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I had gastric bypass (RnY) in February, 2015, and while I did lose weight, and my diabetes type 2 A1C level did lower down to the mid 7's, even with the weight loss and several different medical regimens, I couldn't get it down further. My Dr. started me on Ozempic in March, 2023, and I moved up to the 2 mg level by June of that year. While I did lose a bit more weight, the big thing was that my A1C dropped down to 5.6, below pre-diabetic level (!). However, I did go through the usual gastric issues with Ozempic, but mainly a bit of Constipation. I supplemented my diet with additional Fiber capsules and one Colace capsule daily (I had taken Colace after the gastric bypass, to make the stools softer) and this seems to work just fine, and no more issues. I know it's OK to take additional fiber (I'm not exceeding the recommended dosage of 5 capsules twice daily) but wondering about the Colace, if it will cause issues long-term. My Dr. says it shouldn't, but has anyone had issues with taking it long-term? Thanks!

I'm scheduled for a gastric sleeve on June 10th and so happy to be apart of this group. I'm so nervous and my addict brain is a such a piece of ****, trying to convince me I don't need the surgery, I will lose the weight, the whole nine. This **** is so real.

My program is counting from the preop appt weight, 3 weeks before surgery, I had already lost 25 lbs at that point.

I'm right at 5 months, and over the past few weeks, it has become HARD. In the beginning, I was dropping weight, had zero interest in food, and was totally motivated. But since the beginning of July, I've lost a pound. Actually, I've lost and gained and lost and gained that one pound multiple times. I've started feeling hungry sometimes again, and that's triggering all sorts of bad behaviors like getting up when I'm trying to avoid work (I work from home) and looking in the cupboard for a snack, not to mention craving sweets. It's been a constant fight. Not getting that reward of watching the scale dropping all the time kind of saps the motivation, I think. And the novelty wears off and you start to realize that you're in this for the long haul and maybe you start to rebel a little. You're not alone. You say you're afraid of being judged, but you are judging yourself every time you do things you know you shouldn't do. You said it yourself. You're disgusted by what you're doing, but there's a reason you're doing it, and figuring that out is going to be the key to stopping it and changing. I feel like there is probably a voice you hear in the back of your head telling you that you can't do this. Maybe there's literally someone saying it to you in your life, but most likely it's a voice in your head from a long time ago, one that sounds like you but probably was someone else when you first heard it. For me, it's my grandmother, and to some extent my dad. Never happy, never praising. Expecting perfection and scolding "for your own good" over every little thing. Ridiculing my weight despite being overweight themselves, but also overfeeding me because that's what they knew. Food was the enemy, but also a reward from emotionally stunted caregivers who had no other way to show affection. When you can never fully meet expectations at a young age, you learn quickly that you will always fail. That may be the role you've played in your family. Maybe it's everything, or maybe just one thing, like being overweight. And when you start to succeed, it feels frightening because it challenges everything you have been taught to believe about yourself. If you're not "the fat friend", who are you? Or maybe being "the fat daughter" kept a jealous family member happy because you weren't "competition" that way. There are so many reasons we get into these patterns. But the point is, the patterns feel normal and safe. So you make sure you don't succeed and change too much or for too long. You're used to being disappointing to yourself. You can live with that. But admitting you're capable of succeeding and changing is really scary. Allowing yourself to challenge the roles other people want you to fulfill is the hardest thing you can do. At least that's my experience. As for how to change, my first suggestion is talk to your team. That's why they're there, and they know what's going on because they've seen it before. Face it head on. Nothing they say is going to be any worse than what you are saying, and doing, to yourself. If you can get set up with a therapist, even better. Second, get every source of temptation out of the house. The alcohol. The junk food. Whatever is making you stumble, get rid of it. Do your shopping online from now on, or curbside pickup because it is way easier not to give into temptation that way. You can't binge on what you don't have. But skip the gym. It's really only about 10% of your success, anyway. Focus on water, protein, and vitamins. You don't need the false guilt of the gym to make everything worse. And third, get help from people you trust who are close to you if you can. Accountability is key. If going out to eat is an issue, tell your friends or family that you need their help not letting you go out to eat. Explain why you can't be around snacks, or why you won't be ordering alcohol, and ask for their help. If you trust even one person in your life to tell what is really going on, tell them. You need another voice cheering you on instead of just your own head bringing you down. Bottom line, something about what you are doing right now feels comfortable to you. It's a pattern that you can live with, even if you hate it. Something about what you were doing when you were following the rules was making you uncomfortable. Figure out what and why. You can't change your habits until you change that voice in your head, and until you can love yourself and cheer yourself on instead of being your own worst judge. But you have to believe you're worth it and be willing to do things that scare you in order to get past this fog and get to where you want to be.

