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Hey all, my surgery is on 10/29. Starting weight/highest weight is 278. Today I’ve started my pre-op diet. Im ready to start this journey and wish you all the best!

a really nice lady in my yoga class asked why I don’t go to the cardio one. I was waiting a little while longer until I am a bit more fit but now I feel like I should just go ahead and start. I just packed my bag with my little 2ib weights and an old yoga mat that I had under my Ab Roller because it says to bring a mat. Im not sure if they mean an exercise mat but if so I don’t have one. I don’t want to use my good yoga mat because I will be wearing shoes. Hopefully if that’s not what they meant they will have one I can borrow. And hopefully I don’t fall out too soon during the class. I looked at my heart rate from the last yoga class and my heart was up to 155 just from that at one point. I am definitely not ready for a real intense cardio class. We shall see how it goes I guess.

Hi hi 👋 After my 1 month post op, my surgeon actually told me to go ahead and do whatever I wanted workout wise! He said I've healed internally and externally.. I joined the gym and started with cardio and swimming and then some weights and joined some aerobics classes.. to be honest, I am doing it all but I am not pushing myself and I listen to my body. So I did a class 2 days ago and I was on the lowest weight and took many breaks and still burnt almost 400 calories in 60 mins. So I suggest u listen to your surgeon then your body! And I am now 2 months post op fyi

I didn’t do the bath or swim yet. I believe it was 6 weeks they said the outside was fully healed (double check on that though because there are different types of closure techniques that may heal slower). My team cleared us for anything but weights at 6 weeks but I noticed that some of the stuff that focuses on the core area in Yoga pulled so I just didn’t do that for a couple weeks (I needed the rest in between anyways 🤣). Tried again this morning in fact and it didn’t pull. I will be 10 weeks out tomorrow. I didn’t realize that I was that far out actually. Probably would’ve tried last week. Anyways, just with anything new, start slow and if you feel it in your tummy, stop!! That’s what I did.

I am 6/ almost 7 weeks out from sleeve surgery so I have started upping my working out some; mostly intervals of walking and jogging. I know I still need to be mindful of what I’m doing and not go too crazy with running or weights. Other than feeling low energy during a workout or a little light headed after, I haven’t had any issues. So my question is: if any of you have had issues with working out, what did you feel in your body and what exercises were you doing that caused it? I want to make sure I’m not pushing too hard. Also, I’m jonesing to take a bath. When did you guys feel comfortable taking a bath or going swimming with your incisions?

Thank you very much! Congratulations to you as well for your successful journey. It's amazing to finally be free of the fat and, more importantly for me, the addiction to food and the total control/power I have over food now. It's seriously my lifelong dream at 55 so staying motivated was baked in.. Thank you again. I am sure I didn't elaborate or explain my reasons enough but actually I am concerned about slowing down the weight loss. I still eat very small portions and am worried it would be hard to sustain on just protein, without carbs. I like my body running more ketogenic than carbed up with the ups and downs of carbs. Without adding fat, and with our malabsorption aspect of the surgery, I am wondering if its possible or not so much..If I am being honest, at 240lbs, I started eating dirtier with carbs to try and stabilize at 240 until I got my knee surgeries, but then just dropped another 20+ within a month and a half or so. My steps and activity increased, small by normal people standards, but a lot for where I have been, after I got another Cortisone shot to the knees. This just illustrates my concern once I reach goal weight and I am rucking, hiking, and lifting. Those three things will be lifelong for longevity and mobility going forward. Obviously everyone is different as far genetically and such, but I have been extremely low calorie, plenty of short fasts up to three days, and have plateaued at certain points during my weight loss, and after doing a refeed with carbs and basically whatever I want to eat, I recharged my metabolism for another huge run of weight loss. The refeed was usually only a couple days to a few days but less than a week. Now with this approach remember I am lifting weights. I mean hard as I can weight lifting 4 days a week. It sucks! Low energy lifting is not fun but the recomp.. I really believe the built-in calorie burn from lean muscle mass is the most efficient way to permanently stay in shape. Male or female doesn't matter. IMHO if your metabolism is slow and you are struggling with the last few pounds, I mean the literally like 5-10 pounds from goal BF, man or woman, start lifting weights. The body recomp will floor you. And that weight or really I think just your body composition after significant weight loss without adding lean muscle mass leaves you looking(Sometimes) like a no muscle bag of skin. Flat. It's not fun but the results.. Anyways thank you for the reply and just to make clear if any of the vets care to weigh in, the WLS gave me the tool, the only tool I will ever need again to lose weight. It's so powerful for me that I need to think about slowing down my weight loss combined with, if possible, being low carb and more ketogenic as a lifestyle choice I prefer. I just don't know if low carb is sustainable without the fat calories. that specifically is what I am looking for. Does anyone prefer low carb/ketogenic after surgery and is it possible? I already realize that fats can be problematic, is anyone doing carnivore after DS Sadi. Not my preference but the only option it seems for low carb without the keto fat plan. Thanks in advance for any tips.

