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Had my surgeons appointment this afternoon and all went well. I’d dropped another kilo since my dietitians’ appointment a couple of weeks ago - yay! The surgeon was lovely and very approachable. The surgeon asked if I’d chosen a particular surgery and asked my reasons for it. I told him “Bypass please” and explained my thinking. He was happy and didn’t see any reason why I couldn’t have the Bypass. He then explained absolutely everything to me as we went through the consent form plus drew a couple of diagrams for me so he was extremely thorough! I felt very at ease and confident in what he was explaining. Obviously it helped that I had guidance from this forum plus had done wider reading too so nothing was a surprise even when he was explaining things that could go wrong and what steps they take to rectify any problems. It was comforting to know that they seem extremely pro-active in sorting things out and they don’t leave their patients to flounder on their own should they need help. So, next steps…the MDT meets weekly, generally on a Friday, so my case should be heard next week. He said that none of my tests have flagged anything up, the dietitian was happy with me plus I was taking some proactive steps myself so there shouldn’t be any issues and I should progress through to surgery. I asked how long the wait was without getting a cancellation and he said 20 weeks from now so that will mean mid to end of January next year. I did stress that I would be more than happy to take a cancellation which he noted. The only problem, he said, was making sure that I still had 3 weeks to complete the LRD as sometimes the cancellations are too close to the actual day of surgery. I’m feeling happy generally with everything. I’ve done all my stuff so now it’s down to the hospital. I have my granddaughters birthday party tomorrow, our anniversary dinner on the 15th and then I’m free and clear really. I feel I can relax a bit now. I’m as prepared as I possibly can be short of actually having the surgery! So exciting isn’t it??

I'm going back home to the US in November. (I'll be 6 weeks post-op then) I fully plan to take an empty suitcase and hit walmart and the thrift stores. And also stock up on Tylenol since you can get bottles of 100 over there and only packs of 16 and only 2 at a time here without a prescription. Always handy to have around.

Well the good thing is you are at the three week mark and can soon start puréed stage. That is only a week then soft food and then onto regular. Just focus on each day getting it done and then find something to occupy your time. Make sure you’re getting your water in. 4 more weeks will be done in no time.

Thank you!! I am incredibly happy. Getting my Vitamin D from 13 to almost 100 has done wonders for my depression. The extra energy DOES feel amazing, especially because I have Chronic Fatigue Syndrome and I never really expected the surgery to impact that favorably. The first 4 weeks were hard energy-wise. I remember how exhausting even taking a shower was until I was past a month out. Bariatric surgery is major surgery and it takes our bodies a while to heal from that. Add in our dietary restrictions as we slowly incorporate food again and it is a great recipe for fatigue. I'd say by about week 8 the nausea disappeared and I noticed I was gaining energy steadily. I could stand in the kitchen and cook. I could go for a short walk. I could shower and actually leave the house without a nap first. I had not been able to do those things in several years so it was a striking difference. Hang in there!! It is a good sign you feel about back to normal energy-wise right now! Yes, according to everything I've read, the goal is 50% by 6 months for a DS surgery, so I'm ahead of my goal. I really hope things continue on steadily. A lot of people lose a chunk early on and then taper down slower after month 3. My body doesn't like to follow general trends, so I stalled out for most of that time and then suddenly my weight loss sped up! It is quicker now than it has been since about a week post op. Isn't that funny? Everyone's body has its own rhythm. It is so, so hard to trust that, but it seems to be true the more people I see go through this surgery.

Hello, new here! I had mine done in the 3rd of June. Surgery went very well, my first week was awesome. Now i'm on the second week, some days away of the getting out of liquids. This second week have been not good for me, I got a lot of nausea and a lot of foaming on my mouth. The only things that been helping are orange juice and water. Tried some homemade, sugar free lemonade today and it also helped to settle my stomach. The only thing thats been really rough, even tho I wasent addicted to soda (I would have a can once a week), my mind keeps craving for it. Since I was a kid, everytime I got nauseous My granma I would tell me to drink a little bit of coke and it helped me a lot, so I carried this tradition into my life. Now that cant have it and I'm feeling sick in the stomach my mind keeps asking for it, and its so frustrating. I tought i would have this problem with coffee, since I was an avid coffee drinker but I don't miss coffee so much. Hope all you guys are doing well through the process!

