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That’s the word I was looking for @FifiLux- vanilla. Thankfully just a one-off though you can choose to attend more sessions if you want…I don’t want! As for knee surgery - I was only told to get my BMI down to below 40 and nothing else. After checking whilst at the session last night, dropping below won’t be an issue as my initial BMI was 45.3 when the hospital received my referral from the GP. The fact that I have started losing weight shows commitment, as far as the hospital is concerned, to WLS. The only time surgery would be refused based on a lower BMI is if it went below 30 which I can’t see happening for me!! The Musculoskeletal Therapy team will give me a call around the end of October to see how things are with regards to the steroid injections and physio I should be having by then, and to check on my weight loss so I can be referred. I did say that I hoped to be 40 or just below by this time. I guess I will find out more once I’m referred. Honestly, I would prefer at least one knee replacement before WLS, purely because the recovery from the knee op can be pretty unpleasant and take several months but I know I have to be guided by the hospital with it all. I would like to have at least some movement when the heavy duty weight loss kicks in 😉

I wasn’t really given a post op diet specific to the gallbladder removal either but when I googled it a couple of sites had a post op diet specific to the removal and mentioned the high fat and as well as no caffeine, alcohol or carbonation And slowly introducing fiber. I assumed they didn’t mention itr since most surgeons do not allow any of these Early out anyways but mine does allow a Little caffeine. The latte shake has caffeine. I am truly hoping ir doesn’t cause many issues. Especially with absorption and cholesterol like yours. Mild but slowly increasing cholesterol and knee pain are my two comorbidities and what I hoped to resolve with the weight loss (the cholesterol runs in the family even for thin people though).. Also, if my bipolar meds do not absorb I have no clue what I will do. I don’t even want to think of what a disaster that could be. It’s day 8 now and so far I feel okay. Usually if I miss it two days pills in a row I feel different. My prescribing dr says that they are mostly absorbed by the stomach membrane so I shouldn’t notice much change with my revision since they aren’t touching my sleeve. I just didn’t know to ask about the gallbladder thing. I was in such bad pain when they told me they removed it I I honestly didn’t even want to worry about that part until I was feeling better. It sounds like I really shouldn’t even begin to jump to any conclusions though since you’re and your family’s experience were so different. Maybe more of a wait and see what happems sort of thing and why they really didn’t mention much about it.

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.

So, I went to my primary doctor today and I will be going on to the next step Monday and get my bloodwork done. She will also be in contact with my other doctor, and I have to say I so love my primary as she told me that minus my weight that I am actually pretty healthy as in my blood pressure is not high or low; my lungs and heart sound great so unless my blood work comes back with something that we can't see she will be clearing me from her end for surgery. So one more step closer or at least a half a step.

Only being able to eat small portions is very normal & to be expected especially only being 3 months out. Remember how small your tummy is now. Your stomach is also still tight from the surgery but it does soften over time & becomes a little more flexible as so you slowly will be able to eat more than you can in the initial period. Initially I was eating 1/4 - 1/3 cup from purée & was barely eating a cup of food at 6 months but by years two or three I was eating pretty much an appropriate portion of food for e.g, about 3ozs of meat & a cup of vegetables. Most fast food & chain restaurants servings are hugely bigger (like 2, 3 or more times larger) than what is an actual recommended portion size so leftovers are expected. If eating out, order an appetiser or ask to share a main with someone else. And ask to take leftovers home. I always had left overs in my fridge from unfinished meals. Actually I still do - right now I have left over rolled oats from breakfast (I’ll eat it as an afternoon snack) and some leftover beef cheeks & vegetables from last night’s dinner. Usually it’s because I’m not all that hungry or simply have had enough. The reason behind eating slowly is for us to learn to be more conscious of actually eating & to consider whether we really need the next bite or just wanting the next bite or mindlessly shovelling food into our mouths. Also it takes at least 20 minutes for the message you are full to register. If you eat quickly you can easily eat to excess & way past being full and not eating only what you need. I also love my microwave if food gets too cold. Constipation is common. It becomes less common once you’re close to your final weight & when you’re eating a more balanced diet and larger portions. Add a non swelling soluble fibre and keep on top of the constipation by taking an over the counter medication. I’d take coloxyl if I got to day 3 without movement. And as @learn2cook suggested, speaking with a therapist (your bariatric team should be able to recommend someone with experience in disordered eating if you need) can be very helpful. All the best.