Firstly...big congratulations on your weight loss success. Amazing results from a recliner. Wowo!!! I didn't have DS and haven't tried Keto post surgery. But I did the diet for a year right before WLS, coupled with intermittent fasting. Despite my efforts I only lost 30 pounds on the average then hit a wall. Eating high fat meats might not be the best for you at this point but everyone is different in how their body responds to food after WLS. Lean meats and veggies is pretty much our food plan now. I am interested to hear what others have to say on this subject because although I have been able to lose weight adding carbs to my diet (at the urging of my nutritionist and to my keto minded horror), I haven't tried any types of "diets" to get the last few pounds off post surgery. Some say I have probably met my goal weight and the excess pounds are lose skin?? But I don't have a lot of excess to be honest, so not sure about that. I am also a big advocate of extended water fasting a couple times a year for cleansing purposes, but have not attempted it post. I was told it might mess up my sped up metabolism tool. I don't want to risk that happening. Also, I don't relish the idea of returning to a diet mentality. And I will admit, I enjoy being able to eat some carbs now where before, I could just look at them and gain weight. LOL Godspeed on your healing process for the bilateral knee surgery. I have a feeling after you are able to get up and move around, you just might lose those last 40 pounds without the Keto, GL

Hello everyone. My name is Tom and I have been a lurker for years. I had my surgery 11-22-22 at 471lbs. I weigh 214, for the moment, as I continue to lose. What a powerful tool this has proven to be! I am so blessed and thankful I couldn't possibly articulate it. With that being said, I feel I could help anyone that needs it just based on my own research for years into nutrition, fasting, and the many diet plans out there. I would be happy to give my own anecdotal experiences as well through losing the 255 lbs so far. But the point of this post is for me to lean on some of the vets of duodenal switch. I am approaching maintenance phase in around 35-40 more lbs. Does anyone do low carb in maintenance? If so what does that look like? Am I right to assume for us keto is out correct? The fat would be an issue or maybe someone has tried it? My concern when asking about low carb, for me specifically, I have protected my pouch size. I can still barely eat a few ounces of meat or whatever. I could, and may consider, actively stretching it a little when I get to maintenance, but as of right now I am not sure I could sustain on just meat once I am down to maintenance. I have Bilateral knee surgeries coming starting in Jan. I have lost all this weight in the recliner due to health issues. I am lifting, once I hit 300lbs weight, hard 4 days a week. But 0 steps for the most part. That's important because my exercise will skyrocket once I am healed from the surgeries and I will need more calories eventually. Carbs and fat are obviously the most calorie dense so.. Any thoughts or advice would be appreciated!

@pinkneymm@aol.com Another AOL account? Great, have you had it for a long time? I’ve always had mine. Anyway I’m on my 2nd week of pre op diet and having a hard time with it because I don’t know why?? I’ve lost a lb a day so far and my esophageal hernia started really acting up and it hurts to swallow anything. But other than that it’s great to already be losing weight. I can even fit into some clothes that I couldn’t before. My surgery is 10/21…really looking forward to it! Yours is not too far away! Yay!!! Best to you!

soooooooo I am about 10m post op and I am getting plastics at 1yr just for my boobies lol I have been weight lifting and I will say it TRANSFORMS your body. I have skin that will never tighten up no matter how much I do and eventually I will get that taken care of, but for now I have no chest area and its really really really bothering me. So FOR ME I am getting those done. I have maintained my weight within +/- 5ish lbs for about 2 months and I will continue to do so forever. In the mean time I am lifting like a mad woman and trying to tighten up LOL

We should be proud. Even though some ignorant people don't realize how much work goes into losing the weight after WLS. If they even know we had it. At first, I told everyone. I didn't care who knew. But now, like Catwoman, I only share with those I feel can benefit from my experience. The comments were hard for me to take at first too. I even had someone tell me I need to learn to take a compliment. I took that advice and simply say thank you and smile. But if anything negative or passive aggressive is said, all bets are off. LOL

