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I had a sleeve 3/9/2021. I was a lower BMI and on meds so the surgeon thought it was a good idea for me. I lost from 235 to 168 pretty quick, stalled there for a few months and then started gaining. For the start with the sleeve it felt like more of a diet. The only thing that made it a bit more successful was the fact that I didn’t have hunger for a while but as soon as it came back, so did the weight. I went back to the surgeon at 258 this time and he said that obesity is very complex and the sleeve is just not enough of a metabolic change for some people. I revised to the SADI 8/7/2024 and at three months post op I have lost 60 pounds with about 40 left to reach my secret goal. From day one I have known that this is different this time. I am able to actually enjoy some of the healthy recipes I am trying. I am making stuff from scratch and I have energy and motivation to exercise. Don’t get me wrong. I would love to binge watch my favorite show while eating a pizza but exercise also makes me feel great when I’m done and the healthy food doesn’t taste terrible so the healthy choices are a lot easier this time. For me, recovery was a breeze with the sleeve. I asked them the moment I woke up to take me off of pain meds, and I went home the next day forgetting at one point that I even had surgery. This was because I did not have any gas pains the first time around. After the SADI, however, I did have very significant gas pains and spent five days in the hospital because I could not get off of the pain medication that they did not want to send me home on. Once I finally was able to pass gas a few times, iI was fine, went home and did not need any more pain meds, other than Tylenol. It sounds like you already went through the worst gas pain so I can’t imagine the recovery being much harder for you. It’s the same basic thing the same laparoscopic incisions. Feel like you’ve done 1000 crunches. Take the second to go from sitting to standing or sitting to lying down but once you’re up, it’s not so bad. My doctor did not operate on the stomach, some do re-sleeve it, but he felt that resleeving carried more risk than it was worth in terms of additional weight loss. I was pretty nervous about that to be honest, but I am back to my pretty normal portions already but that’s not an issue because I am eating 100% clean this time. One thing with the SADI is, it’s fairly new in medical community time frame. I have seen a lot of specialist from different fields and not one has ever heard of the SADI. I always have to tell them it’s a modified duodenal switch and they get it. So your doctors may not be aware of it meaning you really need to understand the surgery yourself to make sure that you ask the right questions for future care. Another obstacle for me has been that the nutritionist in my area at least are pretty much worthless when it comes to the SADI. I have been fortunate enough that the nurse practitioner helped me work out my macros by viewing my Fitness app and my food log app and I have worked out something that is working for me. Aside from that, I could not be happier with my choice. I was told I could do SADI or Bypass revision. My surgeon did a gastric emptying study, endoscopy, and a barium swallow test to make sure everything was OK with my sleeve and to see what I was a candidate for. He ended up leaving it up to me because either would’ve worked, but he advised that the weight loss statistically is a little more and more durable with the SADI revision. it is pretty normal to be nervous at this point in your journey, but statistically this is a relatively safe procedure and honestly, the risk are far less than the risks of all the other diseases and conditions that will pop up eventually if you don’t do anything. I hope this helps. And good luck on your surgery.

Medicaid typically requires 6 months of documented medically supervised weight loss attempts with your doctor, bmi of 40 or 35 with at least 2 comorbidities, pass an ekg, blood work, and pass a psych eval before they will approve the surgery. They may also require a referral to a bariatric surgeon from your primary doc. They will also require a letter from your primary doctor approving you to have the surgery. All of that gets submitted to Medicaid by the bariatric surgeon and then Medicaid decides if they will approve it or not. If they deny it, they'll usually tell you why and you can either do whatever else they need you to do or appeal it if you already have it done. That's all I can think of. I actually originally looked into bariatric surgery way back when I was on Medicaid, but ended up not doing it. Once I started my previous job and got BCBS, I looked into it again and ended up doing it. When I had my revision a year later, I was changing jobs and in between insurance and back on Medicaid (if the revision if for complications and not failed weight loss, they tend to approve the revision really fast - in my case, it was 72 hours, if it's for failed weight loss, you basically have to start everything all over again as if you're doing the surgery from scratch, and all the previous requirements are back in place). Now I'm at my current job (dream job) and have United Health Care. I hope this helps somewhat!

