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did you feel like you needed a pixi cut due to the loss or was just over all the shedding? I will be honest I don't have your confidence to rock it! You look sooo good in each stage!!!

Have a revision to bypass. That's what I did and it's a game changer. Now, I had it due to complications, but it's still worth it. Start looking into it, and work on getting your mind back in the game. You know the diet, you know the rules, you know how this works. Get started now. I will say, you won't lose weight as fast, or as much, as with your original weight loss surgery. But you could look at a good 40-50 pound loss, which would put you right back in the weight you liked. I say definitely do it.

Hi there. So I will make this as short as I can I have had a good amount of health issues and surgeries throughout my life. I am a 34 y.o. mom of 3 who has no appendix or gallbladder. Also I have had a few brain surgeries and procedures before ultimately having to have craniotomy all thanks to a A.V.M. in my cerebellum. There was a time when I had a "G-tube" as well. I was 210 and was starting my lifestyle changes because I was completely unhappy with myself. My primary prescribed me semiglutide pills since my weight and my fasting glucose levels weren't ideal He also referred me to a WLS dept to gain information on the VGS. He believes that I am perfectly healthy just overweight. I have gone through 5 months of nutrition classes. One a month. My final class is Thursday (tomorrow) and I'm uncertain if this is for me. I am down to 184 which I am absolutely proud of myself for. I know that with my height (5'2) the normal but high bmi is 135/136. I believe 137 starts the overweight bmi section. I see the surgeon in Jan & psychologist in Feb. I am not sure id pass that clearance with these thoughts. And since im on the lower end for weight loss I am afraid I would be denied anyway. I don't have any health conditions req for WLS if you don't meet bmi requirements Haha I know im annoying. I want the surgery but then don't at the same time. I have improved my lifestyle choices, getting more active, proportioning meals etc but I'm not sure if I continue with just these things I could lose more weight. Ugggh I frustrate myself. Anyone start on the lower side? Does BMI really matter. 5'2s where are you? I know everyone carries their weight differently so it looks different on everyone. What is comfortable?

It's valid to feel scared about this new experience and really good that you can express your fears to other people. My first thought as I'm reading this, though, is that your size is thoroughly unremarkable. It may not be where you want to it be, and you're doing great taking control of that and changing your life through having gastric bypass. But at your height and weight, surrounded by adults as you will be in college (and not middle school bullies), your weight simply isn't going to be a thing people notice about you all that much. I had my surgery when I was just slightly under where you are now, and I honestly had a friend (who is average weight/skinny) express total shock at my choice because she thought I was "only a little overweight" (while I thought I looked like a Macy's Thanksgiving parade balloon on two legs). Other people do not see us the way we see ourselves. In your mind, you seem to see yourself as worthy of being judged poorly and disliked for your appearance. I would ask, is this how you look at other people? Do you only befriend skinny people? Do you think fat people are terrible? Because if you do, that's a serious personality flaw that I would be way more concerned about fixing than my weight. And if you don't...neither do most people. Also, if they do? See my point about it being a serious personality flaw. Don't give that kind of person power over you. Your existence, exactly the way you are at any point in time, is not the problem. A person who is judging you for existing is demonstrating that their opinion is not worth considering. Most people don't notice weight first, unless maybe when someone is truly remarkable in size. Most people remember a person's confidence, humor, and overall disposition. They might remember a beautiful smile or a charming laugh, or maybe how you wore your hair or a colorful scarf. They want to be friends because they feel a connection to your personality, not because you have the "correct" size tag in your jeans. Again, if this is not the case, ask yourself why this is someone you want to concern yourself with. The person you want to be is not just a "skinny" person. At least, I really hope not. I would encourage you to make a list of 10 qualities right now that you want people around you to see and remember about you, and none of them can be about your weight or similar societal measure of physical attractiveness. Focus on that list. Do you want people to see you as smart? Kind? Funny? You can be all of those things today. You probably are all those things right now, if you let yourself believe that it's true. You don't have to lose a single ounce to make that happen. Do you want to be someone who takes care of your health? You're already doing it. Who eats right? Who exercises? You're that person now. Focus on the things you have control over. You don't get to choose your weight. None of us do. But you can make food and activity choices every day that promote a lower weight. You can't make a specific person or group like you. But you can be the kind of person many people will like. I wish you the very best of luck. I really wish I had known 30 years ago how absolutely, perfectly fine I was without changing anything, and how little other people's judgement actually mattered. It would have made so many things so much easier.

