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Starting 2nd week after surgery. I am off my metformin and blood sugar levels are excellent. I do feel a bit week and had only one slight dizzy spell. Wounds are healing quite well. Tiny bit of bruising. Vitamins and Proteins are easy to consume and tracking everything with 'my fitness' app. I did find it not too much fun at the supermarket today. My old brain wanted buy things I know I will most likely never eat again. But I'm ok with that . I have found that Ido have a tendency to swallow air when I drink fluids and I'm working on slowing right down to a crawl with it. I tilt my head back a bit and swallow. Seems a bit weird but it works for me. I've had the gastric bypass Sept 19 . I started at 265.5 lbs 2 weeks before surgery and on the day of my surgery I was 250 lbs. I started to track my weight from then and have slowly lost 5.5 lbs in my first week. I do seem to have not lost anything for three days but I do see and feel my body structure changing. I have been mobile more the last few days and I am starting to track that also. Today I walked about 1km and will be adding more distance daily. Maybe will incorporate the treadmill in my buildings exercise room. I'm glad I found this group and look forward to reading and responding to people questions. I'm sure I will have some and I am happy to answer any I can for others. Thanks. Cheers from Toronto Canada. !!

I'm not to far off from your situation. Starting 2nd week after surgery. I am off my metformin and blood sugar levels are excellent. I do feel a bit week and had only one slight dizzy spell. Wounds are healing quite well. Tiny bit of bruising. Vitamins and proteins are easy to consume and tracking everything with 'my fitness' app. I did find it not too much fun at the supermarket today. My old brain wanted buy things I know I will most likely never eat again. But I'm ok with that . I have found that Ido have a tendency to swallow air when I drink fluids and I'm working on slowing right down to a crawl with it. I tilt my head back a bit and swallow. Seems a bit weird but it works for me. I've had the gastric bypass Sept 19 . I started at 265.5 lbs 2 weeks before surgery and on the day of my surgery I was 250 lbs. I started to track my weight from then and have slowly lost 5.5 lbs in my first week. I do seem to have not lost anything for three days but I do see and feel my body structure changing. I have been mobile more the last few days and I am starting to track that also. Today I walked about 1km and will be adding more distance daily. Maybe will incorporate the treadmill in my buildings exercise room. I'm glad I found this group and look forward to reading and responding to people questions. I'm sure I will have some and I am happy to answer any I can for others. Thanks. Cheers from Toronto Canada. !!

How much is it going up? The reality is weight loss is never a straight downward line. It zigs & zags & goes up & down. A gain could be fluid retention (as you said you have), constipation, hormonal fluctuations, your usual weight fluctuation, etc. as long as your general trend is downwards your doing fine. Do you weigh less today then you did three weeks ago? And yes stalls happen. The first often around week three ( yes, I did say first) & they can last 1-3 weeks. They are just your body shutting down (needing a break) in response to the stress of all the changes (to your diet, reduced calories, surgery, weight loss, etc.). They always break & you’ll start losing again when your body is ready.

I am one to say follow your program because there are differences as well as similarities. Though I often also say, if the program isn’t working for you, speak to your surgeon or dietician. I recognise there are weaknesses in the American health system & the ridiculous power of insurance companies: If you don’t do what they say & get all the right boxes ticked you can’t have your surgery power. Through reading posts here, there also seems to be many medical practitioners who do not look at each individual case & don’t make adjustments to their program to suit the individual patient’s needs. And dieticians often seem to promote their own ideologies & current fads. I saw a documentary a few years ago that spoke about the influence of large food production corporations on the curriculum in schools & in medical courses at colleges/universities - scary stuff. Things aren’t perfect in Australia, & I’m sad to say, we’re slowly going down the US path, but my experience was much different. I’m sorry yours has been so negative. My surgeon & dietician did consider me, my needs & circumstances. For example, my surgeon puts different patients on different pre surgical diets. A friend was on all shakes while I was put keto. He said I didn’t need to see a therapist (he gave me the name of one if I wanted or needed) but he sent her for several appointments before her surgery. My dietician, though not perfect, was at least open to my preferences & needs. She advised the keto diet only for the two weeks pre surgery saying it should only be followed for the short term to kick start weight loss (something I already believed). She didn’t give me specific macros to reach (apart from protein) but only recommended low fat, low carb (multi or whole grain low processed only), low sugar. I did a lot of my own reading & discussed my thoughts & what I wanted to do. I eventually devised my own way of eating & what foods I wanted (& needed) to eat, avoid, restrict or reduce. She’d make suggestions about alternatives & things I could add to make sure I was getting in my nutrients (she always checked my blood tests). I guess the big difference was my surgeon & dietician wanted to support me & help me achieve my goals. If yours aren’t supportive, don’t listen to your needs & are simply following a genetic ‘one program suits all’, find a new team (if you can). And especially in your case, if they don’t recognise you are an intelligent, well educated & are highly knowledgeable in the medical field, give them the boot. All the best.

