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I went through insurance but I know someone who paid privately and she didn’t have to go through all the hurdles either. I am not sure if she had to do labs or not but she didn’t have to see the nutritionist or the psychiatrist. Which was all I had to do with insurance. The other medical stuff is as needed to determine you are fit for surgery or to prove comirbidites to insurance companies so it varies person to person. If you think you may have disordered eating (like boredom or emotional eating or binge eating) I would definitely see a bariatric therapist whether they require it or not. I learned after surgery about boredom and emotional eating and I struggle with both. I wish the psychiatrist I had to see had picked up on this so I could have dealt with it before surgery. I wanted the surgery asap but I feel the process has been harder for me dealing with my disordered eating while also doing weight loss phase.

Thanks for the reactions much better food day today, weighed this morning and a disappointing 185lbs, i used to weigh daily and im going back to that, i think its better for me to keep tabs on my weight. My scale broke about 3months ago when a friend came to visit, and i replaced it about 6week later, it said id gained about 5kg and i thought it was wrong LOL. Todays food was protein shake, protein meal (like space food), chicken (A LOT), low fat yogurt and a half a mars bar, 3 crackers and a lollypop. Calories should be about 1000 for the intake. I had about a litre of water, and about a litre of coffee. ill be going for a run shortly, 3 to 4miles maybe i realize i eat because im bored, im working from home because of covid and currently in the UK, nothing really going on out here. will write again tomorrow, im buying myself a gucci bag at 10lbs weight loss because i need the bag and body.

Please can someone recommend a good app available on App Store to track food and fluid intake? Weight loss progress? Maybe give tips, recommend vitamins etc? Something other than baristatic cause that’s not available where I live

it's a stall. Almost all of us experience them - and the first one is usually within the first 4-6 weeks after surgery (it's usually the third week, but not always - sometimes it's the second week and sometimes it's the sixth week. But if you want more info about, search this site for the "three week stall" (it's so common to have it the third week that we call it the three week stall). There are over 17,000 posts on it here on BP (and no, I am NOT kidding..). best way to deal with it is to stick to your program and stay off the scale for a few days. Stalls typically last 1-3 weeks before you're on your way again. And just so you know, this is likely the first of several stalls. It's a normal part of weight loss.

Hey October '21 friends! Checking in. How is everyone doing? Things "feel" good over here and I'm healing well. Started hitting Orangetheory two weeks ago and it feels good to be working out again (I was an avid fitness person for years pre-op, so it's part of my identity). I feel like I've been slow to lose- which honestly, I'm OK with. I'm following my surgeon's office orders, but I feel like they'll tell me at my next appointment I'm not losing quickly enough (they mentioned it a little at my previous 1 month appointment)- anybody else struggle with that? I know I'm getting smaller, but my office doesn't measure me each time I come in.. only weighs. Been meeting my hydration, protein, and calorie goals. Starting on the 29th, I'll be asked to up my calories again and pay attention to carbs & fat as well (I'm already paying attention to these as I've set the recommendations in my Baritastic app already). Anyway, that's how it's going here in my 9th week. I am about 1lb away from a 50lb total loss since starting my journey in May, so that's something to celebrate.

I’m new to the group and haven’t had my procedure yet but I will get sleeved on 1-12-22 I’m in other weight loss groups and I have never heard of not losing weight at all I hear people say they hit a stall usually around 6 months post op

For me, it was important to keep tracking everything even through the frustrating stalls: weighing myself regularly, tracking all my food and water, etc. It is easy to get discouraged when you don't see the scale move for a while (or, move slower than you want) but the key is continuing what you are doing, with potentially some tweaks depending on what your practice advises. In my case, tracking helped me ensure I was pushing toward the calorie level my practice wanted to see (at least 1000 cals/day, which was hard for me for a while) and helped ensure the choices I was making to add calories continued to be smart (prioritizing protein). It was also helpful to take measurements and pictures to see progress. In fact, I was just in a really slow period of weight loss for 6-8 weeks (after awesome weight loss the initial few months), and seeing new pics compared against the old ones from right around surgery was so, so helpful at giving me positive reinforcement. I also have been looking for other non-scale victories to carry me through, so realizing that clothes are fitting looser, or that I just have more energy than I did before. On the happy side, my slow weight loss has ramped up again after slogging through that slower period. I am exercising a bit more but also have been diligent about hitting that 1000 cals/day threshold - I'm convinced that has been the key for me, at least until my body decided to go slow again! So, talk to your nutritionist, see what they say, and also just stay hopeful (I'm not a naturally positive person so this part is really a challenge for me!) Slow is better than zero and zero loss is better than gains. Good luck and hang in there!