Hi everyone. I'm a bit of a complicated outlier, as my duodenal switch will be a modified duodenal switch with Demeester adjustment. I'm getting a duodenal switch for biliary diversion ( bile reflux). And I have a herniated stomach, so it will need a hernia repair. This means my stomach will not be reduced, but it will be restored in terms of hernia. And the new bile limb will only be around a 100 to a 150cm down. Enough to prevent bile from flowing into my stomach, but less malabsorption and weight loss issues. The issue is, that my stomach gas gastroptosis ( which means it is very elongated and stretched down towards my pelvis) this means it is quite painful and traumatic when vomiting occurs. I have read so many horror stories about vomiting post op or even within the first 3 to 6 months. I'm wondering, does that mainly occur due to reduction of the stomach? Or is it an unavoidable cause of the new limbs being created. I'm terrified of obstructions, ileus and other nasty complications.

That’s awesome. I have been very pleased with my revision to SADI. My surgeon didn’t mention the intestine length thing but he did have me do the barium swallow, an endoscopy and a gastric emptying study before saying that the SADI would be an option as well as the bypass and it was up to me which I wanted to do. There are pros and cons to the SADI revision. statistically (which by definition means there are outliers that are more or less) but the majority of people lose faster and the loss is more durable which got my attention but the possibility of bathroom issues is significant (fortunately I didn’t have this at all until I recently started chemo but I don’t think it has anything to do with the surgery). One con though of SADI is that many doctors have never heard of it. From my family Dr, to the urgent care, ER physicians, gyno, radiologies, breast surgeon, etc. Even the gastro dr who will be doing an endoscopy and colonoscopy on me Monday has never heard of the SADI but my bariatric doctor said he will explain my anatomy to her and it will be fine. I always tell them it’s a modified version of the Duodenal Switch with one anastomosis instead of two and if they still look confused I tell them it’s not exactly but kinda like a bypass and a sleeve combined. But obviously I need the person putting a camera in there to understand better than that. I think you will be very pleased with your results from either one but another thing to consider is if you have a complication or need revision to the SADI how many doctors are able to operate on you. My surgeon told me that if I had a complication he would stabilize me but he would send me to a nearby hospital if I needed any type of revision. I appreciated that he was willing to admit his limits and I was okay with that but I guess it is a risk you may want to ask about. Your surgeon may very well have done lots of these but mine had not. Also, not a lot of doctors will do a revision to the SADI just because of regain. You would be more likely to find someone to revise a bypass. Not that we are hoping to need a third surgery but obesity is complex and a lifelong struggle so it’s something to think about. I wish you the best of luck. And hope to hear about your surgery date soon.