Yes the pouch reset is a lie. You can’t reset your tummy. It’s working as it should. It doesn’t control you deciding to eat. What you need is to reset your head (thinking). Start reintroducing the behaviours you followed when you were nearing your stabilised weight. You can start by introducing just one or two changes every week or two (small changes are easier to accept, adopt & adapt to). For example: start by tracking your food to see what you’re actually eating (nutrients, calories), how much you’re eating ( portion size) and how often. Then ensure your meeting your protein & fluid goals. Then introduce reviewing portion sizes. Then maybe drop a snack or two. If you’ve let your activity slide start reintroducing something even walking at first. You’re on your way because you want to get back on track. May be see a therapist to discuss how you can avoid reverting back to your pre surgery eating behaviours again - can’t hurt. All the best.

I didn’t have any issues getting my fluid goals right away and was drinking pretty big sips in the hospital with my sleeve. They said I just didn’t have as much swelling as many people do. They said to me just because you can do it doesn’t mean you should do it. You want to get used to slowing down and taking smaller sips because when it’s more solid food and it’s bites you will feel your restriction and one bite too many will be the difference between full and vomiting. And just so it doesn’t scare you I lost plenty of weight with my sleeve. It worked fine until I let the bad choices slip back in so don’t worry about that.

So here's my concern. I am able to drink and have Jello and popsicles just fine. I'm taking it easy because I don't want to overdo it, but shouldn't I be having a harder time getting it down? I bet all of you have the same history as me, diet after diet that didn't work or only worked for a while until eventually the weight came back and brought all its friends so I weighed even more. So I'm feeling concerned that maybe the surgery didn't work. I know that's not true, but... Is anyone else not having a problem getting liquids down? I guess I need y'all to talk me off the ledge a little here.

I am officially 9lbs away from my goal!!!!!!!!! I have not been 160 since middle school. This really made my day! 160 is my goal weight though i think ill probably go to 150. Either way, to see this on the scale really blew me away

Hey you! So in regards to the weight loss - I'm actually down 22 lbs since my pre-op liquid diet. I think your results make a lot of sense because the low carb has probably kicked you into ketosis, and you did that pre-op diet for longer than I did! I had also read somewhere that if you get off track post surgery to return to a liquid diet and it will likely jump start the weight loss again, so I bet you've got combined factors going with that. Congratulations! I'm sure your surgeon will be happy with your weight loss as long as you're making or getting close to making your protein and hydration goals

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 🤞

My husband is thin as a rail and can only put on a few pounds back In the day by eating fry daddy for dinner and a dozen doughnuts every day. Even then he didn’t gain that much. The best way I could explain it to him how hard it is to not eat when I am hungry was to explain the opposite. I came home with five Big Macs and after he just ate I told him to eat them. I said as much as your body is telling you NOT to eat them Big Macs and it would be almost impossible for you to eat I believe that it’s just as hard for me to ignore my body when it’s screaming out for food. He isn’t superior or less lazy or a harder worker or anything else that skinny people like to think. He is just blessed with good genes. He did nothing to earn or deserve them anymore than we did anything to earn or deserve our bad ones. In retrospect maybe five was a bit of overkill but I really wanted to make a statement. But just like some of us are blessed to be naturally pretty or cute and others are less fortunate in the looks department or some of us have a higher risk for certain. Illnesses, some people are lucky enough to be thin. We may have a tiny percentage or control by dressing a certain way or make up for looks or good preventative medical care for illnesses but ultimately it just is what it is. Now there are others that work at it everyday who are a different story but my husband and it sounds like your neighbor are just blessed. i think i finally got through to him about that.