For me I’m just starting to notice that people treat me differently. People just being nicer and going out of their way to help me in stores. Customers striking up small talk conversations with me WAY more often. It’s just weird. I have always been told that life is a fashion show growing up and I sadly finally admit that it’s true. After losing all my weight for the sleeve quickly, gaining it back and now loosing again with the revision I am seriously not imagining this. Some people are just that superficial…a lot actually. It breaks my heart for the heavier me and other obese people.

yes- I went through that. I just said "thanks" - and if they asked how they did it, it depended on who was asking. Normal-sized people and people I didn't know well I just said I was working with a dietitian and exercising like crazy. Skinny people believe that crap. If it was another obese person who seemed genuinely interested, I usually told them the truth. I was very glad when the comments finally stopped - because now almost everyone I know either never knew me when I was fat, or they've seen me since I lost all the weight. Occasionally (actually, rarely) I'll see someone I knew from years ago who only knew me as fat - but oddly, they usually don't say anything. Maybe they figure I lost the weight a long time ago - or took it off very slowly - or have some kind of medical issue - but luckily, it doesn't come up.

Hi All ! I hope everyone is doing well on their journey, As usual, when i don’t know who to turn to regarding my VSG journey i turn to the forum 🤣 For a little backstory i had VSG surgery in early april of this year, so it’s been 7 months so far. I’m now down 88 pounds / 40kg And for the first time throughout these 7 months i’ve started getting comments from people about how much weight i’ve lost. Mainly from coworkers, or friends i haven’t seen in a while - « wow you’ve lost so much weight » or « you’ve melted away the pounds » or « you look completely different » … The issue is i have no idea how to react ! I never know what to say i feel awkward and weird when someone says this to me … and i’m not usually the kind of person to not react it’s just so strange to me that i can’t seem to find the words. Shouldn’t i be proud ? It’s what i wanted after all … Does or has anyone else felt the same ? How did you navigate the comments ?

Received a call at 8.30am this morning to be told that I was discussed in last Fridays MDT meeting and was accepted for surgery 🥳🥳🥳 I was then told I would be having a ‘One Anastomosis Gastric Bypass’ - huh?? The nurse repeated herself and I was still none the wiser. She said that she would ask a specialist Bariatric nurse to call me to discuss and would send me the info out. I asked for it to be emailed, which she did. I had a read through and did some more research on the internet, just to familiarise myself with what had been suggested. It’s the mini gastric bypass. The specialist nurse rang me just after 9am and explained that it meant that my ‘pouch’ is slightly bigger then that of a Roux-en-Y bypass and there is only one connection or ‘anastomosis’ which is from the pouch to the bowel. Apparently it’s not as complex with the op taking around 1.5hours and recovery just the same as the normal bypass plus the weight loss is expected to be the same. I was recommended it because of Fibromyalgia and the chronic pain I have with RA and osteoarthritis as it would be easier for me. That made sense, thankfully! The specialist nurse said it was a relatively new procedure to the hospital which is why it wasn’t discussed in any detail at the first education session I attended a few months ago. Fair enough, I’m happy to go ahead with it. The wait is around 4-6 months - oh 😒 I was honest and said that I was concerned about losing focus while I’m waiting and gaining weight once again (we all know how easy that is) She went through everything again with me - 3 meals a day, 20/20/20, use a portion plate if I have one (I do) focus more on my protein etc. She also said that if I do begin to struggle, to contact her and they would fit me in with the dietitian to go through things with me. I felt better for her saying that. I did reiterate that I am happy to take a cancellation. She said they do get cancellations but would have to make sure that I had at least 3 weeks notice to complete the LRD. I’ll be honest and say that I’m really, really hoping that the 4-6 months is on the outside and that the surgery is sooner! I know that whatever will be will be, so just to keep on keeping on. Gym is going well, 3 visits last week and I’m hoping for 3 more this week. I’ve upped my levels and weights and I’m burning around 600-650 cals in around an hour or so workout or so my Apple Watch tells me! I can feel muscle, it just happens to be deeply buried and camouflaged with fat 😮 I tried my smaller sized gym stuff on yesterday and, while I can get it on I wouldn’t say it actually fitted, so a few more pounds to go before I would feel comfortable enough to wear it. I bought a new black trench coat from Costco at the weekend. It’s been a very, very long time since I’ve been able to fit into clothing from there so that was a nice boost. It will definitely last me a reduction of a couple of sizes too. My weight is steady at the moment but I do hope to bring it down a little bit more before I have to do the LRD. Bloods to have taken yet again on Wednesday. If my liver is off this time then they will have to think of something else. I’ve not had my weekly jabs for 7 weeks, I’ve missed my other jab for 4 weeks plus no pain relief for 4 weeks either and it’s all wearing really thin with me now. I’m finding that I’m snapping at hubby because of pain and it’s not fair. The gym is really helping my range of movement but the pain remains. We’re out for belated birthday drinks on Friday (postponed because of blood tests ) and that’s about it. I’ve decided to crack on and make a start on wrapping Christmas presents this week. Thankfully my Christmas shopping is almost finished - hurray for sales! Wishing everyone a happy week 🥰 Onwards and Downwards!