Today marks my one year anniversary of my VSG. This was the best gift I could have given myself. As promised, I am back to give my 12 month update. I hope all will follow up with status updates so the results can be tabulated. 1. Basics: GENDER, AGE (at time of surgery) , HEIGHT - F, 62, 5'5" 2. Total Weight lost in the 6 months BEFORE surgery (if any) - 6.5 LBS 3.Weight on DAY OF SURGERY. - 202.5 LBS 4. Weight at 1 MONTH POST surgery - 187.4 LBS 5. Weight at 3 MONTHs POST surgery - 170.8 LBS 6. Weight at 6 MONTHs POST surgery - 149.2 LBS 7. Weight at 12 MONTHs POST surgery - 134.2 LBS

I’m at exactly 7 weeks post op. I’ve lost 25 lbs since surgery. I lost 15 lbs in the first 2 weeks then I stalled for a few weeks. People kept saying, your body is still healing, which was true. At 4 weeks my stomach was not inflamed anymore, the incisions looked good. Around the 5th week I started losing again. I do weigh myself daily, but I look at lbs lost weekly. I’m not particularly in a rush to lose a lot of weight super fast because I don’t want the loose skin. As long as I am losing and feeling good. Although I wasn’t losing weight during my stall, I was losing inches. I use bands to exercise my arms and legs, and I walk. slowly but surely!!!!!

same. and "anything i want" includes chocolate and chips and fried foods and sauces/gravvies and high-fat things and desserts and pizzas and bread, etc. etc. BUT not in copious amounts (for the most part). BUT i also eat salads and veggies and lean meats and cottage cheese and tofu and fruits, also not in copious amounts (for the most part). mind you my weight loss phase days are long behind me, but even during weight loss phase, i would occasionally have foods that were "off plan". like mentioned above, i was closer to maybe eating "what i was supposed to be eating" maybe 75-80% of the time. though my total average calories were always low regardless of what i was eating.

1. Female, 49, 163cm / 5ft 3in 2. None, put on about 5kg / 11lb 3. 120.20kg / 265lb 4 & 5. Don't recall as was in hospital still at that point but not much as they were pumping me full of nutrients 6. 92kg / 202lb 7. 72kg / 158lb Now one year and three weeks I am at 68.6kg / 151lb and just a few pounds away from my goal weight.

☝️i'm one of these. with a dash of some major changes...specifically my regular exercise regime. though i have to say that what i was doing when the first year or so of maintenance is very different from what i am doing now. i was still pretty strict about carbs and desserts and drinking calories that first year and a bit after reaching goal. as the years went on, i became less strict about WHAT i was eating, but still continued to keep an eye and stick to the TOTAL NUMBER OF CALORIES i needed to maintain...this amount changed up and down depending on my activity level, and i made sure to make changes as needed. i love going out and socializing and eating and drinking, and i've discovered that i can do all that and still maintain my current weight. i love to try new restaurants and tick off all the michelin star venues i could possibly go to before i die. and i am forever grateful for my wls and its restriction that has conditioned me to not overindulge...just have a taste to try and i am satisfied. (i am also forever greatful for whatever powers that be that have me loving exercise lol) with that said, let me attempt to provide my answers to your questions. NOTE: starting weight 235 lbs, 5'2" female, 46 yrs old at surgery. i lost 108 lbs in 7 months (plus my 2 wk pre-op diet) to reach goal. i am now 5 years, 8 months post op, and weighed 118.2 lbs this morning. 1. What are your golden rules to successful maintenance? - be flexible, be willing and able to change and make adjustments. weigh daily, always be aware of your calorie intake (i.e., track). EXERCISE: it makes you look and feel good. don't give into the angst...nobody is perfect...including YOU. i realize this is not for everyone, it takes a certain type of personality to be ok with this...i just happen to be one of them. 2. How did you manage the mental shift (navigating fear and uncertainty) while transitioning to maintenance? I can’t seem to quiet my thoughts and anxiety around WHAT IFs? - TIME. as time goes by you will gain experience and knowledge and hopefully learn to trust yourself. 3. How much indulgence do you actually allow yourself? - any time i want. hard to put a number or amount on this because it varies day by day, week by week. but i probably eat SOMETHING or other that most "dedicated" wls-ers would consider "bad" every day. (ASIDE: i personally don't think anything is "bad" just stuff higher in calories than others, with varying macro-makeups.

