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In my view for what its worth, Your arms are brilliant. The surgeons have given you good advice and saved you some money. Your torso is not bad. Do you really need a 360 ? There are smaller surgeries these days. If you put your surgery into the search engine you will get pictures of the scarring. Everyone heals differently so scarring is never the same on two people. There is also a small risk of infections and abcesses that will make a mess of any surgeons handy work. Any work on your stomach area would hurt for at least the first 5 days. Three months ago, I was opened from my pubic bone up to my navel for unrelated surgery and I was walking around like a woman broken in half. Just sitting up from lying in bed is a feat that will leave you sweating. Which is why people advocate recliners, because they stand you up with out using your sore midsection. With a 360, you will struggle to find a comfy spot to lay on. BUT all this passes, good meds help, having someone with you helps. In the end its a very personal thing. If I were younger and unmarried I may think differently but I am old, I have a mass of extra skin but I live in a fairly cold country. I am only ever showing my arms and legs when I go abroad on holiday. I don't give much thought to what people say as long as I don't hear it. I park myself on the beach, doff off and enjoy the sun on all my saggy baggy bits. Then I come home and hey presto, I back in leggings and long sleeves that hide everything. Good luck with whatever you decide to do. Be happy in what ever amount of skin you can live with.

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.

I had surgery on 12/2. I started my preop diet on 11/15. The entirety of the last 6 weeks has been nothing but just protein powder. Premixed protein drinks. Clear protein. I am to the point where I can actually no longer stomach any amount of protein drink. They have started making me nauseated. And a lot of it is that I have to take my time with them and I can't just down them quickly like I used to. So far I have tried: -All of the fairlifes. These used to be my absolute fav. So far, the regular nutrition plan 30g protein chocolate ones are the best, but hard for me to find, especially in bulk. The strawberry/strawberry banana ones and vanilla ones are way too sweet. -A lot of premier protein flavors are gross to me. They were gross before surgery and are extra gross now. Same with MuscleMilk brand. -I have unflavored Isopure that I put into a lot of things, and this is fine as long as someone else makes whatever I am drinking and doesn't tell me that they put protein powder in it. It's like I can immediately tell, which tells me this is mostly mental. -Dutch chocolate isopure powder. Okay, but still protein powder-ish. -Isopure clear drinks. So far these have been my favorites, but it's a lot of liquid for me to take in, 3x a day, especially when I'd just prefer plain ice water. -H2Protein: sometimes these are too sweet, sometimes they are okay. I just ordered some of the protein shots in hopes that maybe the 3oz size will make it easier to get my protein goals, which have been severely suffering these last two weeks. Any advice?

Unfortunately so many are struggling financially these days all over the world. Cost of living is skyrocketing everywhere & we have to do what we can to survive. I swear I go backwards every week. I am with @SpartanMaker in regards to meal prepping ahead. I love my freezer & my microwave. My freezer is filled with food I have cooked and frozen in single serve portions. I did this from early out from surgery. At most all I have to do is reheat the meal and zap some vegetables or make a quick salad. I can have a nutritiously cooked meal in 5 minutes or so. Easy peasy. As most workplaces have a microwave, grab a meal from the freezer & reheat it at work for lunch. For example pre cook some chicken tenders and freeze, then in the morning grab the chicken tender and pop it in a container with a few cherry tomatoes, some lettuce leaves, a few slices of cucumber, … done. I loved mince dishes because you can add lots of vegetables: meat balls, savoury mince, taco filling, etc. so you can eat as a complete meal or add to a taco shell or wrap if you want/can. And soup is great too for the same reason (protein & vegetables in one). And yes home cooked foods are often less expensive. For example I made pea & ham soup last weekend. I made around 18 portions (I wasn’t interning to make that much but 🤷🏻‍♀️) and it cost me $18.80 Aust (split peas, frozen peas, pearl barley, an onion and a ham hock) so about a $1 a serve.

Mid week checkpoint from last week I'm late! I i'm an avid runner. I have taken the last few days off. Crazy how your body craves exercise once you make it a part of your routine. I will say obesity is a smart disease and anyone experiencing stalls for me , I have to constantly find ways to out smart it. If I run at 4am one week, I will run at 6pm the next. It get used to things you do 😡😡😡😡.