How are your iron levels? Are they low? If they’re low, then you may need a supplement but if they’re okay, you don’t need anything. My iron levels were great & still are so I never took any iron after my surgery. Many people, women especially of all ages, experience anemia and it seems there are many more cases now days than years ago. For some its lifestyle and dietary choices, for others there can be medical reasons behind it. If you are anaemic, ensure your doctor rules out any medical cause first. If there isn’t any medical reason, check your dietary intake. Ensure you’re eating a lot of iron rich red meats, green leafy vegetables, etc. Avoid caffeine when consuming food especially iron rich foods. Caffeine reduces your body’s ability to absorb iron by 60+%. Also your body doesn’t absorb iron from fortified foods (like breads, cereals, oat milks & other milk alternatives., etc.) as well either. Iron supplements can cause constipation. Don’t take your iron supplements with calcium or iron with zinc. Your body can’t absorb these in combination so take say the calcium and zinc in the morning and your iron at night. Remember too, excess iron isn’t good for you so avoid taking iron supplements if you don’t need them. Haemochromatosis can damage your liver, heart, pancreas & joints. Symptoms can include lethargy, weight loss, mood swings, depression, brain fog, irregular or no periods & joint pain. Interestingly, many of these symptoms are the same as with anaemia.

Wow! That's awesome. I'd take even half that loss and be happy. But would sure be nice to lose quite a bit so my low back can calm down. Severe osteoarthritis there. About 240 lbs now. 277 was my highest many years back. Lost 100 through diet and exercise and slowly came back. (Had lost 100 lbs 8 years before that and gained it back too.) Then end of 2021 was 265. So did it again. Ate less, moved more and lost 64.5 lbs about 2 years ago and got to 200. (Had lost around 60+ twice before that and gained it back over some years too). Felt sooo much better even there at 200 but slowly back now to 240! Blah! Surgery most likely early Nov for sleeve. Said bypass will cause ulcers since only ibuprofen helps my back. Can I ask you about exercise you did? Also that you do now? And did you have any skin removal? May need that around my middle later on. Heard someone with our insurance got that covered also. Praying for that but will save up for it if I have to. Thanks for any advice and info! You look great and I know you must FEEL better. That's what I want. I never sought surgery to look better but hopefully will. I just feel terrible and need some relief and want the weight to stay gone. Using this tool to help me remain smaller.

Firstly...big congratulations on your weight loss success. Amazing results from a recliner. Wowo!!! I didn't have DS and haven't tried Keto post surgery. But I did the diet for a year right before WLS, coupled with intermittent fasting. Despite my efforts I only lost 30 pounds on the average then hit a wall. Eating high fat meats might not be the best for you at this point but everyone is different in how their body responds to food after WLS. Lean meats and veggies is pretty much our food plan now. I am interested to hear what others have to say on this subject because although I have been able to lose weight adding carbs to my diet (at the urging of my nutritionist and to my keto minded horror), I haven't tried any types of "diets" to get the last few pounds off post surgery. Some say I have probably met my goal weight and the excess pounds are lose skin?? But I don't have a lot of excess to be honest, so not sure about that. I am also a big advocate of extended water fasting a couple times a year for cleansing purposes, but have not attempted it post. I was told it might mess up my sped up metabolism tool. I don't want to risk that happening. Also, I don't relish the idea of returning to a diet mentality. And I will admit, I enjoy being able to eat some carbs now where before, I could just look at them and gain weight. LOL Godspeed on your healing process for the bilateral knee surgery. I have a feeling after you are able to get up and move around, you just might lose those last 40 pounds without the Keto, GL

One thing that helped motivate me to get started with at least 15 minutes a day was the physicians assistant said at one of my support group meetings before my surgery that just exercising 90 minutes a week which you can spread out over six days at 15 minutes each (which is 25 when you include your warm-up and cool down if it’s more than walking) But just that decreases your risk of “all-cause mortality” by 15%. The PA and surgeon agreed that no surgery, no pill, nothing else they can prescribe you is going to have such a phenomenal impact So exercise is pretty darn beneficial. I mean, I know for myself I was scared of a 2% risk of complications from the surgery that may or may not even actually kill me, but they’re giving me a 15% decrease of chances of mortality, that’s pretty huge just to dedicate less than a half hour of your day to walking around a little bit. And a brisk walk is all it takes for me to achieve the heart rate they’re speaking about because it doesn’t have to be full on high intensity, just raising it a bit. I’m not sure if it will be as profound for you but I heard that before my surgery and six weeks later it’s still ringing around in my mind as I’m exercising. I’m thinking wow you know weight loss aside, this is really a good thing that I’m doing for my health. After I got started, though I wanted to do more and more, but my goal is to do my 15 minutes, no matter what and that is my only expectation for myself at this point.

