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I made this post in another thread as a response to someone else, and then I realized it's something that might help others after they've had their surgery and find themselves struggling. Maybe you're seeing an increase in hormones all of a sudden...maybe you're discovering there's a lot more work involved in getting and keeping the results you need after having the surgery. Maybe you're struggling to change your relationship with food. Whatever the case is, maybe this will help "I never really had the emotional ups and downs, mostly because at the time I had PCOS, and the influx of estrogen from both my surgeries actually normalized my hormones for a few months each time lol What I DID have, however, is the emotional issues that came with changing my relationship with food. I had NO IDEA that would be a thing lol Changing what you eat, how you eat, when and why you eat, how often you eat is like breaking up with a toxic partner. You've been together for a REALLY long time, and even though you KNOW it's a terrible, unhealthy relationship, it's really all you know and you're so dependent on it you don't think you can function without it. And now you have to figure out how to. You have to completely retrain your brain, learn the difference between true hunger and head hunger (there is an actual, real difference), and you have to learn to read the nutrition labels, track your calories and Protein and carbs, work out, don't cheat (and don't make excuse after excuse and justification after justification for why you went back to the toxic relationship even after you knew it was bad for you, yet still gave in), measure food, track fluids, take HONEST accountability for your actions (which isn't something most of us had been particularly good at) and make adjustments as needed to stay as compliant as possible for the long haul. Contrary to what so many think, there's actually a LOT of work that has to happen after the surgery. The surgery itself is just a tool. It's not a miracle cure. It won't fix all the issues if you don't put in the actual work. Just eating smaller amounts without making any of the necessary changes isn't enough, and that's a hard lesson many learn later on. All of this is such a mind eff, and takes a toll on a person. It's a lot of changes, and a lot of work, thrown at a person all at once. And no matter how ready you think you are, it can still cause so much emotional turmoil, and understandably so. What I, and so many, don't realize is that we all have ED (eating disorders) in order to get to being obese and morbidly obese (or in some cases, super morbidly obese). It's not just anorexia or bulimia. I genuinely didn't know that. We have to retrain our brains to get out of that, and sometimes that requires help, and we have to be ok with getting that help. And because we have to do that, we then get incredibly frustrated and defeated feeling when the weight comes off slower than we thought it would, or we hit stalls (or in my case, stall after stall after stall - which is COMPLETELY normal, by the way, and should be expected). I said all of this to say there's SO many different reasons we can have emotions all over the place. Influx of hormones all at once, changes in relationship with food, changes in routines and increase in the things we don't particularly like doing (or not doing anymore), learning we have to do a lot of work to get and maintain the results we want after the surgery, learning PATIENCE with the rate of weight loss and trusting the process (easier said than done, believe me, I know), realizing that body dysmorphia is REAL and we can and do struggle with seeing ourselves as anything other than our formerly obese selves (I'm 182 pounds and I still see 421 pounds sometimes when I look in the mirror), and of course, hair loss (also COMPLETELY normal, and will eventually stop). You won't go bald, there's nothing to prevent it or stop it, you need to increase your protein, biotin doesn't slow it down, and it's a COMPLETELY normal part of the process that many of us don't know about until it happens and then we freak out. So give yourself some grace and just know this is normal. You're doing great, and we're all here for you, just like everyone was here for me "

