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Everyone's diet is different and everyone's body responds to carbs (or any foods) differently. I eat carbs, sometimes 20g and sometimes 150g a day, just depends on the day. I have lost over 150 lbs eating carbs, they do not effect me or my weight loss as they do some people. Everyone needs to find what works for them, with the help of their Dietician.

Oh that sounds rough! I hope you continue to feel better and don't need any other surgeries. I've had some minor issues since my bypass, mostly a stuck feeling in my throat that never goes away and it doesn't matter if I've eaten or not. I have a twisted esophagus, but GI explained at this point there's nothing to worry about since I can get food down. That leads to the 2nd problem, I am never hungry. I know that can happen and usually goes away, but my nutritionist and even neurologist are concerned that I'm losing weight too quickly. I'm also getting so full after taking my necessary medications in the morning (not counting supplements and vitamins) that I don't get to breakfast until 11 AM or so.

Hi all, I am writing this for the >1% of gastric bypass patients who have the unusual complications that I had and, like me, couldn't find any information about it online to ease your mind. I had my gastric bypass surgery on September 7, 2022. I chose gastric bypass over the gastric sleeve specifically after months of research because of the higher rate of successful weight loss, particularly in women. My first week post-op went great, but after day 8 or 9 when I tried progressing my food intake from full-liquids to pureed foods I began vomiting and feeling really nauseous at every meal. I let my surgeon and dietitian know immediately and stepped my food intake back down to full-liquids. Pretty soon, I couldn't even take in full-liquids and was limited to hydrating fluids and chicken broth. I could keep down hydrating fluids and broth about 80% of the time, full-liquids 50% of the time, and everything else came back up. My surgeon was very responsive and had me get an endoscopy. Under general anesthesia, the endoscopy explored my new stomach pouch and roux limb connections that make up my new tummy system. Typically, gastric bypasses can result in constriction of the connection between the stomach pouch and roux limb, and my gastroenterologist was prepared to use a balloon to inflate the area to ease that restriction. In my case, however, that area looked fine, but further down the roux limb there was a stricture that was almost impassable for the narrow scope. This is what was causing my problem. I had an external compression on my roux limb that was making it impossible for anything more viscous than water to pass through. My layman's understanding of what had happened is that my surgeon brought my small intestine / roux limb up to meet my new stomach pouch through the transverse mesocolon. This involved cutting a hole through the transverse mesocolon to put the roux limb through and then stitching it up a little on either side to make sure nothing else will slip through the hole and cause a hernia. Apparently, this is typically sufficient and there is space enough in the hole in the mesocolon for scar tissue to form but still allow the roux limb to operate appropriately. Not in my case! xD My body and over-active immune system saw a hole and decided that hole must. be. fixed! The scar tissue that formed to close the hole closed tight enough on the roux limb and it was tight enough that barely anything could get through. I had a second laparoscopic surgery on October 12, 2022 to remove the scar tissue and loosen the compression on the roux limb. My surgeon decided to remove the small stitches on either side of the hole in the transverse mesocolon to reduce the chance that any new scar tissue will close the hole up as completely again. Immediately after this second laparoscopic surgery, I felt tons better! I stayed overnight in the hospital and was put straight on full-liquids, which I was barely tolerating before! The reason I am writing all of this out is because, in the month-long interim between surgeries, I couldn't find anything in my online research to figure out what was wrong, or what I could try, or what the next steps looked like, or how long, or why this was happening. I went for more than a month on little to no substantial nutrition, and I found so little information on what to expect or how long I would have to live like this. I even looked in these forums to see if anyone had asked about symptoms that are similar to mine and I didn't find very much information. So, I'm writing about my experience and using as many of the keywords I can think of that I've been searching for over the past two months! So! If you had gastric bypass and you start experiencing nausea and vomiting after what seems like typical food progression, please speak to your surgeon. It could be an internal stricture of the roux limb or the connecting bits, or in my case an external compression of some sort. From the very few resources I could find online, my type of external compression of transverse mesocolon on the roux limb seemed to occur in 0.9% of gastric bypass patients and it seems to happen within the first month. My surgeon pretty much immediately knew what was wrong, and her PA said she had seen it before, but not often, and it was new for my insurance caseworker. The inability to eat made it very difficult to complete normal daily tasks like my job, housework, walking the dog, etc. I wasn't in pain, I just couldn't get enough energy to do anything! My doctors moved quickly to get me back in for surgery, but it still took 4-5 weeks from starting to vomit at each meal to waking up from my second surgery feeling much better. I am so thankful that my surgeon was able to fix what was wrong with the scar tissue compressing around the roux limb; it made a world of difference! I'm not out of the woods quite yet, however. Six days after the surgery to repair the hole in the transverse mesocolon, I had a bad food day and nothing stayed down. I immediately reached out to my surgeon's office and today went in for an upper GI in which I intake contrast dye while a doctor observes how it flows through my new gastrointestinal system with an X-ray. That doctor said it looks like the connection between my stomach pouch and roux limb looks stenosed now. I am grateful that they found something and that there is an explanation for why everything I put in my mouth makes me nauseous and that there's a reason why I don't want to eat anything. I will be having another endoscopy in the following couple of weeks and, as ever, I am hopeful that this will be the last surgery that I need for my gastric bypass.