Hey all! I had the sleeve in 2017 and never got to my goal weight and I had GERD. So fast forward to 2024 and had my sasi. All is well except now I can’t keep any food down. I’m having diarrhea several times a day for the past month. Any one else had issues like this? Oh and then I found out I have fatty liver. 😫🤷🏽‍♀️😵‍💫 scared! Smh

It sounds like you’ve been through quite a journey, and it's commendable that you're taking such an active role in your health now. The feelings of frustration and sadness you experienced after your sleeve surgery are completely valid, especially considering how much effort you put into your lifestyle changes. Many people feel that the sleeve doesn't provide the same metabolic impact as other surgeries, which can lead to feelings of disappointment when expected results don't materialize. Your decision to pursue the SADI is a brave step, and it’s great to hear that you’re feeling more supported this time around. Finding healthier foods that you enjoy and integrating exercise into your routine are essential for long-term success. It’s understandable to have fears about regain, but it’s important to focus on the progress you’re making towards a healthier lifestyle rather than fixating solely on numbers on a scale. Setting realistic goals is crucial. It’s okay not to hit your ideal weight as long as you’re feeling healthier and more energetic. Remember that every step you take towards better health counts, and it's wonderful that you’re prioritizing your well-being over just weight loss. Celebrate the positive changes, no matter how small, and lean on your support network—they can be a powerful motivator! You're doing an amazing job, and your journey is inspiring to others. Keep pushing forward, and remind yourself that it's all about the journey to a healthier you! Thank you for sharing!

Well I read that like 26% of sleeve patients end up revising whether it’s because of GERD, inadequate weight loss or regain. My surgeon said that it’s less risky and it’s a very good surgery that works fine for many people but it’s just not enough of a metabolic change for some. I honestly think he leaned towards it because my BMi was low (for this surgery at least). I was barely 35BMI but I tried telling him that was only because I was literally dieting my whole life and even then I didn’t eat that bad. I just ate a lot of food. I’m sure he hears that a lot but I think I just needed the bigger change from a more drastic surgery. From day one with my sleeve I felt like I was on a diet. I never did find healthy foods that I enjoyed, I ate chicken breast and one of the three veggies that I liked and downthe road I ate a tiny portion of something not so good for me (nothing terrible but not good either). I also never felt the spurt of energy that I felt this time so I never got into the exercise. It just wasn’t the whole lifestyle change. It was like any other diet when my hunger came back and my portions got bigger but it was healthy food at first. Then I started gaining and it just made me so depressed I was trying so hard and I was gaining already. I went to my surgeon and asked about bypass and he said he didn’t think it was a good option for me. I still don’t understand why he said that and later changed his mind. Anyways, after that I stopped following up with my team, stopped posting on here and I never went to in person groups. All of my friends and familY had already told me how big I was before thinking it was safe to say because I was thinner then so as I continued to gain I knew what they were thinking of me so my confidence just plummeted and that just snowballed into my gaining all of my weight back and then I just said forget it I guess this is just my life and I didn’t even try anymore. Finally one day my doctor said that I should really go ask him why it is that he doesn’t think it’s a good idea because they felt I was a good candidate and he said he would do it and asked me if I ever heard of the SADI. He sent me home to do research on that surgery and come back and tell him which one I wanted. I said I think the SADI and he said he needed tests to make sure I was a good candidate. He did an endoscopy, a barium swallow study and a gastric emptying test and then he said I was good and put me on the schedule. Then at the last minute they figured out I needed the nutritionist visit and the psyc eval that they didn’t think I needed so I did those in a hurry and started my preop diet. This time I told everyone about my surgery. Even though I have terrible fears that I will regain again I know that I need them cheering me on to keep me going as well. I started the In person support groups before I even had my surgery and I started posting here again as well. I have done so much more with finding healthy foods that I don’t dread and adding exercise so I can have things other than chicken breast macro wise as well. I also know this time that even if I don’t reach my goal weight or my secret goal weight that I already feel so much better and hopefully I can keep that In mind and not get caught up trying to do this just to be skinny because that isn’t the most important thing. Last time I reached the first goal I had set for myself but I never did reach the goal that I secretly wanted to get to. But I was only 18 pounds away and I let that make me feel like a failure. I would give anything to be that weight now. I just lost perspective I guess. Being healthy is really why I did it then and now and I’m already on the road to being a lot healthier so if I do lose more that’s really just icing on the cake. I just have to remember that and I think I will be okay.