So I finally reached out my bariatric team and they said my post op appts "slipped through the cracks", So instead of having a 3 and 6 month appt I am have one next week (at 5months ish) that will combine my 3 and 6 month post op appt. ANYWAYS to my point! I got my blood work and everything is normal range! my A1C even went down from 5.6 to 5.3 which is pretty groovy! Also my iron is normal for the first time in my life! However my B12 is 1116 which from what I read optimal results are >500 for bariatric patients? So does that mean I am doubly good? My Vitamin D is at 119 and toxic levels are over 100. So my assumption is I could probably cut back on those vitamins lol. I feel great! I am down to 185 as of last week. Hair is still shedding but tis life. Thanks for coming to my ted talk!

Hello everyone, Yesterday, offically was my third week post surgery. I have been walking at least 2 miles M-F with my husband and feel I have my activity under control. I am working towards starting my strength training exercises. Really need to work on my Triceps and my thighs. I have lost about 20lbs post surgery date not sure if this is common loss or if others have lost more. I struggle with my pureed diet, I feel like I eat all day long. Takes about 2 hours to drink a protein smoothie in the morning, then worry about my H20 intake, then trying to get my meals in. According, to my Pureed stage, I am suppose to have a protein shake in the morning, then pureed lunch, then another protein shake for a snack a couple of hours later, the pureed for dinner. I feel as if I am eating all day. Takes so long to get through a smoothie with sips and pureed meals are 1/2 cup which is supposed to take about 30 minutes to eat. Am I doing something wrong? I have a Bariatician appointment next week hopefully will get some more information. Just want to make sure I dont stretch or doing anything adversely to my stomach pouch. Thank you in advance for any advice.

If you’re in the purée stage whatever you eat should be a thick but still a bit loose in texture or dollopy like yoghurt. If you want to blend or grind meat add gravy or stock to get the texture thin enough. Minced meats with a sauce or gravy like meat loaf, meat balls or bolognese without pasta are great in soft food. If you’re allowed potatoes they should be mashed. I lived on yoghurt, instant rolled oats, scrambled eggs, thicker blended soups during that stage as I found puréed meats unpalatable. Did even eat baby food twice. A lot of people eat egg salad (mashed eggs & mayo) in this stage. Think of a baby transitioning from milk (liquids) to thin cereals like Farex, baby food, etc. (purées) then soft foods like slow cooked stews, minced meat dishes, sausage, etc. Congrats on your weight loss so far.

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 "

Hello! My surgery is scheduled for 7/10. I am having the gastric bypass. I'm on the pre-op diet right now. Doing well but am so weak from this diet. Last night I could barely finish my evening meal - got nauseated and just felt terrible. This is a revision surgery. I had the VSG 2914, lost 100. Foot surgery and the covid lockdown started my regain of 80 lbs. The surgery is to fix my hernia and hopefully get rid of my acid reflux. I am hoping to lose but more importantly to maintain my weight loss. I'm currently on 3 hbp meds and 3 acid reflux meds. How do I complete the settings about my surgery, weight, etc.?

I agree with @swimbikerun. Don't go off of us exceptions. It's actually not common to lose a lot with a revision. Go into it expecting about 50% less weight loss than what you had with your initial surgery. Then if you lose more, it's a pleasant surprise. But if you don't, you're already prepared for that.

I wanted to respond to you on the telling people thing. That's a hard one for me! I told a few close friends but I've been weirdly hesitant to bring it up more publicly and I don't know why. A few others in my circle have had their own variations of this surgery in the past few years but I just ... I don't know. I maybe still feel a bit of worry that people will think I'm going the "easy route" or maybe they won't think my weight loss is valid if they know I had surgery? I don't know why I even care what anyone else thinks since I'm doing it for myself and my health. Maybe a part of me wants that wow moment when they see the thing we version of me after not seeing me for a while. I know I felt little green envy surges seeing others lose weight - maybe I'm afraid of that. Just feeling odd about who I share this part of my journey with. I can't imagine working in a public sector and being even more subjected to others' reactions. My surgery (SADI) was the 5th.