I reached my goal & was happy, so I started to increase my intake to find my maintenance point. But I kept losing. More & more slowly of course. By the time I did stabilise I was a good 11kg less than my goal. I was eating three meals a day & 4-5 snacks. I settled around that quite happily for about a year. But with a medication & a dietary change I gained 2kgs & have been there for 9 months. I eat around 1300-1400 calories a day. Still have to snack a few times a day to reach those calories (& get in the extra protein I need) but not as many as initially. I think this is about the weight my body is happy at too - my body’s set point. Maintaining at that lower weight wasn’t/isn’t an issue. How I eat doesn’t impact how I want to live & enjoy my life & doesn't require me to run miles or spend hours in the gym (a big positive to me - LOL!). And I guess they’re the real factors to consider. Are you happy at the weight you reach & does maintaining it allow you to live & enjoy your life as you want without feeling you are missing out or making sacrifices? And is it sustainable? I say this a lot but it is what is working for me.

Yes! I feel the same like surprised at how so many things heal after the weight loss. Now I feel it's all momentum that since I lost 💯 how much more better would I feel if I lost say 50 more! It is great to hear that you have victory over your asthma!

Hormones are the worst. My weight issues began with puberty. I bounced between 60 & 75kgs most of my adult life. When I began peri menopause, I gained weight & hit 75 more quickly then ever before When I began menopause I put on another 16kg even more quickly - felt like overnight - & suddenly I weighed 91kg. Couldn’t shift a gram of it. It’s why I turned to surgery. Interestingly, the 49kg I settled at for a good year after surgery was about what I weighed when I was 12 & puberty hit. Then, in late November last year, my GP upped my HRT dose & yep, weight gain: 2kgs in that first month. I modified my diet as soon as I realised & while I I haven’t gained any more, I haven’t been able to lose those kgs either. I wonder if starting with your hormones & maybe trying to sort those out maybe a better place to start.

I lost a lot of weight quickly but this week I am gaining. I am not eating a lot but the scale is moving up. I remember seeing a lot of people around week three hit a stall, but not a gain necessarily. I am wondering if this is because I am eating soups and I have sodium retention. How was your third week? Were you able to get it moving again, if so any tips?

You have a very low starting weight compared to many. Stay in touch with your doctor/nutritionist and see what they say. Track food.

I’ve read of people fainting with their orthostatic hypotension post surgery but it does usually only occur a few times & then resolves itself. A few of us have persistent low blood pressure but I know I always had a tendency & it is a genetic thing in my mother’s family. Is there a history of low blood pressure in your family at all? At my higher weight my BP sat at 120/80 with random drops. So my obesity kept my BP in the normal range. Now, at a much lower weight it’s always low & I live with it without issue - just know what to do to manage mine when it happens. Have never fainted though. I have a slow heart rate too but my doctor isn’t too concerned. Not slow enough I believe to consider bradycardia. I recall someone posting here they had to get a pacemaker too but can’t recall who either. Will be interested to hear what your cardiologist says.

I'm currently in a drug study for HS, the research is gaining a lot of steam now so maybe you can find a dermatologist in your state that can vouch for you.

