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hello im 23 years old and all my life ive been battling my weight it was always fluctuating. Started at 280 and now I’m down to 180 I’m 5’8 and im definitely noticing muscle definition and loose skin is bouncing back. But as of lately ive been feeling super depressed and my recent breakup was what set it off. Just recently started going out with friends and having to eat small portion completely ruins it for me i wish i can cram in just a little more to enjoy food with friends. I feel like its a chore now to make sure im hitting my daily macros and im starting to have regrets. I feel good in my own body but i feel like i could’ve done this without surgery with the love i grew for the gym. I go 3-4 times a week with a split. Is there anyway to combat this depression and regret i have i just wish i can eat a little more to socialize and im scared of losing more weight

umm....5k runs twice a week is not "a little"! you are a runner even though you may not think it lol. you may not be running 10k most days like my mr. and his insane group of friends, but your runs def put u on the runner half of the general population

Hi everyone, I had gastric bypass on February 27 of this year and I am down 53 pounds. My goal is to lose 100-120 pounds. While I am happy with the weight loss, I am losing muscle just as fast. I started going to the gym and hitting the weights this week. Of course I’m not as strong as I was before (I used to lift weights 10 years ago). I’m concerned that I won’t be able to get the nutrition/protein I need daily to start growing muscle again. Anybody on here bodybuilding months or years after surgery? Any tips or suggestions? Thanks

I will definitely get onto the team and surgeon! Start weight before surgery was 21.9 , 20.9 after LRD before surgery. Lowest after surgery 17 stone, currently at 19. After surgery total loss was 3 stone 9lbs which I think isn’t great surgery was feb 2022 got to 17 stone august 2022. Then gained now stalled at 19 stone for nearly a year.

My maximum weight was 303 lbs. I am currently 133lbs. I got my gastric by pass on May 7th 2019 in Pennsylvania. Since then I have had so many issues and I do not know where to turn to anymore. I feel the dr and I have gone through every option there is to go through and it is still not enough. Immediately after surgery I was having issues with eating. I followed all the rules took all the vitamins and meds I was supposed to. Still could not keep food down. I ended up having to take my gallbladder out in Oct of 2019. I was with a horrible person and she left me because of my issues with my stomach. I moved back to my home town of Peoria Il. I had to go on a search to find a new Dr. that would take me as a patient. I found this to be a rather horrible task as some Drs do not like to do that because they don't know all that the previous Dr did with the surgery. I finally found one and he is a great Dr. He has kept me alive. After the gallbladder surg. I was still having issues with keeping food down. This started in February 2020. The only thing i could tolerate was broth. At this point I had to take all my meds in a liquid form. Finally The dr. sent me to a gastrologist for an endoscopy. It was shown that I had some scar tissue covering the entrance to my stomach so they did a dilation. There was also an ulcer found. I was put on 2 diff acid reducing meds to get rid of it along with nausea meds. To prevent a tear they had to do this several times. I had dropped down to 118lbs. very malnourished. My health was becoming a huge concern. One of the times that they went in to dilate the Dr ended up putting a hole in my intestine. I had to have an emergency surgery for repair. I spent 2 weeks in the hosp. When I woke up in recovery i had a wound vac, drains and a feeding tube. i went home with the feeding tube. This is now Sept 2020. My new Gastric bypass dr was trying to get me healthy enough to do a revision to help me tolerate food. I had a revision scheduled for Dec. 2020. Since this was during covid I had to be tested before surgery. Yes I tested positive. The surgery was postponed until Feb. Finally i had my surgery and was hoping that this was going to be the last and all would be good. The feeding tube was removed and I had to start over from scratch with eating. Clear liquid on up. At this point I am weak and thinking the worst that it is all over for me. I kept up the fight and it kept kicking me back. I was able to eat a little better for a few months after surgery. Then it all started over again. Every time I tried to eat i threw up. I called the dr. He said probably more scar tissue and that meant more dilation like before. So that was the plan more endoscopies. There was also another ulcer found. Upped the intake of the acid reducers and still not going away. I just kept dealing with this and eating what I could. I put up with this for a long time. Then in Oct. of 2022 it got really bad again. I was in and out of the ER for pain so many times I lost track. The dr. went in to check things out and the ulcer was back. There was no Rhyme or reason for this to keep coming back. I was referred to a Thoracic Surgeon in 2023. I finally was able to get in to see him. He scheduled me for a surgery to have my vagus nerve removed. (vagus nerves produce the acid in our stomach and mine was producing to much there fore causing the ulcer to never heal. When i came home I was still not able to eat food it made me sick. I wasn't in anymore pain but still could not tolerate food except for soft foods. Then it would be next to nothing. Somedays i could eat a bit more than others. I was released to go back to work on 4*12*24. I have been to the er once again for pain and not keeping food down. I was given a gi cocktail and felt better. I called the Dr and was told when it hurts drink Mylanta. I am now to the present day and have no answers. Please tell me there is solution for this. I cannot do this forever. I don't wish this on anyone but I hope someone else has been through this and can help.