I hope your day gets better soon! I completely understand where you're at, I've been in the same slump for a few weeks 😖 I'm hoping its the colder darker days doing it. You've been doing great, so just know its one day..you got it down!

Pardon my ignorance! I had gastric Bypass on January 15th. I had mine done due to gastroparesis not for weight loss. I weighed on average 250lbs before surgery. As of now I'm at 220lbs. Yes I have lost nearly 30lbs. Most of my weight loss was right at first and have hit two major plateaus after surgery. I consume little amount of calories. I mainly have protein shakes which consist of Premier Protein or Redcon1 MRE. I eat ground proteins like lean beef or turkey. I am very strict on my diet. I work out daily and put in at least two hours. I would thought my progress would have been greater. I'm trying to lose weight before I return to work and build up my strength. I feel like I'm failing and I don't know what to do. Is this normal? I've been stuck at 220lbs for almost two weeks now. Please don't beat me up too badly in the comments.

I went away for a long time, got diagnosed with ADHD (suddenly my life makes so much sense...), and over the last five months I began to lose my grip on my diet and regain. My lowest was 65kg, my "happy place" was 67kg, and I regained back into the 70s at 73kg. The culprit? I allowed sugar back into my life. Never let sugar back in! It has no manners, touches your stuff and doesn't want to leave. Problem is, thanks in great part to my ADHD, I get addicted easily and tend to eat the same thing every day. When that thing is chocolate, I have a problem. I also have impulse control problems and when the food noise is raging, that's bad news. Solution: GLP1s or Contrave. I have a great GP who understands me and didn't reject my request for help to get back to my "happy place" 67kg. We decided against GLP1s and went with Contave instead, which works on countering addiction. The food noise that was driving me crazy has stopped, I quit sugar week 1 and am back in control. I'm nearing the end of month 2 (of 4) and am just over 1kg away from being back to where I need to be. I've stopped being hard on myself for needing help, because even if I could control my impulses there's nothing wrong with medication that's designed to help. Oh and the other thing that's been a game-changer for me: my partner got me a Fitbit. I realise I'm so behind on this it's like screaming "cars have computers?!?!" at a dealership, but being able to track my calories and see the deficit has made a huge difference. So if you're neurodivergent and regaining, hopefully my experience with Contrave can help a little.

Wow you are doing great one week out! I was one week out and couldn’t even be outside and not feeling dizzy.

I did! I was able to get my mail-in vote sent off last week! I was up all night watching the election but tapped out just after they called Georgia, (4AM or so) Crazy close edge-of-your seat type stuff!

I wouldn't say extreme but once my hair stopped falling out and started the growth phase I did notice my scalp is itchier and I sometimes see dandruff, which I never suffered from before. I recently switched to an oat milk based shampoo which seems to be helping with the itch. My hair is really annoying me as it is coming back thick (which it was before) but with a curl/kink to it so the crown part where so much regrowth is happening is all thick, puffs up and out but then the longer parts are thin. I asked my hairdresser to cut it all short a few weeks ago and she refused as she said it has such a kink to it that it would look worse shorter and I just have to try and brave it out another few months.

I felt hunger from the first week post op, it never disappeared. In fact I was starving on the first week of liquids. at 10+ months post op some days I feel ravenous (especially on days I lift very heavy) and some days I'm not interested in eating. How did/do you cope? To be very honest the first week is very hard and generally the first 6 weeks are tough not gonna lie. I hated eating soups and mushy foods. I hated the feeling of my restriction but what made it all worth it was the progress I witnessed on a daily basis. The pounds were melting off and I was so ecstatic about that. Do you have/need coping mechanisms in place- if so what? I traveled. That really helped, I traveled at 3 weeks post op, 3 months post op, 6 months and 8 months post op. I went back to exercising and took up Pilates. I regularly checked in with a friend who's had VSG before me. All these things helped me cope plus the weight melting off!! Does it get easier? It really does. You will look and feel better, you will re-learn how to eat and it'll be okay. Do you have any helpful advice for a newbie like me? Take it one day at a time. Don't be too hard on yourself. Don't compare yourself or your progress to anyone. The first few months are a gift, use them but also free your mind of food anxiety and accept that you are not perfect and you will make mistakes and learn from them. Oh and indulge in movement you enjoy (it makes a big difference, physically and mentally).