I lost 57 lbs before surgery. I went on to lose about 180 more lbs after surgery. So no, losing weight before surgery won't keep you from losing after surgery. You may not see as big of a drop the first month as some people do, but that's because much of that is water weight, and you've already lost that (you'll still lose weight that first month, though) Stalls are normal and you're likely to experience several of them along the way. Most of us experience the first major one about the third week post-op - so don't freak if your weight loss stops for a couple of weeks around that time.

Yes that’s awsome I start my diet tomorrow to get the weight off that my Dr says I have to loose before surgery. This week has been an emotional roller coaster my uncle suddenly and I had to fly to Florida with my mom and sister and we have done nothing but eat out.

I took Latuda for bipolar when I had my sleeve three years ago and my prescribing doctor was concerned about me not getting enough calories in the beginning for it to absorb properly as well. (For those who don’t know about this particular medication it’s not about it not absorbing due to the surgery itself like many controlled release meds. This med needs the 350 calories in order to absorb fully for anyone, not just people who had surgery). Anyways, My doctor switched me to vraylar for a couple of months prior to surgery just to make sure I was stable on it and then a short time after until I was back to being able to consume 350 calories at one time. The vraylar is quite expensive but luckily they were able to get enough samples for me. The plan was to switch me back once I was eating enough. What was weird and unexpected was post surgery when he tried to switch me back to the Latuda all of a sudden it caused me a great deal of anxiety and I couldn’t tolerate it anymore (even though I was on it for three years before surgery) so he kept me on the vraylar a little longer until things got back more normal for me and then made another change. I am now on a completely different medication. Neither the surgeon or prescribing dr could explain that anxiety except that when you alter the anatomy things just happen sometimes but I just worked with my prescribing dr and he sorted it out. The most important thing is that your prescribing dr and your loved ones are very aware that you may encounter some issues and that everyone is on top of it. If you feel the slightest bit off, you may need to be the one to contact your Dr. You mentioned “the switch” as an option. Not sure if you are speaking if the SADI switch or the Duodenal switch but both of those are restrictive and malabsorbing surgeries. The reason they suggested the sleeve for me was because they were concerned about my other meds not absorbing fully just because of the malabsorbing component of the other surgery. Fast forward three years and I gained my weight back and we are now considering conversion to the SADI or bypass because I gained my weight back. I gained it back because I ate the wrong things though so don’t let that scare you. I only mention it because I’m guessing you can see my current weight and may wonder why I didn’t lose. I did lose quite a bit and maintained it for a while but I was discouraged I didn’t lose it all and I let that get to me. Which is something you should be aware of, you may not lose as much as someone who is not on all these meds. Just don’t get too caught up in comparing your journey to others. I am 5’8” and I got down to 168. I would be so much happier and healthy now if I had just accepted that win instead of getting it in my head that I failed by not making it to where others did.

Off to see The Pet Shop Boys! I’m a massive fan and it’s the final week of their world tour with a special 5 nights finale at the ROH. Whilst we’ve had a wander around Covent Garden previously, we’ve never been to the ROH so a whole new experience just for that alone 😊

In the UK it’s not about BMI, on the NHS you have to do a LRD for three weeks prior to your surgery!! I’m nearly two weeks into it, one week left on Tuesday before my surgery on the 19th!! I’m 14lb down though so far.

Thank you so much! The pre op diet they have me on is 2 protein shakes and 1 meal 3-4 oz protein and non starchy vegetables. I hear other people are on a all liquid diet for 2 weeks.

Thank you so much for all these suggestions! Yes I feel hungry sometimes after 30-60mins of a meal. So I drink water or protein shake. I do take PPI, that could be a possibility of why I still feel hungry. Most of the time it’s my head hunger craving for certain food. Also my tummy does rumble but don’t really feel hungry. I’ve been able to tell what type of hunger I am feeling. when I drink liquid, I literally sit there and drink with small sips through out the hours….when my tummy feel full from it, I come back to it later. I can feel the liquid traveling down when I drink. Yesterday was my first day being able to reach 60oz of liquid, but at night I didn’t feel well. Had my dinner at 6pm, went to sleep 11pm. I woke up feeling something up my chest and when trying to get up, I vomited. Sorry if TMI. It’s was all slimy mucus. No food. I was shivering, chills, migraine. I vomited a few times then vomited foamy bubbles… well after that I felt so much better. In search to see what is going on with me, it seems many bariatric patients go through this, but usually right after eating if they didn’t chew well or had too much food. I have tofu last night tho. It’s soft and should be easy to break down. On the bright side, It seems I am breaking my stall. From 241.6, I am now 240.6 lbs. even it’s only a little bit I am happy, because I am on this stall since 2 weeks ago, only 1 week after surgery.