I never really had the emotional ups and downs, mostly because at the time I had PCOS, and the influx of estrogen from both my surgeries actually normalized my hormones for a few months each time lol What I DID have, however, is the emotional issues that came with changing my relationship with food. I had NO IDEA that would be a thing lol Changing what you eat, how you eat, when and why you eat, how often you eat is like breaking up with a toxic partner. You've been together for a REALLY long time, and even though you KNOW it's a terrible, unhealthy relationship, it's really all you know and you're so dependent on it you don't think you can function without it. And now you have to figure out how to. You have to completely retrain your brain, learn the difference between true hunger and head hunger (there is an actual, real difference), and you have to learn to read the nutrition labels, track your calories and Protein and carbs, work out, don't cheat (and don't make excuse after excuse and justification after justification for why you went back to the toxic relationship even after you knew it was bad for you, yet still gave in), measure food, track fluids, take HONEST accountability for your actions (which isn't something most of us had been particularly good at) and make adjustments as needed to stay as compliant as possible for the long haul. Contrary to what so many think, there's actually a LOT of work that has to happen after the surgery. The surgery itself is just a tool. It's not a miracle cure. It won't fix all the issues if you don't put in the actual work. Just eating smaller amounts without making any of the necessary changes isn't enough, and that's a hard lesson many learn later on. All of this is such a mind eff, and takes a toll on a person. It's a lot of changes, and a lot of work, thrown at a person all at once. And no matter how ready you think you are, it can still cause so much emotional turmoil, and understandably so. What I, and so many, don't realize is that we all have ED (eating disorders) in order to get to being obese and morbidly obese (or in some cases, super morbidly obese). It's not just anorexia or bulimia. I genuinely didn't know that. We have to retrain our brains to get out of that, and sometimes that requires help, and we have to be ok with getting that help. And because we have to do that, we then get incredibly frustrated and defeated feeling when the weight comes off slower than we thought it would, or we hit stalls (or in my case, stall after stall after stall - which is COMPLETELY normal, by the way, and should be expected). I said all of this to say there's SO many different reasons we can have emotions all over the place. Influx of hormones all at once, changes in relationship with food, changes in routines and increase in the things we don't particularly like doing (or not doing anymore), learning we have to do a lot of work to get and maintain the results we want after the surgery, learning PATIENCE with the rate of weight loss and trusting the process (easier said than done, believe me, I know), realizing that body dysmorphia is REAL and we can and do struggle with seeing ourselves as anything other than our formerly obese selves (I'm 182 pounds and I still see 421 pounds sometimes when I look in the mirror), and of course, hair loss (also COMPLETELY normal, and will eventually stop). You won't go bald, there's nothing to prevent it or stop it, you need to increase your Protein, Biotin doesn't slow it down, and it's a COMPLETELY normal part of the process that many of us don't know about until it happens and then we freak out. So give yourself some grace and just know this is normal. You're doing great, and we're all here for you, just like everyone was here for me

Estrogen is stored in your fat. As you lose weight it is released into your blood stream. This additional estrogen or estrogen flush causes your emotions to go haywire (like major PMT) & changes to your menstrual cycle (heavier/lighter, more or less frequent periods). Plus in general, this is a pretty emotional & stressful time. The surgery, the reduced eating, the structured eating, etc. all can mess with your emotions too. It does settle eventually though when differs person to person.

A 3 month stall??? Holy smokes, you are definitely stronger than me. The worst I ever had was 2 months and I was climbing the walls. I was trying soooo hard to pay attention to the NSVs but 2 months of nothing moving on the scale nearly drove me to insanity. I have no idea how you handled 3 months, but I give you all the respect, props, and credit in the world for getting through it. CONGRATULATIONS on hitting the 100 pound mark. That's absolutely AWESOME!!!!! I'm really happy for you. It feels amazing, doesn't it? Not only are you solidly in ONEderland, but you're so close to your goal!! I know you'll get there. Just be ready, because the lower your bmi, the sloooower the weight comes off. It took me a full 2 years to lose my weight, so don't get discouraged if it takes a while. But you can definitely get there. You got this!!!

I'm the same way, one little off step for me is a slippery mountain. Knowing this I am very regimented, I have a schedule/routine for taking my vitamins etc., it becomes muscle memory for me that way. One "just this time" and I start sliding full clip. Unfortunately, it IS a full time job, but as the saying goes the best for your future is to be your own boss - you never get rich working for others. Work towards your health and future. This is how I put myself on a routine: 1. Purchased a "Hidrate Spark" (water bottle that lights up to remind me to drink with an app to track and also remind me) annoying but it helps. 2. Purchased a 4 times a day 7 days a week vitamin container that I have set up with reminders on my phone I put right next to my coffeemaker. I used Velcro to attach it to my phone case. Its always with me. 3. A picture of myself on my frig/cabinets at my heaviest to remind me why. 4. Remove ALL temptations from the house. My husband wants junk food he goes out. Lastly, I hate hate working out so I purchased a weight vest and weight gloves which I wear all the time as I'm cleaning, walking etc. I also, IF I want a "treat" (Yasso Greek yogurt ice cream bar) or a no sugar fudgcicle I do some squats, leg lifts before I treat myself etc.. Just remember its baby steps, if I deny myself all at once I become resentful and angry. So, start with one improvement and do it consistently until you no longer have to remind yourself or you do it regularly then add the next health improvement to your routine. If I can do it, YOU can do it. I come from an entire family of smackers and grazers who are all thin - I recognize its a battle, unfortunately now its a lifetime battle and I finally decided being thin is soooooooo much better than being fat so I strap on my warrior armor and do what I have to do. Ask yourself what YOU want out of life and win the battle - period!