Stalls are the worst. Frustrating & demoralising but also a perfectly normal occurrence. You lost a lot of weight in the first two weeks, your body is likely playing catch-up. Maybe check in with your dietician to review your diet & portion sizes. Also ask for recipe ideas. What carbs are you eating? I was allowed rolled oats from purée but apart from the carbs in dairy, legumes & other vegetables I ate no other carbs: no bread, no rice no pasta. But I ate so little of them it wasn’t a lot of carbs at all. If eat your protein first & then vegetables it’s unlikely you’d be able to eat anything else. While some plans do encourage people to reach 1200 calories quickly, 7 weeks seems too quickly. But check with your team.

To follow up, I did start HRT this summer and instead of gaining, I actually lost 7 lbs and my worse symptoms of menopause subsided but I quickly realized that any further weight loss was going to be really hard. My doctor prescribed Moujaro and is a big fan of it (who knew?). I started it right after I posted this thread and I'm already down 20 lbs. Holy smokes! The appetite suppression and restriction (yes, I do feel it much more now) is crazy. I relate it to the feeling I had about 90 days out from surgery. I can eat what I want but just not very much of it and I'm rarely hungry. I didn't expect to lose so much weight so fast and I really only want to lose another 10 lbs so I doubt I will hit the max Mounjaro dose. I'm currently on 5 mg with no side effects beyond nausea the day after my shot. If this medication had been around when I had surgery, I don't know if I would have needed to have WLS but I am thankful it's here for me now. My doctor loves it to prevent recision surgery and regain in patients who are 36 months or longer out from their past surgery.

Yes. 3 protein shakes and a 4 oz protein meal (steak,chicken, etc) plus veggies. And of course the suger-free jello and popsicles, and a lot of water. Finished Day 4 today with no problems except the first day kind of felt dizzy/tired. To me it is very similiar to the many diets that I have experienced before so it is not that big of a deal for me. I also got pretty good in the past with intermittent fasting so I am holding off on my 1st shake until around noon. As with many of us, we are experts in losing weight but terrible at maintaining that loss. I am more concerned about the initial post-op phase diet so focusing on preparing mentally as well as getting my supplies. I am going into this with optimism. I greatly benefited being prepared and looking forward to the positive results last year when I had my Knee replaced. I am taking that same approach to this surgery. Hoping all have a successful journey!

1. I’ve confirmed with my team that taking laxatives long term is not an issue. 2. Absolutely! I have a “normal” appetite. I can get really hungry but also I can wait to eat better than before surgery so this is a huge improvement. Also there are exciting new medicines on the market (and in trials for weight loss) that targets appetite suppression (wegovy, ozempic and mounjaro) so there’s more hope. 3. Yes. A million times yes. It was hard for me to see the finished product of what I worked for until I had plastic surgery. That route is not *necessary* or even desirable for everyone, but it is a solution for those who want to explore it. Good luck and never give up ❤️