Can’t believe your surgeon didn’t tell you about stalls especially when you said you hadn’t lost in a week or so. That in itself would make me question anything else they tell or don’t tell you. We all lose more quickly in the first couple of weeks, then the stall hits & no loss & things even out. So while 12 pounds seems a lot in 1.5 weeks, 12lbs in 4 or so weeks is fine - averaging about 3 lbs a week. 1200 calories at a month out does sound a huge & impossible goal to reach. I wasn’t eating 300 calories in the first couple of weeks. I barely reached 900 at 6 months & was another year until I got to around 1300. But we are different & have different needs & our teams have us on different plans & expectations. Ultimately it comes down to only being able to do what you can physically do. You ‘re meeting or close to meeting your protein goal. You’re meeting or close to meeting any other macro & fluid goals?. Are you introducing new protein sources, vegetables, etc. into your eating plan as you’re required? I’d say you’re doing okay. But, that’s my opinion. Your dietician/nutritionalist should be available to discuss your options & concerns whenever you need so ask for (demand ) an appointment. Can you get in any earlier to see the nurse practitioner? If not stick to what you’re doing & as I said you can only do the best you can do. All the best.

A friend of mine gets really sick after she eats if she forgets to take her digestive enzymes too. She never got any diagnosis I don’t think she just buys the enzymes online which I personally wouldn’t do but I’m in ALOT of other meds and don’t want them to interfere with other stuff. She also never said it’s about carbs specifically but she is like most of us pre surgery and usually eats pretty carb heavy meals. Those pills make ALL the difference for her. We shop and stop for lunch and if she forgets to take them she gets so sick but if she takes them she is pretty much fine. A little tired for a while but she pushes through to keep shopping 🤣 This is after her typical bacon cheeseburger and fries plus like fried pickle appetizer we sometimes would split so pretty carb heavy. Dr google says there are three enzymes that help with digestion of carbs that you can get In the vitamin or pill whatever you want to call it but it also says to definitely consult a Dr before taking them if you have a history of ulcers, liver or gallbladder issues. i keep adding to this as I find more stuff. Apparently they enzymes work hand in hand with probiotics to keep things working too so ask about them. And ask a brand for the probiotics because I have heard that some of them are worthless and a total waste of money because of the way they are processed. It seems like it had something to do with the temperature but I don’t remember for sure.

My surgery got cancelled. We have no idea why. I got the notification on my portal app for my health plan so I immediatly contacted my surgeon's office because they have been going forward like I still have one. I was able to check the actual surgery schedule and sure enough I'm not on it. I'm beyond angry right now. I put in to have a whole week off of work next week that while I can definetly not take off, half of my team is going out of town for a conference so I would have to reschedule for the end of this month. That also sucks because I've pushed things out to the end of the month because I knew I would be in recovery. Now I have to somehow move them back and push other things. I want to scream.

So had my VGS surgery on 13th June and have been keeping track of my measurements since about the 3rd of July 2024. Low waist included, as I am male and I wear most of my trousers/jeans low. Waist high is measured above my hips. 3rd July: Chest = 52 inches Neck = 19 inches Waist (high) = 51 inches Waist (low) = 53 inches Thigh = 31 inches Bicep = 18 inches 27 August Chest = 50 inches (-2) Neck = 18 inches (-1) Waist (high) = 47 inches (-4) Waist (low) = 50 inches (-3) Thigh = 28 inches (-3) Bicep = 15.5 inches (-2.5) So in total that's 15.5 inches lost since around 3 weeks after surgery. This has been especially useful given weight loss has slowed to around 2-3 lbs per week, and is a great motivator for me 😊 Anyone else tracking measurements?

A week post gastric sleeve - premier protein shakes with lots of ice and a lot of Tylenol to deal with the carb withdrawal headache were my go to. I promise it got easier