100% agree. Therapy is so essential to long term success. I am SO grateful for the work I did before surgery that got me to a place where I could use the tool properly. So, so much of this is mental & emotional. ETA - I'm only 3 months out, so still very solidly in the protein and veggies phase. But I absolutely know that a balanced diet, including carbs of various sorts, will be in my future. Adherence is so vital during the active weight loss phase (1 year or so). But as you reach maintenance, you will learn how to incorporate other foods that help you maintain vs. continuing to lose weight.

I feel like I’ve hit a wall. It’s like I started losing a good amount of weight for the first few weeks. Now I’m at week 6 and I feel like I haven’t lost anymore. My husband says I have. But idk. I don’t feel like I have. Anyone else have this issue ? Or have any insight ?

Hi! I am scheduled for ESG procedure in 3 weeks. I have generalized anxiety and take meds for it now. I have been reading horror stories of people who had a weight loss procedure that developed worse anxiety or a panic disorder after. Dose anyone have any experience with anxiety worsening after an ESG procedure? I have felt very ready for this procedure until last night when I think my anxiety was getting the best of me. Of course I made the mistake of googling anxiety after weight loss surgery before bed and ready lots of bad things. I pry should not have have done that, lol. I started seeing a therapist about a month ago so I can get ready mentally and emotionally for this, and she seems to think I will be just fine after. I have now started wondering if I should try the balloon or something that is reversible, in case I panic. I would love to hear others experiences. Thanks!

I just checked, and my heart rate is the same or higher than it was before surgery. I don't feel tired, just I don't have MORE energy, like everyone else says. My back hurts when I drive, no matter how I adjust the seat. I do drink enough most days, but since I don't like plain water any more, it's harder. I feel weak in my upper body strength, not just like I have to lie down. I guess I wasn't explaining it well. I didn't have hypertension or diabetes before surgery, although I was headed towards being prediabetic. The things that bothers me most is the discomfort after every meal (I'm probably STILL eating too fast), the hunger, and the loss of upper body strength.

Hi TJ! I'm three and a half weeks out and pretty much back to normal other than a little residual pain behind my big scar. Come share on the November buddies thread - we're all pretty much at the same stage as you. Your loss is brilliant - I know we shouldn't compare ourselves but it's way better than mine! 💪

Yes, now that I'm in maintenance, I do allow myself a treat now and then (special occasions). And my day to day diet is not as strict as it was when I was in weight loss phase. You don't have to commit to NEVER having any of your favorite foods ever again. A total abstinence approach works for some people, but it's not realistic for me. But you will need to be mindful of how and what you eat, if you want to maintain the loss. I weigh myself regularly and I adjust based on what I see on the scale. Like a lot of us, I have a redline weight limit that tells me it's time to buckle down and follow my plan more strictly until I lose the pounds I have picked up. Hopefully, I will never again eat recklessly and mindlessly on a day to day basis. But I still enjoy old favorites (just less often and in smaller portions). I hope that helps!

Before surgery, I had been obese since the age of 8. I was 54 when I had the sleeve done. In all those intervening years (decades), I was never able to lose significant weight and keep it off for more than a year (usually 6 months). After surgery, I lost 130 pounds and reached a normal BMI for the first time since I was a little girl. I'm coming up on 3 years since my sleeve and my weight is within 4 pounds of my lowest weight. I had 45 years of trying to lose weight and maintain the loss. If I could have done it on my own, I would have. To a certain extent, you're right. No surgery will allow you to eat unhealthy food on a regular basis and maintain the weight loss. The part you are missing is that for some of us, the surgery alters our appetite and reduces cravings. That makes it much easier to stick to a desired eating plan. Prior to surgery, my appetite beat me up like it was Mike Tyson. Now, it's more like a toddler. It can make a lot of noise, but it doesn't overpower me anymore. I'm not consistently relying on raw will-power, where I'm constantly struggling not to eat. That wouldn't be at all sustainable (as my 45 years of diets demonstrated). Sure, sometimes I want something bad and I have to tell myself "Not right now". But it's a heck of a lot easier to do that now than it was before surgery. It's really unfortunate that you were told you would be able to eat as you did pre-surgery. I honestly don't know ANYONE who completely went back to their old diet and maintained their weight loss. Now that I am in maintenance, I'm not as strict as I was during the weight loss phase. I eat more carbs (in the form of fruit mostly) and I allow myself a treat now and then (Thanksgiving, Christmas, my birthday, Passover, etc.) But day to day, I eat a maintenance diet that is very different from how I ate pre-surgery. Your surgeon is simply wrong. 2 years and 9 months after surgery, I still have significant restriction and my appetite is still about two-thirds of what it was before. The restriction is not as intense as it was in the early days/weeks/months after surgery, but it's there. I am satisfied with a fraction of the food I used to eat at one meal. It will always be possible to "eat around your sleeve" by eating unhealthy food in small portions, but all day long. No surgery can stop you if you are really determined to over-eat. That's why it's important to get to the root of the psychological reasons you depend on food to help you cope. Because surgery doesn't eliminate those issues. It's very unfortunate that your bariatric team didn't prepare you for that aspect of things. Different people have different experiences of what post-surgical life is like. Not everyone gets the long-term appetite reduction that I enjoy. I'm aware that it may not last forever. But almost 3 years later, the sleeve is still helping me maintain my weight loss, WITHOUT a constant will-power battle. It takes commitment sure - I can't eat everything that comes to mind, whenever I want. But for the first time ever, I feel like on any given day, I can CHOOSE how and what I eat, rather than being a prisoner of my appetite.