It takes more calories to run your body at a higher weight & fewer to run your body at a lower weight. So yes being able to lose at a similar calorie intake at a higher weight but then being unable to lose still eating the same at a lower weight is to be expected. It’s like reaching maintenance. Remember too,1800 calories is 1800 calories regardless if it comes from a burger & fries or three nutrient dense healthy meals. The quality of the food matters for the health benefits & ensuring your body functions most effectively. I’d hammer your surgeon & dietician for help & answers. Maybe GLP 1 meds may be of help or a revision. If my maths is correct, you’ve lost 8 stone in total? That’s great! Don’t forget to celebrate that.

No there is no norm or standard plan for before or after surgery. Much like there is no standard for how you will recover, how much weight you’ll lose, what ‘fun’ side effects you’ll experience, etc. There’s just generalisations & averages. There will be similarities across plans & differences. Like in the pre surgery eating plan. Some don’t have any. Some do three shakes a day while others do two shakes & one meal. Me I had to do keto. Same with the post surgery stages. Differences can be around how long each stage is or even what foods you can or can’t have at each stage. For example potatoes are allowed on many plans but were a big no in my plan. I do know my surgeon adjusts his plan depending on the individual patient & their specific needs & situation. My friend who saw him was on the 2 shakes one meal plan. Her friend, also same surgeon was all shakes. Our ages, starting weight & general health were different. It’s why we say it’s always best to follow the plan you were given and if you are having difficulties to contact your team to see if & how you can tweak it to better suit you & your needs & experiences.

I'm currently having this issue as I'm almost a year (9 months) into it; I was satisfied with my 160 for a couple of weeks ago, but I'm currently at 155 and I'm starting to get worried. I know I haven't been eating more than a meal or two a day which can be the reason, but I'm having a tough time in going beyond two meals. Should I just load up in empty calories and junky snacks? I'm also trying to go to the gym more regularly so the muscles can gain more pounds.

I walk a lot and run a little. When I was younger and fitter I was a long distance runner. I now dally with 2-3 mile runs once or twice a week just to prove that I still can. Walking is the workhorse of my exercise regime though. Less chance of injury and totally sustainable for at least the next few years (I hope).

since we are talking about other exercise besides running and walking...want to chime in here that my current flavour du jour of exercise: REFORMER PILATES....kinda like yoga on steroids. i tend to go through phases of exercise types, and have tried countless forms of exercise to see what i like and they all come and go (hot yoga, regular yoga, aerial yoga, zumba, rock climbing, salsa, tap, pole dancing, kick boxing, cross fit, swimming, etc, etc). but so far running is the only thing that i have been able to keep an interest in this whole time is running (about 5 years now...) but methinks reformer pilates will make the long haul HALL of FAME for me (along with running), but it does tend to get expensive (running is FREE! lol). i've been doing reformer pilates 2-3 times a week now for the past 5 months and the interest has been sustained...well see! long story short, find something YOU enjoy doing, because that is the thing YOU will most likely keep doing long term. good luck! ❤️ p.s. i also do weight training twice a week...but RELUCTANTLY because i HATE it. i'll keep doing this until i can't (or won't lol) because i know its good for me. luckily my Mr. hounds me to do it every week, so that helps i guess 🤷🏻‍♀️ (but i still hate it!)