I live alone, my daughter picked me up from the hospital. I have friends that are supportive but no one to really talk to on a daily basis about weight loss. I was just fine. My biggest problem post op was my neck was so painful from being in the position they put your head in to intubate. Have bad arthritis in the neck, so I wasn't surprised. To be honest, my neck and the headache it gave me were worse than any abdominal discomfort. 4 days after I got home my German Sheppard was dropped off to me, his legs had gone from bad to worse. Poor guy was in so much pain and long story short was euthanized 3 weeks later. I was so busy caring for my baby that I just went into auto pilot mode. If it had been a difficult surgery, I don't know what I would have done. The abdominal pain was minimal. Had no problem walking or getting around. Good luck to you, you've got this!

Thank you for coming back here and sharing your experience. You are doing awesome at getting the weight back off. I just got into maintenance and I'm scared of gaining my weight back. Your post gave me hope that if I do I can lose it again. Congratulations on losing 51 pounds!! Sent from my Pixel 5a using BariatricPal mobile app

Dietary science, as we experience it at the consumer level, is equal to how we approach witchcraft. And even acknowledging this my sense is we are being offensive to witchcraft. Again, at the consumer level, we are given such nonsensical and arbitrary rules to follow because most consumer level dietary science is people just like us reading the same non-scientific articles on the current fad approach to losing weight, with every author's personal beliefs mixed in. If there were any kind of consensus there would be one generally accepted program with minor variations. Instead we get every fad diet with as many variations as there are patients. So, we are stuck with telling everyone to do what their surgeon's program demands, no matter how disconnected from reality is is. That is the only advice we can give because it's just as likely our program was one of the crazier programs. Of course there are good programs out there. Each of us are so lucky that the program we picked is one of the good ones. It's hard to go on a rant such as this and come back to a positive landing. Perhaps we should talk about something less controversial, like politics. Good luck, Tek

It’s a strange one, because I can now fit into some size US8/AU12 clothes which was always my “goal size”, yet I’m still 4kg from my goal weight. I could stop now and do maintenance and be perfectly happy. Weight loss is very slow at this point. But I personally still want to lose this final 4. If I can’t, however, I won’t be disappointed. My results have been better than I could have hoped.

Certainly no experience here since I just had surgery, but I'll provide my perspective. 😁 For me, I could care less what the number is on the scale. I did this to feel healthy again and not be ashamed of my weight. I don't want to travel and see the disappointment and disgust on my seat-mates when they see the fat guy is sitting next to them. I want kids to be proud of me, not ashamed. I want my wife to get her "knight in shining armor" back that she had all those years ago. I want to feel "normal" in public, (whatever that is), instead of like a pariah. I want to be able to go to places I always wanted to go but couldn't because of my lack of physical fitness. I want to feel strong and powerful again. I probably could go on and on, but my point is I'll know I'm "done" when I look and feel healthy again. Whether that's at 220, 170, or somewhere inbetween, it really does not matter.

This is just a rant. If you have a good deal of faith in medical science, just skip this one. Keep that faith, you'll sleep better at night and the placebo effect will work better on you. I'm intensely frustrated by having to deal with the arbitrary nature of the bariatric surgery process. So, I'm a scientist and I work in medical research. I know from the back end exactly how arbitrary and non-evidence based much of medical practice is, from the trivialities to treatment of life-threatening conditions. (And boy howdy, you would not believe it and it is frightening.) I'm at peace with it; we're working on it and we know that we're all doing are best. What I am not at peace with is knowing this on one hand (and my dietitian openly admitting this), but having to pretend that it's not the case. I hate lying and pretending. It's very difficult for me to pretend that I believe that it's critical that I don't eat consume any fiber during my pre-op diet, which has to be liquid because reasons. (I'm dumb and I asked why it has to be liquid, curious what the justification is. I was a little surprised to find that they don't even make something up. Honestly, disappointed, low effort guys. If you're going to torment us, at least have a plausible rationale.) It's very difficult for me to be presented with an arbitrary set of rules and just... follow them, because. Not because there's a reason to follow that rule or because there's research backing it up, but because people who have power have chosen that set of rules, for no particular reason, and if I don't follow them, they will stand in my way. I understand that this is how the system works. We are noncompliant, untrustworthy, stupid, and, most of all, we are unworthy. I'm losing over 1% of my body weight weekly, pre-surgery, by dieting and exercising, but If I don't stop drinking a cup of caffeinated tea with 15 grams of sugar in it (the only added sugar I consume at all) 6 months before my surgery date, I'm going to be denied. My dietitian was very explicit that she would not approve me. I mean, there's really nothing else she can put on her little goal sheet for me to show that I'm worthy and compliant. And I definitely need to prove that I'm worthy and compliant, even beyond what is necessary because I'm fat, because during my first meeting with the dietitian, she told me to seriously consider whether I wanted to go through with the surgery, because research showed that, unlike with weight lost through diet and exercise, people who have bariatric surgery have radically slowed metabolisms afterward. They did a study with the Biggest Loser people! I was stupid and impolitic and I questioned this, because that study is one of the (many) reasons I'm seeking bariatric surgery. (It showed the exact opposite of what she told me it did, and even more so with the follow-ups.) So naturally I was very concerned that I had gotten my facts wrong and instead of being smart and shutting the $#%^ up and looking it up on PubMed when I got home, I questioned her. (I wonder how many people she's talked out of surgery because she doesn't understand it. Best not think about that!) It chaps my hide extra knowing that her next patient will probably be someone who is barely maintaining their weight, is being coaxed into giving up their multi-can-a-day soda habit and doesn't know what a protein is, while I'm worried about eating too much fruit and having a teaspoon full of sugar set as an ultimatum. And that person will have less difficulty than I do accessing surgery. Obviously, I understand that the answer is to either follow the arbitrary rules or to lie my increasingly saggy butt off like a psychologically normal person. And obviously I'm going to do that, because that's what I need to do to get what I want. But I don't have to @#$ing like it!