Sorry to hear you aren't feeling well. For me, the first 9 months or so (after the initial recovery) were great. I was never hungry, and I had a lot of energy even though I was eating very little. But then things started to change. I felt weak and fatigued all the time. My resting heart rate was less than 40 beats per minute, which my surgeon said was probably because my heart was used to having to work much harder when I was carrying 200 extra pounds, and now that I'm so much smaller, my heart has slowed way down to compensate. My surgeon and the cardiologist to whom he referred me said the bradycardia was probably the cause of the weakness and fatigue, so you might want to get that checked out if your resting heart rate has decreased a lot. Like you, I look much better, but I feel worse than I did before surgery, when I was super morbidly obese. To make matters worse, people keep congratulating me on my weight loss and condescendingly say, "I bet you FEEL better, too!" No, actually, I feel worse than I've ever felt in my life, but hey, at least my body looks socially acceptable now! On the other hand, I was in bad shape before surgery, with hypertension and diabetes that probably would have just kept getting worse if I hadn't lost the weight, and now I no longer have either. It's hard to say whether I'm better or worse off overall than I was before the surgery, but I think it's useless to think about it that way because I made the best decision I could based on what I knew at the time, and there's no going back now.

Never say never. I’m 3 years out, and i can (and do) eat anything. Well, except excess sugar in one sitting (i dump)…when i do eat sugar (i.e., dessert) its always just a little at a time. I eat bread, cookies, chocolate, fried foods, sauces, the occasional pizza slice (albeit only when Mr. makes it, as its delicious), rice (in my sushi), pasta (again only when Mr. makes it), and drink alcohol. I go out to eat at restaurants regularly. I’d go even more if it wasn’t so Covid-y out there. So long as my average calories stays at or below my maintenance calories (i track EVERYTHING), then its all good. If my weight goes north of my self-imposed high weight limit (i weigh myself everyday) for 3-4 consecutive days, i cut cals for a while, until I’m in my happy weight range again. I had to do this 3 times in year 2…haven’t had to do it again so far *crosses fingers*. All my labs come back uneventfully. I have maintained below goal weight (127lbs) for 2.5 years…i was 116.6lbs this morning. So i figure I’m doing something right. Some people can have a similar lifestyle, others not due to a host of things (food tolerances, medical issues, temperament, activity levels, etc…). Where you will end up on the spectrum of “foodie-ability” can and will be determined only by you. Yes, you may be one of those that will not be able to “enjoy” food and keep weight off. BUT, you also may be one of the ones who do. Alot of it is up to you. My take is that you have to decide which is more important to you: the *possible* loss of your current food enjoyment OR the possibility of weight loss. There is no wrong answer. P.S. Of course, these aren’t the only two outcomes: there is also “possible weight loss with a NEW way of enjoying food”.

In terms of weight loss on average, the mini gastric bypass is more aggressive (the name comes from it involving less re-routing of the intestine; it's not a great name to be honest ). Weight loss from primarily malabsorptive procedures seem more durable in the studies, too, which is why I wonder why they don't look into it more when it comes to revisions, specifically.

the mortality rate on RNY is 0.3%. It's even lower for sleeve (can't remember the percentage for that one since I was an RNY patient, so that's the one that mattered to me). So you have at least a 99.7% chance of not dying. That's an excellent stat as far as surgeries go. Better than the stats for hip replacement surgery, and they do those all the time. people have died from things like tonsillectomies and wisdom tooth extractions. But how often does that happen? Almost never. Same with this one. your mom may be remembering weight loss surgeries 30-40-50 years ago, when they WERE dangerous and some people died from them. That just isn't true anymore. Today's surgeries are very safe. You'll be fine. Edited to add that I agree 100% with the above poster. You're more likely to die from an obesity-related complication than you are from the surgery.