Hi everyone! I haven't been on this site in a VERY long time, but I am currently on a new weight loss journey and I thought I would report in with my experience and the hope that some of you newbies can learn from it. I had my VSG surgery on 9/1/2014, so 10 years ago this month. At the time of my surgery, I weighed ~260 pounds and I am 5'6". I have lost and gained weight a million times before that, with my highest weight ever having been 277 pounds. In the first couple of years after my surgery, I was able to get below my goal weight (165) all the way down to 154. During that time I trained for and ran in a half marathon and a full marathon, completing the full marathon in September 2016 (almost exactly two years after my surgery). I separated from my then-husband in May of 2016 and our divorce was final in December 2016. My life took a very different path after that and I did not stick to my healthy diet and exercise. I met my current husband in February of 2017 and while I love him dearly and he is THE BEST, he is a bit of a hedonist and we definitely supported each other in our hedonism. I became a connoisseur of fine craft beers and we have a large friend group who we go out with or have get-togethers with several times a week. I not only stopped running but stopped exercising altogether. Both my current husband and I put on weight in the seven years we have been together, especially during COVID, and I got all the way back up to 234 pounds! Last year, my husband was diagnosed as pre-diabetic, and, in April, we resolved to turn things around together. Since then, I have lost 30 pounds and I am on my way down to my new goal weight of 180. So, here are some things I want to report, trying to lose weight again for the first time since immediately after my surgery: The restriction still works! I cannot eat much more than about 200 grams of food in one sitting. Once I cut out snacking and stopped drinking as many calories (beer), it was easy to rely on my sleeve to restrict my daily caloric intake. My metabolism is still normal. As a 5'6 female weighing 203.2 pounds, I still burn ~2100 calories per day just by living, according to my Garmin watch and it definitely tracks with the calorie differential I am logging and the weight loss I am seeing. I still can't eat and drink at the same time. I usually have to wait about 45 minutes to an hour to drink anything after I eat a full meal. Being overly full is still an unpleasant feeling. Before my surgery, I used to love the sensation of being "stuffed." Since surgery and to this day, it is still uncomfortable for me if I overeat in one sitting. Not a pleasant sensation at all, but not painful like it was in the very beginning. I can still get dumping syndrome if I'm not careful. If eat too much sugar too fast, usually in the form of ice cream or a milkshake, I get dumping syndrome and it is VERY unpleasant, fortunately, it is very rare. Food can still get "stuck." Every once in a while, mostly when I am eating turkey or pork it seems, food can get stuck and it is completely miserable. Be sure to thoroughly chew your food!!! Especially dense meats. My advice to anyone who is post-sleeve and still losing weight or trying to maintain their weight: Snacks are the enemy! It's so easy to get in extra calories by eating smaller amounts between meals. Your sleeve won't help you at all with this. Drinking your calories is easy and dangerous. I haven't given up my precious beer entirely, but I have cut back and I am mindful of the type of beer I am drinking as some types are more caloric than others. You can just as easily drink your calories even if you don't drink alcohol. Be wary of soda, milkshakes, energy drinks, juices, and too much cream/sugar/syrups in your coffee. Keep up with the exercise. It doesn't have to be training for a marathon like I did in the beginning. Currently, my husband and I take a ~mile walk after dinner each night and we try to do one, long, 4-5 mile walk/hike on the weekend. Just that moderate amount of activity can make a big difference. Be mindful of calorically dense foods. Even though I can only eat 200 grams at a time, if it is 200 grams of junk, it can have a LOT of calories! I hope the lesson that all of you take from this post is that the sleeve is a tool and it is all about how you use it. It can work for you, even 10 years out, as long as you use it correctly.

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!

Sooo I am over 8.5 months post-op, and want to ask the veterans what their thoughts are on carbonation? I was a big diet soda and coffee drinker pre WLS and I knew I would never cut coffee out and I've had it since the second week post WLS with no issues, but carbonated drinks is a different story. My surgeon has encouraged me to eat anything and everything except for diet soda. He has been adamant that I don' take it up again. Another friend who's had WLS and has lost and maintained her weight loss and eats everything has told me that she occasionally drinks diet soda but only started having it 2 years post op and advised against it at this point for me. My brother who's been sleeved for almost 4 years drinks it and is the definition of slim. I really really like diet soda, and I only want to have a small glass once a weekish, is that so bad? My restriction is fierce so a little loosening up doesn't bother me much. What are your thoughts?

It looks like I may have to have a revision to Bypass now. I will know for sure next month after they scope me but I’m curious how much of the excess weight is lost with the revision. My surgeon said his experience is it’s only about 70% but I’m hoping that some people experienced a greater loss. Also, when computing excess loss, what is the ideal body weight we calculate from? That’s never really been clear to me.