It has been almost two years since my startup consolation with my surgeon which started the entire process for me. During that meeting in September of 2022, I was at 514-lbs. I am happy to report that two years later my weight is 232-lbs. My blood work was good in the spring, but I have not had any updates since then. Soon I will be scheduling my yearly doctor appointment with my family doctor, so that should provide another blood update. Weight loss seems to have plateaued, so in order to keep losing I need to increase my exercise program. Right now, my focus is on maintenance and trying to avoid any bounce back weight gain in year three. I am feeling great and have been so much more active in life. Food portions are small, and I make better choices than I ever have, but I am also not depriving myself of the occasional food treat. My family, particularly my wife, has been so supportive, which has helped make this challenge more manageable. I just wanted to post an update and encourage all those out there that may be on the fence -- GO FOR IT! I could go on for 1000s of words and pages about how it has changed my life for the better and I believe WLS is an incredible tool. Push through the fear and the struggles -- it will be worth it on the back end!

Well, it wasn’t exactly an AI generated recommendation. It was an AI generated summary of all the articles that applied to the question I asked Google. So basically One of the articles them gave that recommendation is below and you can read the full article of course and determine whether it’s a reputable source and applies to you. I agree with not going by a cookie cutter approach regardless of where it came from. Especially the Internet, but it logically does make sense to me so it would definitely be worth talking to your doctor about and asking for a specific plan for you. I know for me, my body is fighting cancer and processing chemo right now which both increase metabolism. Currently I’m logging like 1000-1500 cal more a day and still losing (albeit a little slower to appease my doctors). It changes your metabolism when your body is fighting something and it does burn more calories during times like this. How many that would be something your surgeon may be able to help you with a refer you to someone who can. I am very fortunate that I am at a big fancy breast center and they have an oncology dietitian that is helping me throughout all of my different treatments that I have in store for me over the next year to keep me on track for both that and my bariatric journey. i think the most important part would be to just be mindful of the fact that healing does require adequate nutrition and not to be at too much of a calorie deficit because yes, we will heal like we did from our bariatric surgery but that doesn’t necessarily mean it was the ideal circumstance or that we we’re healing as fast as we could have. I know you are itching to get out and back to your activity asap as I would be and good nutrition is very important for faster healing. I’m not saying that means you need to eat as much as you were eating when you were working out like crazy, but if it was me, I would focus primarily on fueling my body to get better faster, without gaining of course, and really focus on the weight loss once I was back on track (it won’t be that long). I mean if you can lose a bit great but if your body is screaming out for nutritious food it’s probable that there is a reason. The nutritionist that I am working with would not give me a specific calorie amount instead she told me to still try to avoid cookies and chips, but to eat when my body was craving nutritious food and she checks in with me every week to see how I am doing and make tweaks Does your surgeon have a nurse practitioner that you could talk to if you give them a call? Or was your dietician from pre surgery very helpful (mine was worthless 😂). Maybe you would get a more in-depth response from them than your surgeon who’s always super busy.

aaaahhhh ok... put this way, i'll have to say i did notice some unexpected body composition changes in the year immediately following rapid weight loss: - went from looking deathly skeletor-ish (gaunt and drawn and frail looking) to pretty healthy looking despite weighing less now than those skeleton days. - my hair is actually thicker and "healthier" and even slightly curlier than even before surgery (which was a very welcome surprise after all that hair loss from months 4-6 post op omg) - i don't get pimples anymore. like ever. - those weird dark little bumps on my upper arms are gone. - when i do any sort of sustained exercise it's immediately noticeable. for instance if i do like 30 situps or 60 bicep curls i look shredded right after. no joke. - my dentist says my gums have receeded faster than expected since the weight loss (dunno if this is related or a coincidence??) - despite probably being the most "fit" i have ever been since my 20's, i still feel unbelievably weak compared to my heaviest days. i swear i can't open jars anymore nor can i carry multiple bags or groceries at once like i used to. - i used to be bottom heavy (hips/butt was my widest part) now i am top heavy (shoulders/back are my widest part). - i no longer have armpit hair ...but this is likely due to my arm lift? so i never have to shave there...which has the side benefit of the skin lightening up in that area...no more dark armpits for me! yay! - i have no ass. like zero. looking at me directly from behind is semi-normal looking, but from a side view, its a straight line from the base of my neck to my knees. - the hump on the back of my neck is gone - not sure if this is related to my overall weakness, or because i just do wat more stuff now, or im just getting old, or a combination of it all, but i get injured ALOT. multiple sprains, torn ligaments, torn muscles, pinched nerves, tendonitis like everywhere, abdominal hernia, bruised ribs, carpel tunnel, ingrown toenails, omg. ive had more doctors/physio appts in the last 5 years than i've had in my entire life. times 2. ok...this post is getting too long. gonna stop now lol