Is anyone out there like me? I had VSG surgery feb 2022. Started at 21.9 stone pre LRD diet. 20.9 stone after LRD , lowest after surgery 17 stone.  I lost weight the first year and then gained 2 stone currently sitting at 19 stone. Since jan 2023 the scale has not moved once , up and down by maybe 1 or 2 pounds but the scale is not moving. At all. I can count calories for a whole month and nothing. I can eat **** for a whole month .. and nothing. nothing makes my scales move and hasn’t for over a year. You can only imagine my frustration. is anyone else having this issue and if so PLEASE tell me how I can start losing weight and making the scales move again.

This has been my go to breakfast this week. Two hard boiled eggs, half an avocado diced and mixed together in a bowl. I did add in a pinch or two of shredded cheese - I used some Kerrygold Dubliner cheese because that’s what I had already shredded. Spread the mixture on two slices of toasted Sara Lee 45 cal bread, no butter and sprinkle with everything bagel season. Adjust as necessary as the everything bagel can be salty. The mixture egg/avocado mix makes two servings so below toast is half the bowl spread on the toast.

a couple weeks ago i remember your post about your struggle to stop losing...are you still losing while this hunger appeared? perhaps its your body's response to the weight losses...? if thats the case, then perhaps listen to your bod and eat more? i can imagine that eating more is in itself a struggle...it took me 3-4 months to get over the mental block to actually stop diet mode (and like 2 years to get over the mental block of eating bread/rice/pasta lol) if im not mistaken you just recently reached goal? (congrats again btw), my suggestion would be to give yourself a bit more time (ie several months) to find your happy spot, it usually takes a while before you get to the autopilot of maintenance...great suggestions above...experiment with (small amounts) of (preferably nutritious) foods and amounts and see what help with the hunger. keep an eye on the scale in tandem to determine any causal relationships with certain foods. but yeah, i know, "easier said...". good luck, and it CAN be done! ❤️

Walking as I was told it was better for my knees by two orthopedic surgeons as I no cartilage left in either knee and will likely need replacing in years to come. I did a bit of long distance running many years ago in school and enjoyed it but that was it, never went further with it. A few years ago in an effort to improve my fitness and health I joined a running group which helped you learn to run, a bit like the couch 2 5k, but I didn't really enjoy it and felt it didn't really cater to those who weren't already super thin and fit. I now like to walk but usually I have to mentally to have a purpose to it, like yesterday 20 minutes around the block to go post a letter, earlier this week I spent four days in hospital so during the days I walked the corridors and stairs (an hour each day in total) to not go out of my mind with boredom. Even a walk around town and the shops I turn into a speed walk. I also do aqua aerobics once a week and recommend something like that if you have access to a pool and such classes.