I think for your height, you can afford lose more and not have a health problem (meaning being underweight or under BMI 18.5). I am now at a BMI 19 and my weight loss is going strong no matter what I do (mind you I am 24 lbs under goal), so I gave up trying to do anything about it 🤷‍♀️ The more I try to stop it the more it doesn't lol, so I don't really stress about it much and I am letting my body do its thing because I know while losing weight is a breeze and unintentional now, it won't be in a few years so a little cushion and wriggle room isn't bad, unless I drop to BMI lower than 18.5 then I will do what is needed and see my surgeon. I say, let your body do its thing as long as you're healthy, eating well, working out and your blood work is fine. Congratulations on your success ❤️

Stretching in the sense that you mean it is exceedingly rare and only happens if someone consistently binge eats over a relatively long period of time. What does happen naturally is increased capacity. This is true for sleeve and bypass both. After 6 months or so, your stomach regains some of its elasticity and can accommodate a bit more at one sitting. This is fine and healthy. Everyone is different, and everyone's capacity at a given point post-op is different. I don't know what you were told for goals, but my program says 60-80g protein per day and 64oz minimum of water. They want my protein to be around 40% of my calories, and I generally aim for 800-1000 calories per day, but that was not strictly set and will change over time. 1200 seems to be a common goal for the later stages of weight loss, with the amount going up once you are in maintenance. 5oz per meal is reasonable, but you need to be eating breakfast, lunch, and dinner. Plus possibly a snack. My program says aim for 20-25g protein per meal, and supplement with a protein snack or shake as needed until you can get the full amount from food comfortably. By 9 months, you should be fine getting it all from food. Your brittle nails and hair loss suggest you are not getting enough protein and may not be getting enough other nutrients. You should continue to aim for around 4 oz of lean meat or fish, (or a serving of Greek yogurt or cottage cheese, for example) per meal. 4oz cooked skinless chicken breast has 25g protein. Your second priority at every meal should be nonstarchy veg. If you still have room, you can have a little bit of carb (rice, potato, sweet potato, bread, etc.). A serving of fruit makes a nice dessert. An easy way to eyeball it is to take a salad plate (not dinner plate), and put a piece of meat the size and thickness of your palm on one side, and fill about 2/3 of the other side with nonstarchy veg and the remaining 1/3 with carb. Go light on the sauces and butter. If in doubt, check Amazon for bariatric cookbooks. There are several by bariatric experts, including surgeons and registered dietitians. Kristin Willard's Bariatric Meal Prep is a personal favorite, with portion sizes for different stages, and a full color photo for every recipe.

The progress in your pictures is awesome. My scars are lighter, two of them are small but you can still see them somewhat. With you being normal BMI, I would say it's going to take time to get to your goal. Travelling a lot will have something to do with it as well. I want to get under 200 lbs. before my knee replacement in October. I know, once I have that done. Weight loss will probably be nonexistent for a couple months.

I’m 6 years out & if I tried to eat a “normal” meal I would throw up. I can only eat about 3 1/2oz at a time. This means I have to eat 5 times a day. My surgeon even made my pouch a little bigger because I didn’t need a by pass for weight loss but because my esophagus was in an L shape & this was the best way to correct it. Try eating smaller portions.