I had the sleeve 3.5 years ago and just had a revision to SADI a week ago today so I can answer for the sleeve and the “bypass type” procedure. With one thing to note. I also had my gallbladder taken out this time but it sounds like you would be the one to ask how much of my pain is due to that. 1. I have dentures will the rapid weight loss effect how they sit in my mouth? Does not apply to me 2. What are some of the best Protein Shakes out there in order to ensure I get the Protein I need? Premier Protein is a popular one If you like iced coffee the caffe latte is excellent but it does have caffeine and a lot of surgeons will have you off caffeine at least for a short time if you love your iced “proffee” though try mixing their caramel with decaf instant coffee and having that over ice it’s yummy too beyond that I prefer core power protein shakes by fairlife. Many people love the chocolate and say even their kids drink them as chocolate milk. I prefer the vanilla and their strawberry banana. I also like protein water for the liquid diet when you sorta get your full of shakes The Protein 2.0 in strawberry watermelon is pretty good . All of these are sold at Walmart. The premier protein is cheaper in the bigger packs but is sold in 4 packs and the core power is sold up front in singles and surprisingly it’s cheaper that way . The protein water I think only comes in 12 packs though . I would check a couple convenience stores for it first if you just want one to try. 3. How long were you down after surgery? How long until you started driving again? The biggest thing that will determine this will be whether you are on pain meds. After my sleeve I refiused pain meds even in the hospital but what I learned after my revision is that the most painful part for many is the trapped gas . After my sleeve I had no gas at all and I went home the next day on Tylenol. I could’ve driven right away if I had to. But I just got lucky because plenty of people with sleeve do have gas and incision pain. Post revision, I had a lot of gas pain and ended up staying 5 days starting off on morphine and oxy every two hours because the pain was horrible. Finally on day 4 I passed gas and realized that was the majority of my pain. Each subsequent toot brought more and more relief and I had about 7 big ones that one morning which I joke and say were life changing. I was able to cut back to just the one pain med less often and in a smaller dose immediately. Spent one more night and went home with normal post op pain script which I took one pill before I realized that the pain was mostly when I got up and down and the pain meds didn’t do much for that anyways and I wanted to be able to drive so I said I was gonna just take it at night but I forgot and then realized it was just silly to take it if I made it without. I did drive without issue on post op day 6 but honestly I did feel pretty fatigued and just wanted to get home. Some people are at a whole other extreme though and they do have a great deal of pain even after they are home and it lasts a lot longer. Long story short I can tell you my experiences but unfortunately no one can really predict this because it is honesty all over the map. 4. Did you have a person helping you with after care and if so, how long? Just my husband both times who is quite possibly the worst nurse ever. Didn’t need much of anything the first time except for things that require lifting, bending and straining this time I did need him to go and get things for me a little more. They want you up at least every two hours walking to prevent blood clots though so as long as something is within reach you can get it yourself. 5. I am disabled due to a nerve disorder; Is there anyone here who has a disability that has gotten the sleeve and how was your recovery? This does not apply to me BUT I know that a lot of diseases and disorders resolve some of completely with weight loss so this is certainly something to ask a surgeon about.

lol. I am SO not superwoman. I have bipolar disorder and I have been on medication for years but I still struggle a great deal with the depression part. My weight gain after the sleeve surgery just amplified things for me and I had let my house go for so long. I guess the anticipation and hope of the future loss sparked a little motivation and then the nervous energy kicked in which mimicked the super woman you guys got a glimpse of. I also have ADHD so as much as getting organized seems impossible for me, being that was makes my life so much easier. I used to have it halfway together though before the weight issues and i really hope to get back to that point at least. I think that’s why I’m so afraid of breaking my momentum. It was just starting to feel a little like home again and it was so peaceful walking through the doors to a house with some order to it. I so badly don’t want to let it get back to the way it was I think this weekend I’m just going to ask my husband to do a few things that I can’t do. I think he will get it if I tell him how I feel.

I get so angry when I hear people say that WLS is 'the easy way out'. It's not. If it were the easy way out, none of us would need to come on these forums for support. Some people make it sound like WLS is cheating, a dark and dirty thing. The implication is that we should all be able to do it with diet and exercise, and if we're not doing it that way it's because we're lazy and lack willpower. These people are, frankly, bullies -- even if they don't mean it that way. I think some people feel threatened by the idea of us having WLS. I have three of them whom are still in my life. One has become more supportive since the surgery but still makes it known from time to time (especially whenever I've facing a struggle) that he didn't think I should have the surgery. The other two were supportive pre-op but as soon as the weight started coming off, jealousy kicked in and they started talking about how 'easy' it was and how they want the surgery but can't afford it / don't qualify, etc -- all while talking about how they would 'cheat' by doing this, this or this. The people that want to support you, no matter your decision, will support you. They'll read any literature you give them -- or do their own research. They'll ask you questions about the process & the post-op lifestyle and will listen to your response. There are bound to be people in your life that will need a bit of a learning curve, or who can't get out of their own heads enough to really consider the different between helpful comments/criticism and cattiness/bullying/cruelty. Some might just need a little conversation or confrontation about their phrasing and word choices; others might need to be cut off until/unless they learn to not be sh!tty humans. At the end of the day -- at the end of every day, actually -- only you can decide what's right for you. You are the only one with full knowledge of your body, your physical/mental/emotional struggles, your trials up until now, etc. Even your doctor can only go so far in helping to decide if this is right for you. Try to push out the words of people who Don't Know your details, or even basic knowledge about the surgeries. Do your own research, talk to people who've done it, consult with your physicians, etc. ❤️ Good luck. Whatever you decide to do, make that choice with the faith and confidence that you're choosing for your best life, whatever that looks like.