I met with the dietitian yesterday. She said she was surprised when she first saw me on her schedule because I just saw her a few weeks ago for the annual visit, but then she saw my surgeon's notes. We talked a bit about how I felt about going through this process again, then we got down to business of talking about the post op diet progression. Things have changed since my sleeve 7 years ago, the diet progression is slower, which I think is a good thing. Last time the progression of full liquid to soft was rather abrupt in my opinion, but this time I'll be gradually thickening the texture of food over a few months. She mentioned baby food as an option and that got me thinking, they sell small blenders for this purpose. I found one that was used only once on Facebook Marketplace. I got it for $20, it's $60 on Amazon. My surgeon drew me a picture of the surgery and so did my dietitian who went into a lot more detail about a few specifics of how food passes through a RNY pouch vs a sleeve and how/why dumping happens. Her drawing and explanation made so many things click. I'm more determined than ever to make the most of this opportunity. Yes, I'm doing it for severe GERD, but I'd love to lose another 20-30 pounds too. I know most of the weight loss will come during the first few months when food is very limited. I called my insurance company and the rep I talked to was super nice and answered all my questions. She confirmed they got the request for preauthorization from my clinic. I'll know before Christmas!!! My insurance is generally super speedy so I'm thinking I'll know about approval in the next week or so. It can't come fast enough. Despite meds and better eating, I've had a few rather nasty attacks of reflux.

Okay. It took almost 2 weeks but my stall finally broke. Down 6 today from last week. That's 51# down since Nov 8. I focused on the protein and fluids this week. Hair looking a bit thin already though. I don't dig that. Oh well.

The surgery is merely a tool. If there was a magical surgery they could keep us from eating too much or having cravings or all of the things that lead up to our situations, they would need to be operating on our brain, not our stomachs. Even with a small stomach, there is nothing that would keep a person from eating ten meals a day If they put them really close together. And, even with a smaller capacity, you can put some high calorie stuff through there! Think of all of the soft foods that don’t even fill you up and just slide right by. You can put a lot of calories through your body. At the end of the day the surgery is a tool to help you on your journey. But there is a lot of other work that Hass to be done. Most surgery programs recommend support groups, and other practices to help you get that part down. But successful weight loss has everything to do with changing the way you relate to food. All the surgery does is help you to feel full faster - assuming you eat protein-dense foods. I’m really sad if your Program led you to believe that this would fix everything. That’s just not the way it is.

I'm only about 3.5 months out, but my nutritionist told me in order to avoid hair loss, to focus on getting protein through high quality protein supplements like Bariatric Advantage. She told me to aim for 8 scoops per day (gag) - I frickin hate the protein shakes, but if it will help with hair loss, I'll do it. Sent from my SM-N976V using BariatricPal mobile app

you can still lose weight because you'll still have the restriction - the only issue is the hunger suppression may not be as strong at this point. hair loss usually doesn't start right away - for a lot of people it starts around three months out, but it can be even later. Mine was months 5-9. I remember reading somewhere that if it doesn't start by about six months out, you're probably not going to experience it - but you're still in that range, so...

So I’m really disappointed I didn’t stick to my diet plan. I had the sleeve done last year in June and here it is December and I’ve only lost 40 pounds. I’m a complete failure. No one to blame but myself but recently my hair started falling out. It used to be super thick and long. Now it’s really thin and shorter. I thought hair loss happened in the beginning, not this far out? Any advice would be great!!

Plans are different & so are you. Some do stay on a stage longer because they’re just not ready to move on & that’s ok. Make your first purées really sloppy & runny or go for thick soups at first so you get used to that denser, thicker texture vs a liquid. Don’t give up on a food you struggled with. Our tummies can be a bit fussy & temperamental at first. Or sometimes things just taste disgusting. Try it again in a week or two & then in another week or so if need be. You’ll even find your tummy suddenly says no way to something you’ve eaten regularly but is fine with it again two days later. I used to say my tummy was like a petulant two year old child throwing random temper tantrums. That tightness across your chest is your restriction. You don’t usually start to feel until you’re on more solid food. It’s a signal you’ve eaten too much, too fast or eaten something too dry or too coarse, etc. You’ll work out your triggers - it’s a bit of trial & error. Stalls happen. The first one often is about week 3 +/-. Think of it as your body just needing a break. It’s been pretty stressed & needs to shut down for a 1-3 weeks. It does not mean you’re doing the wrong thing or failing … unless you’ve wildly gone off plan. It’s possible you’ll experience more than one stall along the way. You won’t put on weight by starting on the next stage unless you suddenly start eating huge portions (pretty darn impossible with your small tummy unless you put in a lot of effort to stretch it) or making poor food choices. You won’t be consuming more calories than your body needs to function. That’s the only way you’ll put on weight. And I’m not talking about our normal fluctuations ( fluid, constipation, life, etc.) As long as your general weight loss trend is downwards you’re doing great. It’s ok to go at your own pace. You’ll do fine.