Hello All- i posted for the first time just about three years ago with some anxieties as a spouse with my wife prepping to undergo the gastric sleeve. I originally noted being concerned about our lifestyle changes, relationship impacts (I had heard all the horror stories) and most of all health concerns into the future. The community was incredibly supportive and I had learned tips and useful knowledge that helped me coach and support my wife through it. I am happy to say we are better than we ever have been and her self confidence is through the roof. However the MAIN reason the surgery ever was even considered was to get her diabetes that started while she was pregnant with our first child and got very concerning bad with our fourth has still stuck around and caused issues….. First- this is Life changing not just for the partner getting the surgery, but the spouse too. We used to be foodies and that all had to go out the door. Same with alcohol. Two bites and you are full, a pint and you are drunk. So activities, dates, etc. and new hobbies should all be prepared for well in advance. Luckily we are both athletes and coaches and this allowed to have an outlet that wasn’t our prior foodies and beer/ brewery culture pastime. Two- Relationship, anyone who tells you that this leads to automatic divorce/ break up is paranoid or lying. Out of her support group offered by our health network, I think only 1 or 2 of about fifteen women ended up separating and that was from the other spouse cheating. I have to say that in many ways, after four kids and all our activities, youth sports and coaching- it created a second honeymoon period for us and really strengthened our romance and relationship because we both focused on our health again jointly and the magnetism increased dramatically. Third- It might not fix the problem…. We did not jointly go into the surgery for cosmetic or weight loss reasons. It was the diabetes and the doctors said it was a solid shot to cure or mitigate the disease. It was for a while, but it keeps back up. despite healthy eating, despite exercise and coaching, despite the surgery- medications came back into the picture and so did the celebrity weight loss drug (which is really supposed to be for diabetes…) This has been keeping everything under control but is a case of the cure being as bad as the sickness. The side effects are brutal and definitely have a quality of life impact, but we both want to live to see grandkids someday….. Fourth- dysmorphia is VERY really. We are both naturally larger people. I was a lineman in high school and college and she was a softball catcher in high school and college and ended up also playing women’s rugby there as well. Even with the surgery she went from an XL to L but she got her college/ high school figure back and as such her confidence went through the roof and started dressing like she hadn’t in years. With the medication though??? Her figure, face shape, everything changed. Down to a Small or Medium. For almost a year and a half she hasn’t recognized herself in the mirror. It’s a double wham with the surgery and the medication. Between her best friends and myself (we have all been in the same friend/ team group since college) the support was to have fun with it and go with the flow. Instead of worrying about it (the dysmorphia) it was embrace the change. All new clothes she could never wear before, she’s been a redhead now and then blonde and still is. Cut her hair shorter, started wearing makeup (never really did)- all just to try and put a positive spin on it. I’ve been the spoiled recipient of having a brand new girl (don’t think I haven’t romanced and spoiled the you-know-what out of her), but at the end of the day it’s been mitigation of all the life changes. The last part has been the most detailed because it’s the most recent and to me has been the most impactful- NOT having the surgery do its intended purpose and the dysmorphia we’re both very difficult given the efforts and life changes made. We’ve done everything we can to make lemonade out of those lemons though. We had an anniversary vacation better than our honeymoon this past summer (she has always been way out of my league and these days it’s very much over the top- I feel incredibly spoiled) and we have made time to ride our bikes together with our oldest babysitting the kids and we come to each others games when we coach. I would tell any spouse; husband or wife of someone who is going to have the surgery and then or also do all the meds: 1. Support. It’s a huge deal and you need to show up. 2. Don’t get insecure about your relationship because of the surgery. If you are worried it means you might not have a great relationship to start with…. 3. You will need to change your life too. Because of my size and my weight lifting, I need a lot of protein and calories. I will never look like a Hollywood star (like she now does) and always an NFL lineman- BUT- if I bring a cannoli, pie or a full growler into the house in addition to steak/ salmon, etc it’s teasing and not fair. You will need to learn self control to support your spouse… 4. Inspire and come up with ideas for positive re-enforcement. If the dysmorphia or depression sets in, you need to find fun things to do, supportive steps to take and positive angles to keep things going. 5. If you are doing all this as a spouse, what about YOU??? Are you going to die a martyr? Take care of YOURSELF too. I go lifting 3 times a week, go fishing in season. And for my 40th birthday when she asked what I wanted?? I got us a long weekend on the Cape, bought her some dresses I wanted to see her in and sent her to get her hair, nails, toes, eyelashes, etc.. done. Said I wanted a long weekend with my movie star wife. It was a great time, kid free and continued to strengthen our marriage. Anyways- why am I writing this? Posterity? Self reflection? Not really…. I just want to give Spouses a roadmap. It’s a huge change and you need to navigate the waters well. If you do you will benefit as much as your loved one. Good luck.