Hi! I had RNY in 2005, gained every pound back on, plus 30. I transferred my food addiction to substances. Alcohol especially. Carby slider foods and wine were a disaster. I have been healed from various medical issues and lost 120 lbs regain, so far. This was done with the Carnivore way of eating. I call it my "healthstyle". I am also now free from addiction. Feel free to message me, if you get this message from such an old post. I hope you're doing well. I hope to hear from you. Yes, the pic on the left was many years after surgery.

Congratulations on your loss. It’s not nothing, every bit you lose makes you that much healthier so try not to think of it as ONLY 70 pounds. Take it from someone who thought like you did and stopped trying. I ended up gaining it all back because I was ashamed and felt like a failure. Obesity is complex. You are not a failure. You just need more help. If you haven’t already, make an appointment with your surgeon. They should have some tools to help get you back on track. If they have a live support group you may find that helpful as well as posting here.

I will be 2yrs post op in Sept this year, I only lost 70 lbs and I have gained 15/20 of that back. I’m so uncomfortable and frustrated with my body. I’m hungry constantly, absolutely NO energy, tired all the time. Was dx with Narcolepsy on top of sleep apnea this year. I see myself falling back into my old habits and I’m absolutely terrified I’m going back to my weight gain. I need some hard truth given to me. I feel so lost and in a horrible slump that I can’t get out of.

I didn’t loose any weight with the liquid diet because I had already been following the bariatric plan for a whole year before the surgery so my body was used to being calorie restricted. The salt levels sound kind of high… like others have said. Don’t be surprised if you gain weight while in hospital because the IV fluids are full of salt too. Just keep drinking water and it will come off. Best of luck with your recovery!

@BlueParis The music festival looks like a wonderful time! And I'm so glad to hear you're in a good place with how you feel about yourself. It makes such a difference, doesn't it? For me, it was a year ago today that I went to my appointment with my weight management doctor and was advised to consider having surgery. I had just finished a 2-week roadtrip, driving around 7,000km from Boston to Denver and back for a writing conference, with some great stops along the way. And by "just finished" I mean I had pulled into my driveway at about 10am that morning, having been delayed at the Canadian border (because the maps app on the iPhone didn't know the little border crossing it was sending me to closed at 4pm and I had to drive a couple more hours to find an open crossing!) and having to stay an extra night in Vermont because it was getting too late to make it home safely. After two weeks of restaurant meals and junk food snacks, I weighed in at my highest ever. A year later, I've lost 65 lb and am just 1.4 lbs away from no longer being classified as obese. I still have a ways to go, but it feels good to have gotten this far. Recently, I've had more trouble with vomiting, so I'm sticking with liquids for 24 hours to see if I can let my stomach rest. It seems I never know what will set me off. I have an appointment with my nutritionist coming up soon and will talk to her about it. I'm also struggling post-vacation with some sugar and carb cravings, along with having zero desire to do any cooking now that summer weather has arrived.

pro tip: for those JUST entering maintenance, you *may* want to hold off off on resizing your "important" rings...as you will most likely go through an "upswing" in the weight/size department. you also may not, but who knows??? my engagement/wedding rings where a size 6 and 7 respectively. when i hit my lowest weight, i was below the lowest of the ring measurement paraphernalia i had....so i actually dont know what size i was. at around 3-4 years post op, i was a 4....today, (almost 6 yr pi) i am aaaaaalmost a 5. i still haven't had my engagement/wedding rings resized, but mostly out of laziness...but i figure someday i will. anyway....long story short: maybe wait a year at most to do the deed and resize the important rings. unless u dont care about having to likely resize them again later, go for it! i myself am going to look into those resize bead things.... 😊