Hi everyone! I’ve been MIA for too long. Work and family have been keeping me super busy. It also took a while to catch up on all the posts. I am officially at my 5 month post-op mark and down 60 pounds, down 100 from my highest point. My long term goal is to lose another 50-ish pounds. Even though I know I have lost a good amount I am a little anxious about my follow-up appointment in 2 weeks. My doctor gave me a goal and I am still about 3 pounds away from it. I barely missed my goal for my last appointment and he was not super happy.

Not to dis on your friend, but that's just not how this works. The ski slope chart itself may be about what your weight loss looks like for many people, but I promise you, you are losing fat the entire time. You just can't overcome basic physics. Think about it. If you eat less calories than you burn, your body has to make up that difference from somewhere. Even the leanest people on the planet have something like 40,000 plus calories of fat stores. This is what your body uses to stay alive when intake is less than output. Do the math: Your Total Daily Energy Expenditure (TDEE), is made up of your Resting Metabolic Rate (RMR), your Exercise Activity Thermogenesis (EAT), and your Non-Exercise Activity Thermogenesis (NEAT). The average normal sized person has a resting metabolic rate somewhere between 1200 and 1800 calories. It's even higher for overweight and obese people. This is just an estimate, but yours is probably somewhere around 1900-2000 based on your height and current weight. EAT obviously can vary quite a lot from basically nothing if you don't workout, to well over a thousand calories per day if you exercise a lot. NEAT is important as well. The basic idea is that very few of us are completely sedentary. We are moving around cooking, cleaning, doing chores, etc. This is what we sometimes call "Activities of Daily Living". This tends to add another 15% to 20% to your overall calories for most people. The point of me adding all that is because very few people really understand how many calories their body needs per day just to stay alive. If your body needs 3000 calories per day and you are only consuming 800, then the rest of your energy needs for the day have to come from your tissues. If we do things right, the vast majority of that will come from fat, though no matter how hard we try, some of it will come from muscle tissue. Regardless, (and here's the point of all this), there is never a period of time when eating a very low calorie diet like we do after bariatric surgery, when you just lose water weight, or stop losing fat. Early on, you will lose a lot of water weight, but what you are losing is not JUST water. Later, you may experience stalls, but that's not a period of time when you stop losing fat. Instead, you may be putting more water weight back on (this IS part of the healing process), but you're still losing fat underneath that water gain. Note that there will be other times when your weight plateaus or even goes up some. This is 100% normal and not a cause for concern. If you are following the diet plan your surgical team sent you, you WILL lose fat. It's impossible not to. This is why I said it's just not healthy to weigh yourself daily. Scales LIE. They don't measure our amount of fat loss, they just measure weight, and weight is made up of so much more than just fat.

Thank you @spartanmaker, @ms.sss & @DaisyChainOz. No I don’t work out as such. No gym and no running miles. Have never found any enjoyment in it at all which means I find it a struggle to do it & then I give it up. And I’ve done it all over the years. Plus I’ve been told by my retinal specialist not to do any strenuous activity which was when I gave up the 2x50 sit ups I used to do with my stretching & resistance band routines. Been doing these routines for more than two years now usually every day and even do a modified version if I’m away because I actually enjoy doing it. They include yoga moves and poses as that was the one thing I used to enjoy. Strength is pretty good. Had to buy all those new pants last year because my thighs had got larger thanks to the resistance bands & my shoulders are starting to look like I swim laps. Added a new stretch with my bands which is working on my forearms. I might end up looking like Popeye. LOL! Recently added some pulse squats to my routine as the other so called butt building things haven’t helped yet (it’s still flat and running down the back of my thighs 😁). So my metabolism should have increased at least a little over the last 2 plus years. Flexibility is good too as is bone density (had most recent scan last year). I started doing these routines because I was missing my old flexibility, to tone muscles and keep my bone density (was worried that my malabsorption may affect my calcium absorption too). Ugh, I don’t want to HAVE to add in another activity but …. Sigh! Actually bone density is becoming an issue for middle aged and older men too these days too @SpartanMaker. I know several men in their late 50s early 60s who have been diagnosed as having osteopena or osteoporosis. One was very surprised as he is an avid cyclist & thought himself very fit & healthy but cycling doesn’t help with bone density. He got tested after his wife, also a cyclist, was diagnosed & was worried. PS Buying shoes and clothing always makes me feel better @ms.sss. I bought a new dress last week & yes it made me happy (another Victoria Beckham) though I had to buy a larger size which then depressed me. It’s going to be my back up dress for my niece ‘s wedding. Waaah! PPS To add to my niece’s wedding & my 60th this year, I found out this week I have a school reunion too. Scheduling all my Botox, facial and hair appointments for the year now so I don’t look grey and wrinkled at any of them.