You didn't provide a lot of detail regarding your diet or activity level, but I'd be willing to put money on a couple of things: A relatively large percentage of your diet is made up of highly processed foods. You are not very active. Let's start with diet. You need to understand that it's not just about calories in vs calories out. Diet quality can be a huge factor in whether or not you can successfully maintain your weight at a lower level. If you do eat a lot of processed foods, start making really small changes and focus on just one sustainable change at a time until that change becomes the new normal for you. You can then move on to another sustainable change. Slow sustainable changes are the key, not quick-fix diets. As far as physical activity is concerned, there is significant body of evidence now that the vast majority of successful "weight loss maintainers" get an average of 60 minutes of physical activity per day. Yes, this is more than the typical recommended amount, but it's probably needed. (Discussing why is too big a topic for this reply). More detail would help. I hope you get it figured out.

Do you track (weigh and measure) everything you eat and drink? Are you following the plan set by your surgeon and dietician? Are you meeting your fluid (alcohol doesn’t count) and origin goal every day? Are you focussed on eating protein rich and nutrient dense foods? Yes, alcohol will slow your weight loss. Did your surgeon really say live your life? Did they mean alcohol? Did they know how much you drink? Did I drink alcohol while I was losing? Yes. I had a gin & tonic at around month 3 (nursed it for hours) and then a couple of single glasses over the next 6 or so months after that. This first 6 months to a year or so are a gift. You want to embrace this time to lose the majority of your weight. So yes, you will have to make some sacrifices but for these few months it’s so worth the lifetime of future benefits. Doesn’t mean you can’t go out and socialise. It just means you have to make best choices you can in whatever situation you’re in and put yourself first. The reset diet of returning to the liquid stage is an old wives tale. You’re not trying to reset your tummy but reset your head, your thinking. You can do this.

Hello ladies x Had my one month post op appointment today with the surgical team and he told me that all is well and should keep doing what I am doing wnd I am ready to start REAL FOOD and exercise! He did transfer me to a dietician immediately tho because he expected a higher loss than 10 kg for the first month but he did say 10 kg is still good and wanted me to speak to the dietician to understand more. And it turns out I am under eating and avoiding all sort of carbs which is effecting me and could possibly mean I am not retaining nutrients. I have been to scared of eating that I know for sure I was under eating. So she went over my plan and told ne to eat 8 well cooked meals! And to check back in 2 weeks with how I am feeling. She told me not to be too worried about calories now and we will talk more when I reach 80 kgs. I am wondering what your dietician have been telling u guys about carbs? R they part of ur meal plans?

Yeah nobody can control the snow except God. I'm not worried about the snow. It usually does snow in early November here in upstate NY but lately over the past 3 years or so it hasn't started snowing until Janurary. Hoping this year is another repeat of that. Time will tell. They gave me a whole booklet that my surgeon gave to me when he explained the various different surgeries to me and a bunch of other people about 7-8 months ago. It has everything that I need to know in it like what I'm supposed to be doing 2 weeks before my surgery 2 weeks afterwards ... everything. I just haven't had much time to give it a good going over its been a busy 7-8 months. They always ask me at the end of my appointments if I have any questions and I think I have some for my surgeon that I'll probably be asking him the day of my surgery so if I have any I can always ask. Most of my questions are medical questions though that I think only my surgeon can answer because I'm curious how my mental illness is going to affect my surgery and my weight loss journey after my surgery. It's definitely going to be more of a struggle than usual. Do all of your hunger pains and cravings usually go away with the surgery? Or do you still have to worry about the urge to eat?