Ditto the ditto, and I also wanted to say WOW. 29 lbs in 2 weeks is actually pretty incredible when you think about it. Most non-WLS diets average 1-2 lbs per week at most, after the initial water-retention loss. Think about it -- can you think of any time in your life that you even managed to lose 5-10 lbs per week? 14 or 15 instead is amazing. ^___^ I think it's really important in WLS groups to remember that while we're all here to chime in and give support, share common trials and tribulations -- actual comparisions of weight or inches lost can be a little unhealthy / unrealistic. Everyone starts from a different place -- different surgery day weights, different co-morbidities, different physicalities. Even where we carry our weight can make a big difference in how it comes off. So while it's great to find common ground with others here, please please please never judge your own journey by how others' have gone before you. It's not a contest. The only winner is you, the individual who wakes up every day and makes conscious healthy choices (often difficult -- especially at the beginning) to work towards your goal. ❤️

II could have written this word for word. I'm at 66 days post op and I'm down 36lbs since surgery or 18% of my starting weight in just over 2 months. I'm 10.5lbs from being on the healthy weight range for my height (BMI) even though I do best with my leg and balance issues at a much lower BMI (BMI20) So I'm about half of the way to where I want to be ... even though I know that timescale woze the weight will start to come off slower soon. All that is positive but .... I could have written this word for word.... I'm also just so cold and tired the whole time. I'm eating the best I can quantity and quality wize but I'm just exhausted...

Does anyone have a detailed I guess EOB regarding weight loss surgery approval and denial from Tricare (more specifically Tricare East/Humana). I know what their website says, but it doesn’t give much info at all. Thanks!

They reduced both my pouch size and the size of the opening during the revision. That's why I'm very puzzled by his comment that you wouldn't lose significant weight after the revision. It just makes no sense to me.

Using my day of surgery weight, the calculator suggests I'll be 195lbs at 3 months. I'm 204.4 today, but assuming this blasted week-long stall breaks soon, it seems likely I'll be somewhere around there in another 26 days. It tells me to expect 178lbs at 3 months and 158lbs at a year, with a low of 151lbs at 18 months. I would be pleased as punch with that if it happens! That would be exactly 100lbs down from my highest weight, which seems unreal.

Have you ever mentioned to your doctor, in the past, the things you did to try and lose weight? I have BCBS and they had the same requirement. But I had mentioned to my pcp that I did keto, weight watchers, calorie restriction, and the mediterranean diet. When I mentioned this, she put it in the notes that went to the insurance company and they accepted it and that took 6 months off the process. My pcp was very supportive and was happy for me to do the surgery. I gave her all the requirements from my insurance company (I needed to pass a ekg, her form stating what I've tried to lose weight, my comorbidities, etc...) he jumped right on that and got it done asap. By the time I went to my 1st appt w/ my surgeon, she had already sent all of this to their office. So I was 3/4 of the way finished on day 1 of seeing my surgeon. All I had left to do was the psych eval, blood work the surgeon needed, and then waiting for it all to be submitted and approved by insurance. My first appt with the surgeon was Feb 28th, 2022. My psych eval was March 7th. Everything was submitted to my insurance on March 10th and I got my approval on March 14th 2022. The longest part of this was honestly actually getting to the surgery date because I couldn't have it until May 3rd due to the surgeon's schedule. So honestly, the better prepared you are, the more you do behind the scenes, the faster the whole process will go.

Thank you Yes, I have been getting support from the weight loss clinic in the hospital. I met with the in-house psychiatrist and he in turn referred me to one of their psychologists for PTSD and it has helped me. I actually see them both again (separately) at the end of this month as I will be doing some EFT sessions starting the end of the month.

hi guys! i did gastric sleeve on September 23rd of 2023. my height is 165 CM, my weight was 102 KG and as of today im 67.5 KG. i've lost weight from legs, arms, back,etc.. however im noticing that my belly is still hanging and big. is this normal? can it be some other issue that i dont know about? if anyone else is going through this or knows something about it, i'd appreciate the help because im getting extremely frustrated..

You will look lighter than you are. A few weeks ago i was talking to a coach who's been working with strength athletes for decades, a guy who knows what weight looks like on bodies. He looks at me and is like, you're what 120 pounds now? I was just barely into the 150s. I'm in the 140s now and I'm practically skeletal. I'm much, much thinner than when I was this weight as a teenager. I had initially set a goal of the highest calculated ideal weight for my height and am now thinking that if I actually reach it I'll need to buy clothes from the kids section. Which.... I mean, there's way more dinosaur print options so I'm not necessarily complaining. So let that influence your goals.