Hi Karla, I'm 9 days post op. I had all the same worries. But the whole point of the pre-op diet is to lose weight quickly. As long as you stick to it, it's almost impossible that you won't lose anything. I know about cravings. Before surgery, I would have killed for a big mac. I was on a prolonged weight loss and lover shrink diet so it was 12 WEEKS (yes 12 weeks) of liquids. Once the first week passed, I got kind of used to it. Post Op, I just want anything solid becaue I'm so sick of soups. It does get better. You're on the right track and you can do this. We believe in you!

Surgery day is tomorrow. Gonna be a long day today of clear liquids. I have a slight dry cough so I am keeping my fingers crossed it doesn’t cause an issue. I will be sure to let the peeps know when I arrive tomorrow, hopefully I can get a cough suppressant for after or a belly binder. Like you @Waggy I planned this on my off time. I work at a school also and plan to return Jan. 6th. This is a revision for me from a sleeve to GB. I took 2 weeks off last time and it was perfect. Just got a bit tired during the day.

The emotional rollercoaster after surgery can really screw up your hunger signals. Your head hunger signals go into overdrive as your head tells you to eat to make you feel better. Not helped by surges in estrogen that is released from our fat as we lose weight messing with our emotions too. Also many nerves are cut during surgery plus the swelling & inflammation @SpartanMaker mentioned distorts messages like hunger and satiety even if they actually get through. And it’s a pretty major surgery and it knocks you about. It takes time before you don’t feel tired, weak, dizzy, doughy headed, etc. It takes a good 6+ weeks to fully heal after surgery, so these mixed signals & feeling unwell will continue for a while. Generally though, if you’re craving a specific food, flavour or texture, it’s head hunger. If you’re feeling sad, anxious, frustrated, angry, bored, etc. it’s likely head hunger. In time you’ll discover real hunger signals are different. For me I feel restless like something is wrong not that I ‘feel’ hungry. Having eaten enough can feel different too. Many sneeze, or get the hiccups. Don’t eat until you feel full or until you’ve eaten all you want. It takes 20 odd minutes for the full message to get through normally & a lot longer this soon after surgery so don’t eat until you feel full - you’ve eaten too much by then. Stop when you’ve had enough, when you don’t need any more. You’ll have lots of meals (appropriate portion sizes) you simply can’t finish because you’ve had enough and don’t need any more. I still do at 6 years out. The lightheadedness could be from being dehydrated too or from your blood pressure dropping (many experience this). Are you meeting or close to meeting your daily fluid goals? Often an electrolyte drink can help. It does get easier and you will feel better. Just give yourself time.

I am hoping it is just hormonal or just normal lumps and bumps - but you just never know! I am glad that everything is okay so far - good that you got it checked! It is definitely harder to tell, like when my boobs were bigger nothing felt strange, but now they are saggier and smaller everything feels strange haha I feel that on the cold front!! I have also had this Christmas flu that has been going around and I have been unwell for the last 2 weeks so I just want it to budge before Xmas! I hope you get your wrapping done!