Hi all! Wondering wondering if anyone else has gone through this. I had surgery in September on the 15th I lost 20 lb immediately the first two weeks now I'm on week 7 and have not lost any more weight still just the 20 lb from the first two weeks. I am getting enough protein but am having a hard time not getting in too many carbs with it too I don't like protein shakes and I am lucky enough that nothing I've tried so far has irritated my stomach so I can eat anything. I stay away from greasy and high fatty foods and pop and sugar. But I am still getting around 700 to 1200 calories per day I walk like 30 minutes per day if not more. But I am not losing anything. I am so nervous or should I say worried that because I can eat anything I won't be losing any more weight any ideas from any of you? Anyone else have this long of a stall this soon after surgery ? Sent from my SM-G991B using BariatricPal mobile app

First of all, I'm so sorry you are struggling. Know that you are not alone and that many folks experience some wonderful things after WLS as well as some more difficult things. That is just part of the process; its definitely not always sunshine and roses. 1- Constipation is VERY common. Are you taking an iron supplement? They are notorious for exacerbating constipation. If you're taking any additional iron, it may be worth getting your labs checked - if they are normal, maybe you can drop that? Another option would be to add a prebiotic fiber supplement. I take about 15g of Just Better Fiber daily and it is a HUGE help. Make sure you are well hydrated, especially when taking laxatives, stool softeners, etc. Lastly, are you getting in any fiber in your food? This goes with #2.... 2- The return of hunger is normal and expected. Your body is doing EXACTLY what its supposed to do. It may be helpful to start introducing more fruits & veggies, which will help you feel fuller longer and help with constipation. Also, are you hitting your protein goals? If not, definitely focus on getting that protein in. If you're hitting your goals, adding in nutrient rich fruits & veggies, and STILL feeling uncontrollably hungry, then it may be time to consult with a bariatric dietitian. Hunger is normal, feeling miserable is not. 3- I think a LOT of us struggle with body image before and after surgery. There is a trade off that happens - we lose the weight and are healthy, but it can make the physical effects of a lifetime obesity more obvious to us. Therapy therapy therapy. I can't encourage it strongly enough. Learning to cope with those feelings, learning to be kind to our new bodies, learning to love ourselves well, THAT is the hard work of weight loss and it is truly a lifelong process. Get help, and keep getting help. Outside of that - buy clothes that make you feel good, as much as you can focus on what you LIKE about your body instead of what you don't, if its practical for you, you can always look into plastic surgery, and of course, you could just refrain from looking in the mirror naked. I know, easier said than done, but if its causing your harm emotionally, then maybe hold off for now. You aren't alone and you aren't crazy. WLS is hard work and there is a lot that comes with it that doesn't get talked about much. We are rooting for you.

A year ago, I did gastric sleeve. My weight was originally 230 pounds. Now, it's 117 pounds. I feel pretty ecstatic that my weight has gone down. However, that's where the happy list ends. I'm concerned with the direction my life is heading after the surgery. I suffer from the following problems: Chronic constipation. I must take Dulcolax laxative every day for relief. Miralax powder doesn't work. My GI doctor performed a colonoscopy, but nothing malign was found. It's debilitating not to be able to get the relief I desperately need, and to feel dependent on medications when I thought this would be temporary. Increased appetite. It's becoming more difficult to control my eating habits. I'm constantly hungry. Excess skin and fat. It's impossible to look at myself naked without judging my body. Has anyone else been going through these problems? What has worked well and not so well for you?

Unfortunately, you still need the change in lifestyle/diet habits to make this work long term. I like to think of the sleeve/RNY as being a "do over" rather than a total fix, because it will indeed help get the weight off, and usually faster, than going alone, but there is still the tendency to gain again over time, as one can still "eat around" the surgery. The DS (duodenal switch) is better in the regain resistance area, but that is even greater overkill for a low BMI patient. I decided on the sleeve after my wife had here (much needed) DS and I had lost 50 or so lb of my excess weight, and kept it off for 5-6 years, but couldn't sustainably lose the next 100 that I needed to lose. So I had much of the habit part taken care of ahead of time, and it worked well, though it still takes work to keep it off - most of us long timers have been through periods of gain that we have had to lose again. Regain tends to be slower than without the WLS, but the bias is still there. So, you may well be in this same boat again in 5-10 years. In short, the sleeve will help you with the part that you already can do fairly well - lose when needed - but is only soso on helping you with the part that you struggle with - keeping it off. That's a consideration when trying to match the "personality" of the surgery with your own personality.

