight loss as a positive reinforcement for compliance*. Compliance + positive reinforcement + time = new normal*. My plan was to eat the way I would after I lost all the weight. Basically, I started my "maintenance" plan the day after surgery. I eat now pretty much as I have since about 3 months post-op, though now I complete more meals than I did at 3 months. There is no "after." This is my normal, the way I eat without thinking. WLS is forever is my opinion. Plenty of folks have done the draconian post-op diet and lost all their weight and even maintained it for years. Many track every morsel they eat forever. For me, that's no way to live. This is not how my surgeon wanted me to live. Good luck, Tek * Personal opinion.

I think a maintenance level of 2100 kcal/day for someone 5'7" who's had WLS would only work for someone who was super active - or was blessed with great metabolism. A dietitian I worked with years ago told me people who've lost a lot of weight almost always need about 300 +/- fewer calories to maintain their weight than a person of the same weight and stature who's never been obese. I heard that again from a nutrition professor last summer when I was auditing a university-level course on weight loss and obesity. There's some scientific explanation behind that that I can't remember at the moment, but it's disappointing - but that's the way it is, evidently. that said, a couple of thoughts. First of all, you may or may not be done yet. After the first year, there were several times my weight loss seemed to stop and I'd think "well, I guess this is it..", and then I'd suddenly drop a couple of lbs. Also, you are very close to a normal BMI. Weight loss at that point is EXCRUCIATINGLY slow. I remember the last 20 lbs being a BEAR for me to lose. But I kept at it and finally got there.

I lost over 100 pounds and then life hit me. I changed jobs, left my husband (long time coming) & moved out of our home/town. I moved back home until the divorce is final (hopefully around thanksgiving) and we sell our home. I found myself less interested in going to the gym and more interested in going out with friends and enjoying life. I have not gained anything in the past year but I also haven't lost a pound. I have recommitted myself to eating healthier (lower carbs, sugar and calories) as well as returning to the gym. I also looked into different GLP-1 injections to maybe help me get into the right mindset and attitude as well as help jump start my weight loss again. I ultimately decided to go with the "hers" program. I was approved and written the prescription and am waiting on my shipment of the injections. Has anyone tried the hers program after weightloss surgery? Did you have side effects from their compound?

Sigh 😩I told her all that & gave her my weight chart from Dec 2022 to present and she still said "Mmmmm....I'm still going to need to see you monthly for 6 months." Then added Sleep study, EDG, and cardiac appt to the 6 month supervised diet with documented failure of weight loss. Documentation supporting the "reasonableness and necessity of a Gastric Restrictive Surgical Service being required, and significant clinical evidence that weight is affecting overall health and is a threat to life." Psych eval & Nutritionist counseling that I already have to do.

Hello, all! I had gastric bypass on December 29th, so I'm only 6 days post-op, but I hit my first personal benchmark of losing 20 lbs since my 2-week liver shrinking diet pre-surgery today. If you are a visual person who is still on your weight loss journey or are looking to gain muscle, I wanted to share an awesome FREE app that helps track your progress visually and automatically takes measurements for you. It's called Me°-Three-Sixty. (No waiting for a partner to take your measurements or trying to do it yourself while holding one end of the tape measure awkwardly in your teeth or armpit.) As you continue to take scans, you can compare two scan dates side by side, both visually and with measurements. The measurements are approximations from taking a front facing and side view photo, but as long as you are consistent in where you stand & distance from the camera, the progress will be the same but may differ from actual tape measure. I took a scan pre-surgery and then took another one today. The app calculates the change in inches and percentages between any two scans. You can also use the slider tool and see what your body might look like with a weight gain or weight loss up to a certain pound percentage. Anyway, I thought you might like to try it out while you have something to compare a "Before" photo and it can still be in an anonymous way. I also loved Baritastic app, so if you know of other awesome apps we could benefit from please drop them in this thread!

Both are very important to your general health. Vitamins because you’re not able to consume enough of a variety of foods to get all the nutrients your body needs to function effectively. Protein should be your focus not only now but forever. It can be a challenge to reach your protein goal every day especially in the first couple of months after surgery when your portions are so small. But work at being at least close to your goal and that your general trend is you’re consuming more and getting closer to the goal. We usually say eat your protein first then any vegetables you are able to and lastly any allowed complex carbs but only if you are able to eat more. This often means a meal is solely protein and nothing else. Protein is very important to your wellbeing and if you’re not consuming enough your body will take it from any it can i.e. your muscles. Not taking your vitamins or meeting your protein (or any other goals you are given) will have a negative impact on your health. The regular blood tests your surgeon & team will request are to ensure you’re not deficient in any nutrient. (5.75yrs out I still have regular blood tests - was 3 monthly until year 4 & every 6 months now.) You are likely experiencing a stall. Stalls are very common with the first one (yes, first one) almost all of us experience occurring around the three week mark though it can be earlier or later than that. @catwoman7 would tell you, there are literally 10s of 1000s of posts here about the infamous three week stall. A stall usually lasts 1-3weeks though some experience longer stalls. Frustrating yrs but they happen for a reason. A stall occurs when your body shuts down to reassess your current needs in response to your weight loss, smaller calorie intake and this first one the stress of your surgery & recovery. You will start to lose weight again when your body is ready to move forward again. Stick to your plan & meet your nutritional goals as closely as you can so you’re not & stressing your body more than it already is experiencing.

As from these posts you can see you ‘re not alone in being anxious about your loss of routine due to surgery or injury recovery. I can add me too. I feared if I didn’t get back into doing some form of my stretching & resistance band routines I would never get back to doing it after my hysterectomy. My innate laziness and dislike of exercise would kick in again. By day 4 I just had to do something so I started very slowly. Didn’t over extend my stretches to anywhere near what I usually did. Avoided certain things. Interestingly there are contradictions with post hysterectomy exercising. No lifting for two weeks, then 5kg, then 10 then all good ( so by 8 weeks lift anything) compared to no heavy weights (>15kg) for 6 months. No core muscle work for 3 months vs start core muscle work at one week. You can understand why I took my own path. If I felt a pull or discomfort I stopped and/or avoided that movement for a few days. I can understand having to avoid upper body work but what about lower body? Like using ankle weights like @kristieshannon suggested when you’re able to walk or get some resistance bands to do some stretches either sitting down or on the floor. Don’t use your arms. If you have circular bands use a chair to brace the band or get your husband to hold the bands. I do some where the band goes around my ankles and below my knees and I pull one leg away from the other. Try deep knee bends, squats, ankle work, pelvic thrusts with feet on a wall, etc. So you’re not doing weight baring exercises but still working your muscles. Even if it’s not your usual routine make it a new, though temporary routine. All the best.