Don’t think the small amounts you eat in the beginning is how much you’ll eat forever. After surgery your stomach muscle is very tight so it can’t tolerate much. But as it heals, and you start to introduce more foods, it slowly starts to soften (not stretch) & is able to tolerate more. I was told, though I began with 1/4 - 1/3 cup from the puree stage, by about 6 months I’d be up to about a cup. Which was pretty accurate for me. I’m 5 years out & from about 2 years, I was pretty much eating a recommended portion size. Check the nutrition panel of processed pre prepared foods and google recommended portions of other foods or ingredients to give you an idea. Generally about 3-4ozs of protein & a cup of vegetables, 2 eggs, a small apple, etc. Some days I can’t/not interested in eating that much, other days it’s the perfect portion. The liver shrink diet is not to actually shrink the liver but the fat around the liver. This is to allow your surgeon to have better vision of & access to your tummy during the surgery. This diet does differ surgeon to surgeon, patient to patient. Generally it’s two weeks of a shake three times a day. However, some are four shakes, others two shakes & one lean protein & steamed vegetables meal. Others are only for a week or a couple of days. Mine was keto for two weeks (I started a couple of days earlier). Some people lose seemingly a lot of weight, others only a few pounds. It’s one of those things linked to how much weight you carry. It can be tough as you may experience withdrawal like symptoms (from stopping/reducing sugar, carbs, caffeine) for about 5 days. Apparently my surgeon’s patients who did the two week all shakes called the first week hell week. While tough, remember it is only for two weeks and the big picture benefits & wins makes it so worth it. All the best with your surgery.

July 11th here. This is a revision. I had sleeve done in 2014 and immediately knew it wouldn’t be a long term solve. I eat very little anyway and needed something that was more malabsorptive. We are doing Duodenal Switch. 🎊🥳 Current weight is 241. I start full liquid on 7/9 but currently on high protein, low fat regimen. Excited to actually start this journey with a procedure I felt like I should’ve had done the first time. 🫶🏻

I am about 6m out and I feel the same! I know I am not hungry but I want to eat. Its the act of eating that we are used to so being mindful is important. Drink water, a decaf iced coffee with a little Fat Free Fairlife milk, Jordan's skinny syrup, ice and decaf cold brew (I did this the other day) and it really helped with my sweet tooth without all the added calories or bad stuff. I have lots of tips and tricks LOL!! I am super close to my goal weight and for some reason my mindset this last week has been trash where I'm letting myself "snack" or graze. So I am working on it too.

I think you are doing amazing!! You don’t have your weight and surgery stuff filled in on your ticker so I can’t see the pounds or anything but I can see a significant difference In your pic and that’s what really matters anyways. it’s hard to patiently wait for the pounds to creep down but once the year or so is over it will actually feel like it went by pretty fast. Just keep doing what you are doing. You will get there!!

Make sure you're getting your protein and fluids. I know you're 1 month out, so you can't get your full calories in yet. But don't push yourself too fast. Give your body time to heal, prioritize fluids and protein, and trust the process. You'll get there, but it's a marathon, not a sprint. You didn't gain the weight in a month or 2 and you won't lose it in a month or 2.

I finally got my actual wedding ring sized. It was a size 8 when we got married. I was able to wear it for several years, and then I sized it to a 9 and wore it for a few more years. But once I went up to a 10, I started to wear a plain men's band. Now that I'm done losing weight, I finally got it sized to a 5, although I could realistically wear a 4 1/2, but I would never get it over my knuckle. I can juuuuust barely get the 5 over my knuckle, so at least I know it won't come off. I have to be honest, it looked smaller when my hand was bigger lol Now that my hand is a lot smaller and bonier, the stones look A LOT bigger, which is kind of weird lol I definitely wasn't expecting that.

Stuff happens, sometimes randomly. I tell myself that feelings are just feelings, nothing good or bad about them. They just are. Feeling low is not your fault, and you don’t have to prove anything to anyone. I’m glad you’re getting the emotional support! It takes great emotional strength to admit out loud that you need help with something you can’t fix (like we all did by asking for WLS). You gained experience and better health overall that no one can take away from you. Bravo!