People have been mostly supportive, but they definitely do treat me differently since the surgery. A lot of stuff gets said behind your back that doesn't match up to the smiles to your face. It is what it is🤷🏾‍♂️. I did this for my health, not other people's approval. I'm happy. The weight loss shrink they make you see was pretty spot on about this. Just as an aside, I think it's totally different for guys vs. girls. If I fire back at shade thrown my way, it's seen a lot differently than if a woman fired back. Stupid societal norms. The way I see it, it's not normal to let some guy a few years out from losing at beer pong in his fraternity, cut me open and redo my stomach. So, if I can break THAT norm, to heck with the rest of them. I'll just enjoy the new lease on life.

Today makes my 1 year surgery anniversary. SW 235. CW 172. I’m having so many mixed emotions. I know having the surgery has been the key in my weight loss. Im stronger than I’ve ever been. I just ran a 5K nonstop for the first time in my life. And yet I feel like I should be further along. I feel like I’m failing, like I went under the knife and have mediocre results. Anyone else have feelings like this? #isitjustme

I 100% agree, but it's far beyond how badly obese people are treated in the grocery store. I can't speak for other countries, but lots of studies have shown that workplace discrimination against obese people is rampant in the US. Worse, it's not protected by law, unlike discrimination based on race, religion or gender. Those same studies have shown the odds of encountering discrimination is highly correlated to weight. In other words, someone that's merely overweight has a relatively low chance of encountering outright discrimination, while someone that severely obese will almost assuredly encounter it. In short, in the US, if you're obese you can be turned down for a job, denied promotions, or even fired due to your weight and it's perfectly legal. Most companies wouldn't admit to doing this, but if you doubt that it happens, look at the c-suite of any major company. The odds of finding an obese person is virtually nil.

Okay, Hotwing&aprayer and Arabesque got my attention and I have been thinking about whether I carry myself differently at different weights. I don’t think I really do. Anyways, this Is what came to mind. Has anyone ever seen the fat suit experiment that Tyra banks did years ago? I am not able to find it anywhere in video form but I just read a review of it to refresh my memory. They sent her out to the store, on the bus and on three blind dates in her suit. People as you probably expect were horrible to her. In An article speaking about it Tyra said "It was one of the most heartbreaking days of my life." Noting that people "snickered" and "laughed" when she walked down the street, Banks admitted, "I had no idea it was that blatant." I know it’s not a perfect design but it’s about the closest we’re probably ever going to get to seeing how differently people treat us based on weight alone. After watching something like that I was convinced that the problem does lie with society and with certain people to a large degree and not in large part with the obese person or how they carry themselves. I’m sure that we do carry ourselves at least a little differently when heavy vs thin but I doubt that putting on a suit could change someones Confidence overnight yet everything seemed to change in the way People approached Tyra the second she put on that suit. Thoughts?

I didn’t really have any negative experiences when I was overweight at least not ones I was aware of. I agree with @HotWing&APrayer. Often our confidence decreases & anxiety/self consciousness increases with our weight. Then any negative experiences crush us further. I was only at my obese weight for about 5 years so body dysmorphia probably helped me because though I knew I was obese I only saw myself as overweight which was ok in my mind. Though I know I also was more aware of not doing overt things that others may judge as ‘no wonder she‘s fat’. With my weight loss I’m certainly more confident which has made me more chatty with shop assistants, service providers, random strangers, etc. (Yep, I’m the one holding up the line chatting to the check out person or the stranger who starts talking to you the shoes you’re trying on.) It does make most of my experiences more positive. It’s either my weight loss or I’m turning into my mother & grandmother 😱😆. Have noticed more negative experiences for getting older like old person stereotypes & being ignored over younger people which annoys me A LOT. Not afraid to say about it something. The girl who presumed I was a grandmother got an earful!! LOL. I may be 57 but I don’t even look like I’m close to that ( & very grateful for that).