Actually maybe the correct question is - how did you know when you were done? I am within a couple of pounds of my original (completely arbitrarily chosen) goal weight. Which by the way I never really believed I could reach. I was sleeved 10 months ago and am still losing around half a pound a week on 1200 calories (ish) a day - a bit more at weekends because I drink some alcohol then. I am hungry at times but I can keep that at bay by eating lots of protein snacks alongside my 3 meals a day, which are protein and veg for the main - still not much in the way of carbs. My question is - did you just select a goal weight and stick to that? Did you achieve/maintain this by intentionally increasing your calorie intake once you got there? I'm thinking I could easily go up to 1600/1800 calories a day and probably maintain at that or thereabouts. Or did you just keep going as long as you could, staying on the right side of hunger (AKA deprivation, LOL) and see how low you could go, and does the weight loss then fizzle out? If I did that would I ever be able to up my calories again without gaining? So many questions, LOL. I would really appreciate your thoughts and experiences.

Amazing amazing amazing. What a transformation. I really look forward to the rest of your weight loss journey @SleeveDiva2022

So my dr confirms that because its a liquid that it just flows out and they are actually happy when someone does not have restrictions to liquids because it makes hitting the water goals so much easier and dehydration is the biggest worry right at 1st. Restrictions should be more with food. He told me to eat slower now that I can have puree (yay!!!) so that maybe I can start feeling the change. He said I'm doing so well that I can progress at my own pace through the next food levels. He recommends at least 1 week of puree and 1 week of soft before getting too adventurous. If at any time I start having issues, just back up a stage and give a few more days. He wants me to still not pick up more than 20 lbs but to get back to a normal schedule and life as soon as possible. 3 weeks from now he expects me to be fully healed, able to eat real food and no restrictions on movements or weight. I almost cried at all of this good news. Just to be able to eat puree sounds amazing and free to me. To think I'll be starting my life with my new normal so soon is just amazing. 1 step and week at a time though. I have my 1st ricotta bake in the oven and I can't wait for it to be done. Today was a great day

I'm gonna repeat what the others have said - I hope that isn't too annoying! If you're eating 1000 - 1200 calories a day you will be losing fat. Whatever water shifts are happening are making it appear that you're not. This happens to everyone. You have lost 21lbs since your surgery - I lost 17lbs in my first 6 weeks so you're doing better than I did (not that it's a competition, LOL). If you stick to your plan you will see sustained fat loss - it's not possible not to. Keep the faith - I know how disheartening it is not to see a change on the scale but I promise you - if you stick with the programme in a year you'll be here posting how you're at your goal weight. Post here lots - everyone is so supportive and helpful - we are really rooting for you!!!