I unfortunately only spent a few months following surgery without being overly hungry, but after about the three month mark it came back with a vengeance, so I decided to do some research. I now consume Non digestive or Resistant meladextrin. Its a corn fiber that your body can't digest so; no calories, good fiber and probiotics purported to help with the following: Resistant maltodextrin is believed to enhance gut health by [19, 29, 30]: Promoting the growth of good gut bacteria Improving stool weight, consistency, and bowel movements According to some researchers, resistant maltodextrin has potential against obesity, diabetes, and heart disease because, in various studies, it has [31, 32, 33, 34, 35, 36, 37, 38, 39]: Reduced belly fat and body weight Decreased food intake Increased satiety hormones (glucagon-like peptide-1 and peptide YY) Lowered the production of the “hunger” hormone (ghrelin) Reduced blood sugar levels and insulin resistance Blocking the growth of cancer cells and tumors ** hasn't been proven** Decreasing endotoxins, inflammatory cytokines and oxidative stress markers (TNF-a, IFN gamma, MDA) Increasing protective antibodies and anti-inflammatory substances (IgA, butyrate, IL-10) In clinical studies of over 200 people, resistant maltodextrin enhanced the growth of good gut bacteria, including [19, 29, 44, 47, 48]: Bifidobacterium Ruminococcus Eubacterium Lactobacillus Lachnospiraceae Bacteroides Holdemania Faecalibacterium As a resistant starch, this type of maltodextrin will help keep your blood sugar level stable after meals. In a meta-analysis of over 900 people, resistant maltodextrin blocked the increase of blood sugar after meals (postprandial glycemia) [37]. resistant maltodextrin decreased blood glucose and insulin levels. It increased a weight-loss protein called adiponectin that blocks glucose production. 3) Obesity In several clinical studies of over 300 overweight people, resistant maltodextrin reduced body weight, body mass index (BMI), and body fat. In one 12-week clinical study of 30 people with metabolic syndrome, it decreased waist circumference and belly fat [31, 55, 35]. In clinical studies of over 160 overweight men, resistant maltodextrin decreased feelings of hunger, increased satiety, and reduced and food intake. In another study on 32 healthy people, it decreased levels of the “hunger” hormone (ghrelin), lowered feelings of hunger and improved satiety [31, 32, 33, 34]. In rats, resistant maltodextrin reduced body weight, belly fat, and suppressed excess food intake [56, 6, 50 I found numerous research studies that pretty much said the same things above..so I figured I'd give it a try. It has no flavor and desolved completely so I just add it to my water plus it has no calories and helps regulate Ghrelin (hunger hormone). It really seems to help! I just make sure its non GMO etc etc. Perhaps it can help you, I figured it couldn't hurt and I do feel less hungry...still by try but less.

I am three years out and I chewed gum and i forgot and swallowed it. I called the surgeons office and they were like did you swallow it on purpose. I said of course not. She just told me what to watch for and when to go to er. It passed thank god bit I’ve never been so scared in my life. It’s not worth it to me. I haven’t swallowed gum since I was a kid but sure enough I did??

I did a lot of walking from a couple weeks after surgery until I was down to about 100 pounds overweight. By then I was walking 6-8 miles 3 days a week, along with non-planned outings. At about 100 pounds overweight I challenged myself to complete a C25K (Couch to 5K) program that gets you running 5k in 30 minutes in a month. Having completed this, I continued running, increasing distance until I was up to about 90 miles a week. I ultimately ran 5 marathons. Of the two, I enjoyed running more. I did my running first thing in the mornings, when I could contemplate the day and listen to audio books. Very enjoyable stuff. Walking and running burns about the same number of calories per mile. I would recommend doing what you enjoy and can sustain. It's hard to sustain something you dislike. Good luck, Tek

Oh, how interesting! I wonder what caused them to make the adjustment, but I’m glad it moved closer to what my doctor does. Though a total of 5 weeks of liquid makes me want to cry lol. I’ve got 2 left.

surgeons do vary. At my clinic, both sleeve and bypass people were on the same plan. They had us on purees as soon as we left the hospital, but they changed that (I had my surgery nine years ago) and now they have to do a week (or maybe two?) of liquids before moving to purees.