lol. I am SO not superwoman. I have bipolar disorder and I have been on medication for years but I still struggle a great deal with the depression part. My weight gain after the sleeve surgery just amplified things for me and I had let my house go for so long. I guess the anticipation and hope of the future loss sparked a little motivation and then the nervous energy kicked in which mimicked the super woman you guys got a glimpse of. I also have ADHD so as much as getting organized seems impossible for me, being that was makes my life so much easier. I used to have it halfway together though before the weight issues and i really hope to get back to that point at least. I think that’s why I’m so afraid of breaking my momentum. It was just starting to feel a little like home again and it was so peaceful walking through the doors to a house with some order to it. I so badly don’t want to let it get back to the way it was I think this weekend I’m just going to ask my husband to do a few things that I can’t do. I think he will get it if I tell him how I feel.

7 years out this November (I can’t believe it’s been that long!) 1. The surgery did all of the work. I didn’t wake up hungry, I didn’t feel like I could eat more than recommended. I didn’t have any (initial) complications that slowed the weight loss process. 2. I was really strict and followed every rule pre and post op. I was super serious because I absolutely needed this to work. My motivation remains for medical reasons first and aesthetics second. 3. I limited calories from liquids. 4. I am finally ready to admit that I have a narrow palate. I don’t like most food and definitely not most fast food but in a pinch I will eat it *some* things. I cook the vast majority of my meals and most are very boring by foodie standards. 5. I was converted from VSG to RNY at my goal weight (GERD etc) and I’m sure the durability of RNY has made a difference in maintaining. 6. I was given a higher BMI range by my surgeon and thank goodness because getting any lower would have been a real struggle without added benefits. 7. I invested in plastics. I shouldn’t make sense or a difference but I didn’t want to mess up the work I had done plus removed skin and fat cells are gone forever. 8. I address the smallest regains IMMEDIATELY adjusting behavior and intake. I’m not ashamed of it or ignore it, I weigh often to stay accountable to myself. 9. I found what works for me and focused on that, adjusting as needed. I try very, very hard not to compare myself with anyone else. I never attached self worth or morality to weight (gained or lost). I think it helped immensely that no one ever bothered me about weight. I realize it maybe a different story if this wasn’t the case. 10. I check in yearly with my bariatric team.

I was thinking the same as @ms.sss. I just wish I looked that fit when I am at that BMI. Congratulations on your loss.

I am so thrilled for your loss and the way you are feeling especially. Just try not to get too wrapped up in making a goal in two weeks. That’s a pretty short timeframe and just a one week stall could prevent you from reaching it. Even though we all know the way our bodies work, you may drop it all two days later. I like to try to predict my loss as well and I know that it has messed with my head a couple of times. Perhaps it’s just me but I get discouraged when I don’t need a goal even though it’s an imaginary one this morning. I was really expecting to drop that few pounds that I usually drop after stalling for a while and gaining a bit, well, I did not even drop one and I felt pretty bummed Until I realized it’s 6 AM and I jumped up the moment the alarm went off and got right into my walking because I was able to sleep at a reasonable hour to fall asleep easily and sleep all through the night waking up refreshed which I haven’t done in years because of all of the changes that have occurred In the last few months. That in itself is a huge win and I don’t want to lose sight of that as I try to achieve these other goals. I am looking forward to getting under 200, getting to overweight instead of obese, reaching my goal, eventually getting to a normal BMI if that’s in the cards for me, and finally reaching my secret goal. I am just really trying to figure out a way to wrap my head around the fact that even if I don’t reach my secret goal or get to a normal BMI, I am still 100 times healthier and happier than I was before. I really really really do not want to lose sight of that. I got so discouraged about 18 pounds with my sleeve that when I started gaining I think I gave up too easily. I still don’t think about the sleeve was the right surgery for me and what my body needed, but I probably could have kept some of the weight off a little longer. anyways, I am really glad that you decided to do what you thought was best for your body and that it is working for you it’s such a shame that these nutritionist are a little bit more helpful to giving more individualized plans. I am off to my surgeons office this morning, and the automated recording that called me said I was in to see the PA and not the NP that I have been seeing. I am really hoping that he gives me the same help with my food to make sure I am on track and my fitness as well. At the very least, I will find out what my labs looked like though I got an email that the results were ready four or five days ago but I decided not to even look. I figured it would only panic me trying to figure everything out on my own and with my anxiety I would’ve worked myself into something that’s not necessary. oh, and I found a local gym that has a lot of classes that look fun and when I added it up will actually be cheaper than what I’m doing now. It’s pretty tiny and when I popped in to the main gym part, it did not really seem my scene but I’m hoping that the classes are different. My friend told me that she would go to check out a class with me Saturday morning and if it seems promising, I’m going to check out a couple more this week. They have a day pass rate They don’t have yoga early in the mornings at this new place, so I probably will still take my yoga class, but even if I did both, it would still be a little less and I would have the added benefit that I could add more classes at the gym since those are unlimited. I really like to exercise every day for now. Eventually, I think I will probably give myself a free day or two, but until I feel like this is absolutely cemented in my brain as my new normal I want to just keep it up daily.