I’m glad you have someone to talk to about your experiences and that you’re finding it helpful. It may be baby steps but they will eventually lead you to a happier, more contented place where you will be able to put the horrible experience behind you and finally enjoy the positive benefits of your weight loss 🙂

Being that you're a night shift nurse, you're already burning a ton of calories. You should probably cut your workouts way back. If you want to still work out frequently, maybe try for 45 minutes 3 days per week. Definitely increase your fluids. Get plenty of sleep. Increase your calories to AT LEAST 1000 per day, because with what you're burning between work and working out, your body likely thinks it's in starvation mode and it's hanging on to everything it can. If you decrease the workouts a bit and increase the calories a bit and increase your sleep and fluids, you should be able to wake your body back up and start losing again. Also, what are your stats? What surgery did you have, what was your starting weight and bmi and what is it now? You lose more and faster when you're heavier. As you get closer to a healthier and "normal" weight and bmi, the weight comes off slower.

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.

Even though it's 4th of July and everything is closed, I'm doing some research today on new doctors that actually have knowledge about massive weight loss in patients who have had bariatric surgery. I plan to make some calls on Friday and set up a new patient appt or 2 (this time around, I'm interviewing them before I commit...neve ever thought I'd be doing THAT, lemme tell ya). I wasn't going to go to my appt on the 17th, but I think I still will to get my blood work done and my vitals, and to tell her that I'm seeing a new doctor and why. Actually, I want to tell the medical assistant because she'll put it in my chart. At this point, I'm not sure if the doctor will. I know I'm due for my 6 mo ekg in office, my full vitals, my meds refilled, and my blood work. I want all of that done before I go to a new doctor so they have the most recent and up to date records on me and the most accurate place to start. I will NOT be entertaining any discussions about phentermine or losing more weight. I may go ahead and lose those 3 pounds that @ShoppGirl mentioned, that way nobody can say anything either way. But still.... I'm leaving that practice no matter what. I'm not happy or comfortable there at this point.

Im 8mo po and im so frustrated that i cant lose anymore ... it has my feels all over the place... gained actually 6 llbs not water that came off.. i eat about 800 900 calories ive tried increasing.. im doing extra protien...i work out at least 1.5 hrs 4 to 5 times week. Little carbs under 60 usually 45 my water intake is low but i try but i do protien water too.. im to the point of no eating ... screw it... or eat whatever i want instead im frustrated ! I'm a nightshift nurse work 12 hrs... 5to 7 days a week...

I wanted to share something that might help you if you're promoting music on Spotify. I was researching ways to increase my streams and found promosoundgroup.net . They offer a service for Spotify Premium Plays, which has helped me a lot in gaining more plays and exposure. It’s easy to use and quite effective. If you're trying to get your music noticed on Spotify, give it a try.

Your bmi is 30.45. I looked it up. And if you lose just 3 pounds you would be 29.95 (below 30) Do you know the prescribing criteria for that drug.according to several websites your iBMI has to be over 27. From 27-29 you must have a comorbidity. Only at 30 can they prescribe it without a weight related issue. Unless your heart issue is considered one of those comorbid issues that losing weight would help with then you just need to lose three pounds and she will have to leave you alone. lol. I joke but my point is that you are so close that even if BMI was accurate representation for everyone for her to be pushing this is just so absolutely absurd. I mean three pounds could be a bowel movement. It would be one thing if you were driving this but for her to push it under these circumstances doesn’t make any sense to me. This is copied from the package insert posted on drugs.com Phentermine Hydrochloride is a sympathomimetic amine anorectic indicated as a short-term adjunct (a few weeks) in a regimen of weight reduction based on exercise, behavioral modification and caloric restriction in the management of exogenous obesity for patients with an initial body mass index greater than or equal to 30 kg/m 2, or greater than or equal to 27 kg/m 2 in the presence of other risk factors (e.g., controlled hypertension, diabetes, hyperlipidemia). Oh and also, I took that stuff when I was like 19 and I had no history of heart issues in myself or my family and they still made me do an ekg so I hope she at the very least planned to do that?? I totally understand why you are mad I would be too