Hi Wendy- I found it important to confide in friends who I knew would see the surgery as an effort to reset my system and not as a vanity project. So, I opened up to three close friends and no family other than my husband and teenage son (whom I sat down and really went through the toughest reasons why with). My parents are gone and I don’t see my siblings very often - easier in that respect. And I also sought out references from friends of closest friends who knew someone who’d had the surgery and talked extensively about the aftermath and any complications. They were exceptionally compassionate and enthusiastic supporters. I really felt ready. The comments from a good friend group came in waves: “you look great”! Then, a bit of concern - “all okay?” Then, “wow, you look like a different person: are you on ozempic?” with a direct desire to know what was up. I told that group together but only after 3 month mark, asking they not share it with others. No one has been negative about it. I had a dear friend say, “look, if there was a surgery that would reset my brain to comprehend things more quickly, I’d do it in a second”. I had to explain it’s not a quick fix but I knew what she meant- getting one’s beast of burden off the mind. Re: Hair loss- timeline was strange - I’ve always had a thick head of hair and thought maybe I’d bypass the intensity of it. Alas, no- it started to really come out heavily in Aug/Sept. I was worried bc it didn’t slow down and had thinned dramatically but now the growth is back - slowed in Dec/Jan and I kept it short all fall. No one especially noticed enough to mention it. Again, all good thoughts to you as you begin this remarkable feat! You’ll feel amazing soon enough but I hope you’re proud of getting to this point!

Stalls and Constipation are the two things we all will get. Plenty of good advice given here. Try any and see if it works for you. As for me, at the outset it was stool softners and the costco version of benefiber.

HIYA!! So, I am 11 weeks out, and I did not realize how bad my poor relationship with food, until I started to get to week 6 and I was super stressed out and just wanted to eat a burrito. I knew in my head I couldn't, so I got a salad from chipotle figured surely I can eat AT LEAST half. I threw up after 1/4 because it just was wayyyy too much food. Then once I did that I felt so pissed that I couldn't eat because I wanted to and it "helped" with my stress. That's how I used to cope, I would shove my face before I got home so my husband and kids didn't know then I would eat dinner with them still. In the beginning about where you are at, I journaled and I walked a lot. I tried to keep myself busy. My program says no caffeine for life and honestly last week I started to make iced coffees with latte premier protein and black decaf cold brew that I make at home. That has helped my energy A LOT! I have been a sloth up until maybe last week. This is allll so normal, speak to your dietician, try to distract yourself, remember your why. I have to remind myself that this surgery is not a cure all, the cravings will be there but this is an amazing tool. Its helping us become a healthier version of ourselves. You got this!!! and We are here for you and your journey!

I started chewing Nicorette Gum about 6 months after my gastric bypass due to a lot of stress going on w/my teenager… Up until recently, the last 3-4 weeks, everything seemed fine; I even swallowed my gum once accidentally not thinking cuz I was getting a ketamine treatment for depression and chewing gum right when the ketamine started kicking in; but that didn’t cause any issues, thank God!!! Then I all of a sudden started really feeling sick when I chew gum after meals w/bloating and gas, nausea, stomach cramps, and diarrhea. I had increased the amount I was chewing; which probably really kicked in my sick feeling. I know most of my fellow responders are referring to non nicotine gum; but if any of you chew Nicorette or take nicotine lozenges I’d love to hear if anyone has had negative side effects after bariatric surgery. I know chewing any gum, and definitely using any sort of nicotine, is most likely frowned upon by our surgeons; but has anyone heard anything specific about why using nicotine gum or lozenges after surgery is particularly a bad idea?

@NovelTee Of course It is definitely interesting to see how other people's Drs advise! I'll admit, it is a bit of strange one that you are on the liquid stage for 3 weeks, but then again they may just be over-cautious! Either way, I am sure they have their reasons haha. It seems like they are keeping up good communication though, which is always a plus I was looking to maybe try protein water for to hit those protein goals during my liquid phase...but we shall see! Thank you so much! How are you recovering?

I had the Pho broth from week one, I made it myself so it was not too salty or chilli hot. It was so good I could have bathed in it. At 2 years + now, I can manage a couple of spoons of noodles at the end of the meal. I don't crave mountains of noodles now, I am used to just a few for the mouth feel.