Happy Wednesday everyone! I spoke with the nurse today and she suggested I add protein water to help get me to 60 grams and my 48 oz of water. Once I get there I can start to add some puréed food. She also said it will help me start to lose more weight. @ShoppGirl I did not think I would try a vacuum at this point. I can’t even bend over to open a kitchen drawer. I’m lucky though I have 4 teens that have been super helpful with anything I need.

I can answer a couple of your questions. Yes, you will likely need to get your dentures re-fitted. I’m a nurse and have patients who have had large weight losses and they have needed to have this done. Protein shakes will depend highly on your taste. What tastes good to you now may change post op. I wouldn’t buy a large quantity of anything, Rather, just a single serving to try out post op. I personally really like the premier and fair life protein shakes, but others hate them. I took three weeks off work, but could have gone back after two. I really only needed someone there with me for the first couple days then would have been fine on my own. The sooner you get back to gentle activity, even just day to day care of yourself, the quicker you’ll recover.

I can't speak to most of your questions, but I do know that the Premier Protein product is some of the better protein shakes out there, and you can get them anywhere (Walmart, Amazon, etc.). If you prefer a vegan choice (not whey protein) I like Evolve Protein (which I usually buy from Amazon). If you want to stick with the "medical" protein shakes, you can go to https://www.go4ithealth.com/ as they are the retail site that sells all of the Numetra weight loss products (most hospitals sell you the pre-op diet and a lot them use Numetra for that), you will need a blender bottle for them though whereas the Premier and Evolve and ready to drink (RTD). I can recommend a really good blender bottle called Helimix (I got it on Amazon - sensing a theme? LOL), it doesn't use a blender ball just physics. 😂 Either way, good luck with your journey!

That's a really good analogy! Obesity is the only disease people seem to think it's ok to comment about "the easy way out" and it's usually people like my neighbour who is thin as a rail, gains 1kg in a month and shrieks about how fat she's gotten. In other words, people who don't have a clue. If you got a hip replacement so that you could walk without a wheelchair, that's an operation that makes your life easier, but no one says that's taking the easy way out!

I think the revision has just kickstarted the weight loss again? I'm still pre-op, but I think if you've had the sleeve years ago, the body might be acting as if it's a new surgery? But congrats on the new progress!

What do you mean. Did you reach your goal and start to regain or is it something else? I see you are about 40 pounds from your goal now so it certainly seems doable to turn it around if it’s regain. My first piece of advice as someone who regained all their weight and just had revision surgery a week ago is to reach out to your team. My second step would be to reach out for support here or otherwise and you have already done that. I did neither because I was too embarrassed and you can see where that led me. When I finally did reach out to them I wished I had done it sooner because they treated me with nothing but compassion and just wanted to help. For me the only real option was revision but you should have plenty others. My guess is their first plan of attack will be to go back to the basics. Reading labels, Logging your food and counting macros. Protein first, smaller portions and reaching your fluid goals. Seems like from your profile you are pretty active anyways but trying to Incorporate more activity if that has slipped a little. Just go back to it like you are just out of surgery. Well past the staged return to eating I guess but fairly early out anyways. Some people even start with the “pouch reset” Of a liquid diet for a week or two although most say that there is no real evidence that does much to reset anything. Make an appointment with your team now and start logging what you are doing for a week or so giving them a starting point and let them advise you of what you need to work on. There are other options now if diet alone is not enough but if you enjoy healthy eating anyways its likely portion size has increased a little more than you realize and that’s something you should be able to change. Once you do figure it out try to make changes one at a time if necessary to make them more manageable. Set lots of small goals to keep yourself motivated But most importantly keep reaching out to your support networks such as posting here as well as keeping in touch with your team. Your sleeve is still there. It will be a little harder than it was the first time but people have certainly done it. You have already taken the first steps Of recognizing the issue and reaching out here just keep taking steps and before you know it you will be losing again. Keep us Posted on any ups and downs so we can cheer you on. You can do it!!