I am not preventing more weight loss however I am not a fan of how thin I am right now. I work out to build muscle but I like being curvy and I am looking pretty flat now lol I felt really good and *think* I looked good at about 175-180 Not that I don't feel good where I am at, but I am would okay with where I am at. My surgeon said that same lol But like you said I am not letting my foot off the gas, still working out 6days a week, tracking my food and prioritizing protein which I plan to do for the rest of my life. Thank you I am loving joining this new life!

If you don't want to stay off the scale for a week, which I'll admit I can't do either, just remind yourself each day that the number does not define you and that it isn't the end of your weight loss journey. Plateaus and small upward movements are common and normal throughout the process. It's temporary. You're still eating too little for it not to be. You're only 6 months in, so you have at least another 6 months ahead of you to lose those last few pounds. It will probably get harder, but it will happen! And you've done an amazing job in such a short period of time.

Okay so I was curious to know exactly how much more our bodies burn while we are healing so I asked Google and this is copied from AI response. Basically if we need more calories to maintain as your healing you really may be good by just cutting back a tad on the extra Carbs since your carbs were much higher due to a very high level of activity, which you’re not sustaining but honestly if I was you I would Just wait until your through this to worry about losing you could take even longer to get back on track if you try to lose now “Yes, your body burns more calories during the healing process after surgery. This is because your body's metabolism increases to help heal the incisions, fight pain, and prevent infection. Explanation Hyper-metabolic state After surgery, your body enters a hyper-metabolic state, which means your metabolism increases. This causes your body to break down muscle protein, fat tissue, and neurotransmitters to provide energy for healing. Calorie needs During the healing process, you should consume more calories than normal. A general rule of thumb is to consume 15–20 calories per pound of body weight. Protein needs In addition to calories, you also need more protein during the healing process. Protein is a key building block of the body and is necessary for tissue growth and repair. Hydration Drinking plenty of fluids, mostly water, helps deliver nutrients to the wound site. What to eat Eat a balanced diet with a wide variety of foods Eat nutrient-rich foods like fruits, vegetables, lean fish and chicken, grains, beans, and nuts Take a multi-vitamin/mineral supplement if you don't get enough nutrients” This is from HSS.com “How many calories should I be consuming since I will be inactive? Now is NOT the time for weight loss! When people are immobilized, they worry about gaining weight. However, you should NOT decrease your calorie intake because you will be inactive. In fact, your calorie needs are now greater than usual because your body requires energy from nutritious foods to fuel the healing process. You will need to consume about 15-20 calories per pound (using your current body weight). If your overall energy and protein needs are not met, body tissues such as muscles and ligaments will begin to break down. This will compromise healing and may prolong your recovery period”

I am one of those regain stories and my best advice would be to stay involved here and at any in person groups available to you. Also keep your follow ups with your team. They keep you accountable. If you do start to regain, reach out here and reach out to your team, and don’t let shame keep you from asking for support. I thought I would be chastised by my team when I finally did go back but they were nothing but kind and compassionate. They said obesity is complex and we just needed to approach it from a different angle. All they wanted was to help. Also, most of the people that regain don’t regain all their weight by eating bigger portions of healthy food. It’s when the bad food choices start to creep in that the pounds really start to add up. Having a healthy level of concern about regain will work to your advantage but don’t worry about it so much that you aren’t enjoying your fantastic healthier body right now. Congratulations on your loss and keep doing what you’re doing.

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.

Hello All, I am very new to the group and have not had my surgery yet but am scheduled for June 13th and I am excited to start losing weight exponentially even though I already have while on weight loss meds and starting a gym regimen while in the pre-op stages. My question for you all is if anyone traveled abroad within their first year post op? I am planning on going to Peru in Dec-Jan for two weeks and while I realize I will still have minimal portion sizes I feel I can make it work due to the wide variety of delicious/nutritious foods in the region that dont necessarily have to be carb-loaded. If anyone has experience with traveling to South America/Peru specifically your input would be much appreciated! I am hopeful that by that time I will be able to swim, walk and overall be active around touristy areas with ease but please let me know if there is anything else I should be aware of or try to pack before my travels to ensure I meet all of my nutritional needs.