You're welcome! Both medications delay gastric emptying, so that can definitely bring back the restricted feeling. I haven't had any side effects with Mounjaro yet. I ended my Saxenda run at the highest dose, so the beginning dose of Mounjaro (2.5mg) probably won't be an issue. I move up to 5mg next month, so we'll see what happens then. My side effects with Saxenda happened early on and were very mild...fatigue and a little nausea during the first week. I was fine after that. I am grateful to have a bariatric doctor that is educated on GLP-1s and open to prescribing them when needed. I didn't want to go the revision route (and probably wasn't a candidate because even with the regain, I've maintained over 70% of my original weight loss). I just needed an additional tool. [emoji4]

I have lost over 200 pounds. WLS was excluded from our insurance when I had it done, so I paid out of pocket, which I had to dip into my 401k to do. As is the case with most people who have lost a lot of weight , I have tons of loose skin. I'm cool with most of it, except my pannus, because it's uncomfortable, out of proportion to my body causing my clothes not to fit right, and I have rashes and always have to use powder. Panniculectomy is normally covered under the insurance we have so I saw a surgeon and was pretty excited at the thought of possibly having this large amount of lower stomach removed. I was prepared to hear that I didn't qualify or whatever.I was prepared to may maybe have to repeal a rejection. I was NOT prepared to hear that it was EXCLUDED from our plan. Now of course, I should have checked myself, but I didn't even think to since often times this surgery is medically necessary. I stupidly assumed it wouldn't be excluded. Stupid me. I am so angry and bummed about this. I feel like I've done all this work just to be left with this bowling ball hanging from my body, and since I wiped out half my 401 it's not like I can pay out of pocket again. I'm not asking for a total body makeover or even for my body to look good (it does not lol). I'm 51 years old and my most attractive days are far behind me. I was never in this for looks. I just wanted to have my life back and feel good and be active and have a chance to live longer. I just want this discomfort removed and I don't think that's too much to ask. I have a skin condition called hydradenitis supparativa that really can't be fixed except by removing the affected area and under my stomach is where it's the worst. I'm tired of living with this awful skin condition. I've had it for like 30 years now, but it became much worse as my pannus grew. I'm scared to death I'll gain all my weight back and I know people who do skin removal have a better chance of not gaining it back. I'm just so frustrated and angry and probably rambling about this but I had to vent. I'm feeling sorry for my self too and thinking how unfair things are which I know, as my mother always told me, life is not fair. But that doesn't mean I should have to be ok with that! Anyway. Thanks for letting me vent. My husband, always the optimist, did make me feel somewhat better but I knew people here would also understand. Sent from my Pixel 5a using BariatricPal mobile app

First: This is my concern with people going out of the country for any type of surgery. Cut and dump. They get their money and that's the end of your care. I am sure this is not the case with every surgeon but it isn't a rare occurrence either. Unfortunately that is the risk you take. Second: Everyone is different and everyone stalls. Your body is in shock, and now you are eating a fraction of the calories it was used to before surgery. It basically goes into starvation mode and stores EVERYTHING it can until it realizes it is not actually starving and this is the new normal. Your body will adjust, the human body is quite amazing. I lost like 12 lbs the first week and then nothing for like a month but then my body was like oh ok and I started dropping weight like crazy. (102 lbs in 6 months) I am currently in another stall and have lost 2 lbs in a few days shy of a month now. It does suck but it will pass. The bottom line is if you have a calorie deficit you WILL lose weight. The surgery helps you be able to eat less, resulting in less calories. Try to stay off the scale for a while, measure yourself and find other ways to see the results. Smaller clothes, non-scale victories, etc. be patient, you got this!

Hi! I was sleeved in 2014...original loss was 185 lbs. Regained 40 lbs during the pandemic. I started Saxenda in January of this year and lost 35 lbs. I moved to Mounjaro last week (off label, as I am not diabetic) because I was tired of Saxenda's daily injection. I don't view GLP-1s as a pouch reset, but they definitely help turn off the "food voice" in my head. I am on the beginning dose of Mounjaro, so haven't experienced the full power yet. I still have decent restriction, so capacity wasn't my problem. Slider foods/snacking caused my weight gain. I know medication isn't for everyone, but I honestly believe GLP-1s should at least be mentioned to WLS patients dealing with regain. I see it as a 1-2 punch for me.