Thank you!!! I guess I'll just ride it out and see where it takes me. I honestly didn't think about the regain later on, so maybe it's not a bad thing if I go 10 or even 12 pounds below my goal weight. Thanks for the advice and suggestions!!! Much appreciated

So today I hit a milestone I didn't expect so soon---I've officially lost 50% towards my goal weight!!! 😭 I've lost 76 lbs since my highest weight (320) and 63 lbs since surgery (307). I'm stunned honestly. I've had some stalls and my weight loss has been slower than some others but my doctors kept telling me to stay the course, that my weight loss was right on track. Well, now it seems I've caught up and am ahead of the game! It feels so unreal... Here's a pic of me pre-op and two from today!

After about 3 weeks post op, I am finally feeling better. So I am back to focusing on what I am eating and trying to break my stall. I have the stall at week 2, only really loss weight for 1 week after surgery when I was in the liquid stage. I want to ask all of you, how much proteins you eat a day? Before the surgery I was told to have 65-75 grams of protein a day, but when I follow up 1 week after surgery, my nutritionist told me to drink 2 bottle or protein shake a day. That’s already 60 grams! However I followed what he told me for a week. With the 2 bottle of shakes, my protein intake is over 100grams a day. When week 2 ended I didn’t loss any weight, but gained 2lbs…I feel like I took too much protein so when week 3 started I stop drinking 2 bottles of shakes and only drink 1. I can eat 40-50 grams of protein on my own right now. With the shake I am ranging from 70-85 grams a day. I like salmon, tuna and other type of fish and it gives me good amount of protein. Now after a few days of doing that. I finally loss that 2 lbs and back to my 1 week post op weight 241 lbs. do you think I am doing the right thing here not listening to what my nutritionist tell me?…he said I needed more protein to heal. 85 grams of protein is already 20 grams over what they told me to take initially tho. My liquid intake is 48oz a day now. This is hard because I literally can only sip very small sips. To finish a full bottle of water 500ml, it will take a 1 full hour, sometimes longer. With 3 meals a day, not drink 30 mins and 30 mins after, 48 oz of liquid is at my best. My eating schedule is 8am-5pm. 8am breakfast, 12pm lunch and 4:30pm dinner. Take me 30 mins to finish my meal. I feel like drinking water is like a full time job now. Surgery date 1/22 250lbs Post op 1/24 257lbs 1/31 follow up visit and started 2 shakes a day 241lbs 2/5 243lbs I stop drinking the 2 shakes 2/9 241lbs So after almost 3 weeks I loss about 9 lbs, and it was only during the first week when I was eating! Now I am feeling better I want to continue with the loss and not gain weight. Any input would be welcome. Thanks in advance.

Just had sleeve on January 22 and doing well so far. Still learning how to navigate this new way of life. I’ve gained so much from all of your posts and want to thank you. Happy healing as we begin this journey…

I’m so sorry to hear this. I wish I had some words of wisdom for you, but honestly, I don’t. During these days of the stall, are you still noticing that your clothes are fitting looser? I was told not to be so dependent on the scale but more on noticing the weight coming off as far as how I feel in clothes. I don’t recall if you have a dietitian or someone that you check in with? If you do, you may wanna contact them or contact your doctor and talk this over with them. I don’t doubt that more weight is going to come off, I’m more concerned about your mental state. No giving up, OK??

I was on this forum ages ago but when I was thinking about you all and tried to log back in I could not remember my old user ID so I created a new one. I even tried searching for key words I remember taking about for a meetup in the Boston area. I gave up and created a new account. I had my RnY in November 2015. I had the most amazing and pain free recovery. I had my old clip on Fitbit on the day of surgery. It was taking them a while to get me a bed out of recovery and I was bored. I managed to walk five miles that day just in laps around the nurses' station. The nurses didn't believe me but I was able to show them! I went home the next day and had no reactions to meds or food. The hardest part was having my mom stay with me for a few days and wanting to help when I was really fine on my own. What hurt her was she could not use her love language of food on me. I kept most of the weight off until COVID. Working from home and not being accountable to pants with buttons for two years took its toll. With normal weight creep, a bad knee injury in 2020 that led to a lack of exercise, and then COVID too, I gained back about 40 lbs. that I am in the process of losing again with Mounjaro.

Hmm, that is true actually! It feels as though we have skipped Summer here 😅 I shall hold off from buying anything just yet, as I am conscious of how fast the weight loss is right now! I think I am suffering a bit from imposter syndrome right now - I feel like a fraud if I were to buy smaller sizes if that makes sense! Like my body won't actually ever fit into them (which I know is insane, given that I am and have lost weight) but my brain hasn't caught up yet. I have heard nothing but good things about M&S - I may create a holiday wishlist on there! I admit I have never even worn those kinds of trousers before! But I think that was just due to me not feeling like they'd suit my shape!