I am so thrilled for your loss and the way you are feeling especially. Just try not to get too wrapped up in making a goal in two weeks. That’s a pretty short timeframe and just a one week stall could prevent you from reaching it. Even though we all know the way our bodies work, you may drop it all two days later. I like to try to predict my loss as well and I know that it has messed with my head a couple of times. Perhaps it’s just me but I get discouraged when I don’t need a goal even though it’s an imaginary one this morning. I was really expecting to drop that few pounds that I usually drop after stalling for a while and gaining a bit, well, I did not even drop one and I felt pretty bummed Until I realized it’s 6 AM and I jumped up the moment the alarm went off and got right into my walking because I was able to sleep at a reasonable hour to fall asleep easily and sleep all through the night waking up refreshed which I haven’t done in years because of all of the changes that have occurred In the last few months. That in itself is a huge win and I don’t want to lose sight of that as I try to achieve these other goals. I am looking forward to getting under 200, getting to overweight instead of obese, reaching my goal, eventually getting to a normal BMI if that’s in the cards for me, and finally reaching my secret goal. I am just really trying to figure out a way to wrap my head around the fact that even if I don’t reach my secret goal or get to a normal BMI, I am still 100 times healthier and happier than I was before. I really really really do not want to lose sight of that. I got so discouraged about 18 pounds with my sleeve that when I started gaining I think I gave up too easily. I still don’t think about the sleeve was the right surgery for me and what my body needed, but I probably could have kept some of the weight off a little longer. anyways, I am really glad that you decided to do what you thought was best for your body and that it is working for you it’s such a shame that these nutritionist are a little bit more helpful to giving more individualized plans. I am off to my surgeons office this morning, and the automated recording that called me said I was in to see the PA and not the NP that I have been seeing. I am really hoping that he gives me the same help with my food to make sure I am on track and my fitness as well. At the very least, I will find out what my labs looked like though I got an email that the results were ready four or five days ago but I decided not to even look. I figured it would only panic me trying to figure everything out on my own and with my anxiety I would’ve worked myself into something that’s not necessary. oh, and I found a local gym that has a lot of classes that look fun and when I added it up will actually be cheaper than what I’m doing now. It’s pretty tiny and when I popped in to the main gym part, it did not really seem my scene but I’m hoping that the classes are different. My friend told me that she would go to check out a class with me Saturday morning and if it seems promising, I’m going to check out a couple more this week. They have a day pass rate They don’t have yoga early in the mornings at this new place, so I probably will still take my yoga class, but even if I did both, it would still be a little less and I would have the added benefit that I could add more classes at the gym since those are unlimited. I really like to exercise every day for now. Eventually, I think I will probably give myself a free day or two, but until I feel like this is absolutely cemented in my brain as my new normal I want to just keep it up daily.