Ooh, I'm here too, and it's been very interesting. I've started drinking a protein decaf coffee again to add a cup of fairlife skim milk to my day. I know that some of us need to be very careful about carbs, I need more carbs to support my exercise which is basic strength, walking, and the 2x weekly run. I add an extra apple, gluten free pretzels, and popcorn (which is totally ok for me in my known portions). I also add a few days of cashews, easy to eat and high nutrient density. I would say if you aren't going to track calories (and why would you if that isn't your favorite) then it would be helpful to add a specific snack/food etc and have that extra every day for a few weeks and see where that gets you. If you continue to drop weight, increase it, if not, you have likely found your maintenance diet. The thing that has been most eye opening for me is the fact that I can occasionally go over and not see any consequences for one day of overdoing it. In the past that would have been hell to take off again, now it just seems to regulate like a normal person. I had surgery 1/24 and have been at my same weight since 11/24. I'm not fighting to stay here, I'm struggling with some head hunger vs real hunger, that was to be expected, but otherwise it's been such a different reality from presurgery.

@Mspretty86 The healing is going great! They look fantastic, I am definitely a full DD which is what I wanted. I still have scabs on my under boobs where they placed the implant, I still wake up swollen but it goes away in like 5min of getting up which is great. I still cannot work out which sucks but hopefully today when I go see him he clears me at least start walking or something. No new bras yet I am still in my post op bra for 8 weeks minimum he said. I have shopped for lingerie and actually wore some for the misters bday and man oh man was that fun LOL He is very much liking them however he's more looking than touching HAHA! He's nervous that he will mess something up, but he's been amazing this entire experience.

It's been a much better week even though I've drank a little bit. I'm not proud of it and I'm actually very angry with myself. However, the upside to it was that I didn't get drunk and black out. I've realized too that I need to go to therapy, I still struggle with many things in my life. But I recognize that and I'm willing to take that head on. I have an appointment with my therapist next week to get back on track. I've also been eating much differently than I have been as of late. I'm back to mostly protein and very low carbs. I've been walking daily, even though it's only for about a mile or so it's still better than sitting around. My energy level is rising and I'm putting more thought into what I'm doing physically, mentally and nutritionally. Thanks to all of you that have given encouragement and shown concern. I appreciate it more than you may know. I've let a lot of people down as of late, most notably myself, and know that people actually care is refreshing and empowering. So thank you! Sent from my Pixel 7 Pro using BariatricPal mobile app

My surgery is on Monday the 12th, I am excited and nervous as well, but I have a huge community to help me. You will be going through grief of loss or the grief of having to follow a regimen diet. I attend a group every day, just to grab nuggets of information and knowledge. I am a member of Barination, and they have certified licensed and professional mental health care providers, dieticians and nutrition specialists and lots of discussions with physicians and groups or teams from around the country. I would strongly urge you to visit them and see what they are all about. You can find lots of YouTube videos from Barination that are free for all to view. They have one that is on what to expect as a pre-op and immediate post-op patient. Once a Bariatric patient, always a bariatric patient. I wish you well on your surgery on the 9th. Keep us up to date how you are doing and we can provide you with knowledge and understanding of the feelings you are feeling. Start that feelings journal now and write anything that is in your mind, and re-read them for learning and keep them to look back a year out to see where you were before, and where you are a year out. I started that 2 weeks ago and I have come to realize that I still have that head hunger. I'm not hungry but bored, so I think about food to fill the void. That is head hunger. It is a real thing, so as you begin the liquid diet, remember that the #1 problem or complication you will have is dehydration so sip, sip, sip!! If you have protein water, that will help you feel more full than just drinking water. Hope I helped a little bit, hang in there, this is a life-long journey.

I am a tracker and I have ADHD so I have to meal prep and I track most my food (breakfast, lunch and snacks) for the week once I am done meal prepping. This is kinda crazy I know, I use mynetdiary, I have it on my phone and you can access it on a desktop which is important for me so I can look at it while at work. This leaves me my calories for the day so I know around what I can eat for dinner and a dessert if I want (which I always do like a sweet treat to end my night LOL) I am a little over a year out and I feel like tracking keeps me focused, I am not comfortable not tracking yet, its something that keeps me focused. I even track on the very high days. Like on my birthday, I tracked it was NOT pretty but I tracked it.

Im 3 weeks post op and I just want to eat solid food again. Anything solid. You will be surprised how you feel post-op versus pre-op. Your priorities will change.