I agree with catwoman. Better to wait until your weight is stabilized to get the best results. You’re younger, though you may actually not have a lot of extra skin. When I did my sleeve, I did not have a whole lot. Honestly, you may find that if you wait a year that you don’t even need it. If not, you can save your money for when you’re older and you really need something done

a lot of plastic surgeons suggest you wait for a year after hitting your lowest weight, because it's very common to have a 10-20 lb rebound. I waited two years, and I'm glad I did since I did gain that much (actually, a little more). They say a gain of more than 10-15 lbs can affect the results.

Two Big Wins today. First I reached 50 pounds loss today but more importantly I reached a goal in my flex-ability. When I started Yoga I could barely reach past my knees if I’m being honest. The teacher suggested that I get some yoga blocks which are shaped like big wide bricks but made of foam. Well after a few tries of breathing deeper I was able to reach it just barely to touch my fingertips when it was up tall ways. I went from that to being able to do my flat hand on there to this morning where I can finally touch it with it turned down on its side the shorter way. Just with my fingertips and only after a few tries so I am a long ways from the floor still but considering it’s only been like a month I am pretty ecstatic to have improved that much. Now I need to add in something to work on my arm strength. Some of the poses take a lot more strength than I have to support my body weight.

5 months into GB (surgery date 5/9/24). Ive lost 44lbs in 5 months and have a goal to loose 50 more. Weight loss has reaaallly slowed down to next to nothing. Thise 3 lbs came back and i lost 1! I have started walking more. I do notice I’m craving sweets. I also notice i don’t seem to have dumping syndrome that many of you talk about so i really don’t fear eating things i shouldn’t. That scares me because i think thats part of the equation with this surgery. Today gonna start concentrating on how do i feel. Am I really hungry or just craving something.

I wonder if that uses the same technology as the little scale that I ordered on Amazon. It’s called a smart scale and it connects to an app on the phone and it logs all of your composition stats. I have heard from some of the veterans on here that those are not extremely accurate compared to their DEXA scans. Honestly, if that’s the case, I wouldn’t put too much Focus om those results anyways. It was a fairly small amount and if it’s not 100% accurate it’s possible it was not even correct for that little bit. I ended up returning the scale because I figured it would just be another thing for me to stress over every day like the weight that we shouldn’t really be measuring as often as I do. I honestly don’t see how if you’re exercising more now then you have that you would be losing muscle. I mean, I guess at some point we do need to add strength training and they warned me of that. And making sure you’re getting your protein is important they said if you increase your activity, they have me increased my protein. Did you ask about that? My surgery I have to do a little bit more. My first goal was 77 g at minimum. But at my postop appointment, I showed her my activity and she said I need to increase that to 90 minimum along with adding a bit of carbs. Remember, mine might be a little bit higher than yours because I had a different surgery, but I’m just saying I had to increase it by what 13 g because of activity. And that’s just the minimum the maximum goes well over 100.

No it just cuts out a lot of the fat but keeps the protein. I am in the weight loss case so I’m paying attention to fat and carbs. I also had my gallbladder out with my surgery so I have to slowly add fat back in to see how my body reacts. It also cuts the cholesterol which I was borderline high before my surgery. I will eventually work my way back to “skinny omelettes,” which is one whole egg and a few egg whites for a normal sized omelette. I really like to have cheese in my omelette. So I shred my own from a 2% block cheese (which is more flavorful so I use less) and do the egg whites to make up for the fat in the yolk. As long as my body allows it, I will work my way back to regular eggs eventually I’m sure, because I prefer them taste wise.

The InBody test measures body composition using bioelectrical impedance, which can give you an idea of your muscle mass, fat percentage, and water levels. It's more precise than handheld devices but not as accurate as a DEXA scan.(pic attached) However, I’m not really bothering too much with it since the fat gain it shows is pretty minimal. I’ll just make some adjustments to maintain my muscle mass. cant wait for my app to confirm all these questions with my team. Gym staff might have good intentions, but they’re not as trained as medical professionals as u said. It’s always better to get advice from someone who understands the bigger picture.