I was sleeved in March of 2015 (HW 405, SW 357, LW 238, sustained 260 for a few years), had some regain where I hit 315, so I went on a hybrid Optifast/Numetra diet through a program at Kaiser (my then insurance in California). It worked well, I dropped about 50 pounds and was happy with that, but then I had some mental health issues including some passive ideation, so I decided to move across country (technically back home) to Delaware and share a living space with my brother and his wife and pets. Since that move I've gained back the 50 pounds I lost, I have another hiatal hernia, and severe acid reflux/GERD so now I'm on the path to revision to bypass. Thing is, I never wanted bypass, that's why I had the sleeve in the first place, the reworking of my internal plumbing scares the heck out of me! I've known a ton of people who've had it with no issues, but I've also known a couple who passed away from complications (granted, that was 20 years ago, and I know things have improved medically since then). But the idea of having dumping syndrome, and malabsorption, and needing to take vitamins and supplements forever - UGH - I'm freaking out!! 😨😖 I have an anxiety disorder (SAD & GAD) and my anxiety has been through the ROOF the past few weeks! My surgery date is August 26 - 13 days from today! - and I started my pre-op diet the other day (Monday), but part of me wants to cancel everything! However, there is a part of me that can't wait for the relief from the GERD. I guess I'm not asking for anything here, mostly just venting my anxiety. 🤣

So glad things went well for you at your follow-up appointment and you can stop taking lansoprazole - hurray!! It’s amazing how much has changed for you in such a short space of time, and will continue to change for quite a while yet. I think it takes a some time to find your feet when you have undergone some transformative weight loss, plus I also think there’s an element of mourning the person you was and not being sure about the person you’re becoming. I hope you’re documenting your experience, just so you can look back on your journey when things get difficult or you get fed up. It always helps to have something to guide us when we’re feeling out of sorts, or the dreaded stall look’s never ending! Well done on your journey so far 👏👏👏

If it was the “easy way out” then people like me wouldn’t need revision surgeries. It’s just a tool and if you don’t do your part it doesn’t work so it’s certainly no magic wand. Don’t wait until your body is in worse shape. Your still young and with a little help you can change you life significantly. Aside from the fact that they are wrong scientifically and statistically, so what if it was the “easy way out.” Do these people bear their clothes against rocks or use brooms instead of vacuum cleaners? Do they believe that power tools are the easy way out and refuse to use them? The fact is housework still sucks and carpentry is hard regardless of whether you have the best tools or not. if you think of weight loss As a task like laundry, surgery would be the washing machine. If you only had one or two loads to do you could probably get it done by beating it on rocks and avoid the need for a special machine but when you are obese and have a lot more loads to do you need a washing machine to make it possible to get it all done. The surgery is just a tool. Just as you don’t wake up from surgery never having to do laundry again, you won’t be able to lye around and eat bon bons and just lose weight. If you don’t do your part for laundry your washing machine will just be a dusty machine in the corner and your laundry will pile up. And like me if you don't do your part with the surgery, you won’t lose what you should and the pounds will start to pack back on. Be kind to yourself. You have a very complex disease that requires medical intervention. An intervention that you deserve just as much as someone with heart disease needs medication or surgery. Don’t let the ignorance of others stop you from doing what is right for yourself and your life. You deserve all the help you can get to accomplish whatever goal you set out to do and anyone that says that they wouldn’t do the same thing is not really putting themselves in your shoes.

Hey everyone, I am new here and I am getting the gastric sleeve done. I am on my journey to become a healthier me after I had a doctor tell me to my face that I am too fat to have my hernia surgery to repair it from when they took out my gallbladder. So here is a list of questions some might be able to help me with. Yes, I know I can ask the doctor but unless they have lived thru it, they can only speculate on what could happen. 1. I have dentures will the rapid weight loss effect how they sit in my mouth? 2. What are some of the best protein shakes out there in order to ensure I get the protein I need? 3. How long were you down after surgery? How long until you started driving again? 4. Did you have a person helping you with after care and if so, how long? 5. I am disabled due to a nerve disorder; Is there anyone here who has a disability that has gotten the sleeve and how was your recovery? I am sure there will be more, but these are the main ones floating in my head right now. Thank you in advance for taking the time to not only read this but answering any question that you can. Also, all advise is accepted.