I think you have to first understand what these medicines do. They stimulate insulin production. This may or may not be important to you depending on if you are diabetic. They slow gastric emptying, meaning you'll feel full longer They may suppress hunger signals. Interestingly, researchers don't fully understand why all of this occurs. My personal take in your case is that if you are still steadily losing and are not feeling overly hungry yet (most people don't feel a lot of hunger 4 months post op), then I personally don't see the need to use this medication. I doubt it will do a ton, and might even make it hard to get adequate protein intake. If on the other hand, you are already feeling a lot of hunger and are struggling, then these might help. A few other things to think about: For most people in the US, these medicines can be VERY expensive, even if you have good insurance. If you don't have good insurance, then I hope you're independently wealthy because they can be several thousand dollars a month. Most of the pharmaceutical companies that sell these drugs do have some sort of savings card to make them SIGNIFICANTLY more affordable. Keep in mind that most of those are only good for up to one year. That means you could be back to looking at thousands of dollars a month to continue the medication after the savings card runs out. There are companies that are selling compounded versions of many of the GLP-1 agonists and they sell these for a lot less (typically hundreds of dollars a month rather than thousands). Bariatric Pal is even doing this. These companies can do this because the FDA has special rules for drugs in short supply that allows companies to make them to help fill demand. The issue is that you may or may not be getting what you think. See this link for more info: https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/fdas-concerns-unapproved-glp-1-drugs-used-weight-loss While some companies are certainly reputable and selling you what they say they are, others just are not. It's a little like the wild west right now when it comes to compounded GLP-1 agonists. There is a percentage of people that don't seem to respond to these medications. It's about 15% for semaglutide and a bit less for some of the others. I mention this since some people get really disappointed when this happens, so it would be good to be aware of this possibility ahead of time. These drugs (like most any drug), can have side effects that make then not worth taking for some people. There's really no way to know ahead of time if you will have this sort of problem. Generally speaking, most people that stop using these medicines tend to gain weight back pretty quickly, since the hunger will kick back in. As such, most doctors and pharmacists recommend staying on these for life. It's best to be prepared for this now, vs. thinking you're going to get away with just taking it temporarily.

Hi. I am using the Baritastic app which seems to set realistic goals for me to meet and they seem to be like 10-20 pound increments. I have spent the better part of 20 years above 280 pounds. My heighest weight was 412 in January of 2017. I was able to lose 100 pounds on my own over a 2 year span but I would yo-yo that 100 pounds for the past 5ish years. So my recent high weight was 393 in august of 2023, and first surgeon visit was 373, november 28th, and my surgery date of may 9th I was 334. So I do see the light but I think you are right on setting realistic goals. I think I need to make me a reward system for sticking to the plan, new clothes, new hair, new tattoo, etc. As I progress further on this journey.

I had the sleeve and I started gaining just months after I reached goal. I was too embarrassed to reach out for help and ended up gaining it all back and had no choice but a revision. Good on you for reaching out here. My biggest piece of advice is to reach out to your team and get an appointment. Start logging your food again if you haven’t been and give them an honest picture of what you are eating so they can help you make tweaks. Also if you have a fitness watch, pull it out of the drawer and get a real picture of you current activity level. I thought for sure that my team was going to be so harsh on me and make me feel awful but they couldn’t have possibly been more understanding and all they wanted to do was help. For me the only real option was revision but for you some tweaks in your food and exercise may help, could be hormones so they may want to check that, weight loss medications in tablets or the newer option if the GLP-1 injections may even be an option. The other suggestion of support group meetings is a really good one too. I am doing so much better this time around because I am reaching out for support anywhere I can get it. This time I told more people so I have more people cheering me on and I have the in person support as well as on here and I am going to see the NP more of they than they usually require. I know that I need all the help that I can get. lol.

You've gotten some good advice already, but reading your post, a few things stood out to me. These are in no particular order: 1200 calories sounds high for 15 weeks post-op, but if that's what your plan calls for, who am I to question it? I think the bigger question is does this 1200 number include all the alcohol? One of the reasons alcohol is not recommended post bariatric surgery is that it's got a ton of calories and will definitely slow weight loss. The other huge concern on alcohol is that a substantial number of post-op patients develop alcohol use disorder. (Some estimates are as high as 20% or even 30%.) You didn't actually specify how much you drink, but when I see "active social life", I interpret that as "I drink a lot". Maybe try drinking non-alcoholic drinks when you are socializing? If you find that you can't give it up the alcohol, this is a major red flag and you really need to seek help. Taking another approach here, I noticed that you are being more active, which is fantastic! I did want to make sure you knew that changing your activity levels like that (starting a couch to 5k plan), will cause your body to retain more water. This means you may not see the results you are expecting on the scale, even if you are still losing fat. Keep in mind that the your weight is made up of lots of things other than just fat, so variations are normal and are just part of the process. If you are eating less than you burn in a day, then you are 100% burning off fat reserves, even if the scale does not show it. Best of luck.