Other people have articulated very well. I think there are different parts of the "fat movement" that get balled up into the acceptance piece. I like that there are more bigger bodies out there doing "regular things" like yoga, cooking, running, kayaking, dancing, living... and it's not as shocking as it may have been years before. I think that's important, especially for those people whose body is happier at a larger weight. Not everyone wants surgery or wants to starve themselves to a calorie deficit to be "thinner" when they feel good at the weight they are at. And some of them are at 200+ pounds. I think that's important to recognize. I'm not sure any human, unless super tall can be truly "healthy" at 400 pounds, though. But they shouldn't be barred or shunned from life because they are that weight. But, they should not be lied to by a doctor. I'll be honest, though, sometimes I question the amount of medical complications blamed on obesity as a whole just because it's easier to assign blame to. I've been relatively healthy as a bigger girl (especially when I was younger). I'm still able to do cartwheels at almost 50 and close to 300 pounds. I can understand how some people are happy with more padding - or don't care. But my weight is catching up to me, and I want more freedom in my own body.

weight loss didn't change my relationship per se, but it did change me, which did affect my relationship (among other things) for the better: i'm more confident, less tired, less annoyed, more patient. sex? also for the better (see reasons above, ha!) but i'll also add: im more limber/bendy lol.

Hello, I am scheduled for ESG on Monday and I'm getting nervous. I previously had VSG about 8 years ago and have regained about half of what I lost....I am on the lower end of the BMI, but have hashimotos and PCOS so its impossible for me to loose weight. This is the only thing that has worked. I already eat super low carb and my diet isn't the problem. I belelive it's from my stomach stretching out. Anyways, I am so nervous for the two weeks of the liquid diet and feeling hungry through that time. Did you guys experience hunger? I'll get shaky and a little hypoglycemic so I'm dreading this part. It gives me comfort to read your experiences and am thankful to have this platform to ask questions on! Any tips would be greatly appreciated!

might help if you posted some more information or at least update your profile to add your surgery date, weight, height ect... i am 6 months out and i can eat pizza if i wanted to without issue tho tons of carbs so i dont lol. At work we make pizza and i sometimes eat the toppings that fall off lol. Been doing that since around 4 months post op but your surgeon knows best.

I don't think that we can attribute it 100% to other people. If we think about it, the way we felt about ourselves at a higher weight compared to a lower one. The way we carried ourselves and the body language we showed. Do you think it was always welcoming? Did I look like the girl who wanted to be talked to? Probably not. I was depressed, and not confident and my self-image in my head was totally not the same as it was when I was smaller. I know for a fact that shows and can be off-putting to some. In no way does that excuse people from being arseholes, disrespectful or rude. But I always think back to a friend who said when you don't want to be bothered at work "walk fast and look worried." LOL. If that can keep people at bay, I am sure that my depressed, overthinking look will keep people away.

Mine hasn’t changed, really. I am not sure if this is because we just had a pretty good foundation where we have learned through counseling and many years together to talk through things or if it is because I was thin when my husband met me and I have lost a big chunk of the weight several times over the years so it’s not really that much of a shock.

Hi Friends, New here…I am wondering if anyone has had experience with having any laparoscopic surgeries after getting a tummy tuck. I had an abdominoplasty in 2013 after having a child and losing weight and having a lot of extra skin. Now almost 10 years later I am looking into having a gastric sleeve done. Looking for anyone with experience. Was it harder for the surgeon due to scar tissue or things moved around? Thanks in advance.

I don't really post on social media or talk about my surgery and weight loss. To be honest very few people know how well I have done these last 11 months. In the UK we tend not to poke our noses into others business. It's seen to be quite rude. I went out with my husband to the local service men's club. Everyone in there knew the fat me but failed to figure out who the thinner person was with my husband. All evening I felt like I was in the Exorcist movie. Heads were definitely turning in my direction, seriously, their necks must have been aching. I don't know if it was because they realised who I was or thought my 70-year-old hubby was flaunting a mistress. It did make me chuckle, it's a long time since I was the subject of local gossip. On the bus and trains, people sit next to me now and I don't know if that's a bonus or a pain. I do like to travel alone. On an aeroplane this summer, I never had the 'oh no look' when I approached the empty seat next to them.

If you ever want to test this firsthand as a female just walk around a store for a while at your goal weight. Especially one with a majority of male workers like a home improvement store. it’s crazy how much more help you get. Like they go out of their way to offer help. It’s kinda crazy.