Throwing my anecdotal experience in the ring here, as well! I had a Vertical Sleeve Gastrectomy (VSG) at the end of November 2023. I was a "slower loser" the whole time, and then I hit a major stall about 6 months post-op, just bouncing around the same ~5ish pounds for months. I set up an appointment with my team for July 8th, discussed the issues I was having (mainly just being hungry and therefore eating larger portions), compared the different options, and we settled on trying out Phentermine. I did have to have a mobile heart monitor for 30 days prior to my surgery, as I had these weird heart "flutters" for YEARS and nobody could really figure out what they were (they ended up being PACs, or Premature Atrial Contractions, which apparently almost everyone has at some point and most people can't feel. I'm just unlucky! They are benign if they are not occurring in excess). My team had me do an EKG in-office that day, as well. They asked about any family history of heart issues, sudden death at early ages, etc. With a normal EKG, I was started on half of a 37.5mg tablet for 4 days, to increase to a full tablet after that if there was still residual hunger and I didn't have any major side effects. They said I'd know within those first few days if it was going to cause any issues. I did increase to the full 37.5mg after 4 days, and I've broken the stall (dropped 5lbs since July 8th, and part of that was spent at a music festival with few healthy food options), and I feel generally great! I do also have ADHD and Narcolepsy, so the stimulant properties are helpful for me. I'm feeling satisfied with much smaller portions and not experiencing cravings at all. I did have some mild insomnia the first few days, BUT I am already a night owl with a bit of insomnia due to the Narcolepsy, so it wasn't a big issue. Other comorbid conditions include depression and anxiety, which I am taking medication for, as well. The anxiety has not been exacerbated, which WAS an issue I had with previous stimulant use for Narcolepsy. Cost-wise, it ended up being roughly $7 USD with insurance. For me, trying Phentermine is definitely worth it, and I will follow up with my team later next month to see where I'm at. I had feared I was done losing after only 6 months post-op, and Phentermine has restored my hope that I can keep going to get to a healthier weight. It's important to remember that, while Phentermine will decrease your appetite, it does NOT cause you to burn any more calories than normal unless you also increase your activity. You have to decrease your portions - the Phentermine just makes it easier to do that, if it works as intended. So, your personal experience may vary, but it's worth discussing with your team if you feel stuck! EDITED TO ADD: My team said that I need to take a break from using it daily about once a month (like, not take it for a couple of days), otherwise I'll develop a tolerance and it won't work as well. This is pretty typical for stimulant medications in general.

Please be careful. You are still very early out from surgery. I know that some of it is your circumstances but the last thing you want is to harm yourself. This is a pretty major surgery. The incisions on the outside are deceiving, the inside requires a lot more healing time. I am off all of my pain meds too and was trying to play tough guy at a week out driving myself and all of that but the NP had to tell me to slow down. This is not a race. I am two weeks out now and today will my first big outing to my crochet group where basically I drive 30 minutes and sit in a chair for a couple of hours then drive back and I’m a bit nervous if Im being honest after realizing that just going to the dr and then grocery pickup 5 minutes down the road took it out of me a few days ago. Just be certain to listen to your body and ask for help if you need it.

Heya! I think every Dr/Surgeon must do things with a slight variation, but it is always best to follow the advice given by your own Dr/healthcare team - it is often tailored to you e.g., in terms of weight, health conditions etc. I had my dietician appointment today and we went through when I am starting the LRD, which will be for 2 weeks, and then went through the different food stages which for me are: Week 1 - Liquid Week 2 - Puree/slush Week 3 - Mush (thick/lumpy foods) Week 4 - Soft foods Week 5 - 'Normal' foods

Thank you! I thought I had already responded to your post. Apparently I didn't hit submit reply. As I've mentioned in other post's. My weight has been stalled. However I weighed today and I'm down 4 lbs. I'm at 245 lbs. I'm not sure if the scale is playing with me or not. So I'm going to wait a few days before testing it out again. My biggest progress that I see is in my clothes. I'm in pant sizes that I haven't been in since 2002. The other big plus I see with you and everyone else. We've just started this journey. In the next 6 months all of us will look dramatically different. I intend to post more pictures along the way. I hope everyone else does as well. Your progress pics look great. The progress is real and will only get better. I wish you and everyone else the best with progress to your goal. 😃

.......... I "think" I broke the stall ! * knock on wood* 😁 Yes! I've been at 192 for months and nothing I did would break it. Finally ....I am gradually going down and as of today I am 185 ! It's the weirdest thing - all summer I was exercising and walking and the scale wouldn't move. Now that it's winter in Wisconsin , I haven't been walking at all except for grocery shopping and the weight loss started again. The only reason I can think of why I was stalled is,I must have been gaining muscle . Well - I'm not going to question it .... I'm just going to enjoy it I'm so happy to be a "loser" again..... LOL

There's a very high likelihood your weight stall has nothing to do with what you are eating, and it would definitely not have anything to do with too much protein. This is your body's natural reaction to severe calorie restriction. In a nutshell, when you are on liquids only, you rapidly lose mostly water weight as your body burns stored glycogen for fuel. Once the glycogen runs low, your body turns to burning fat, which is what you want it to do. This takes a few weeks. However, when you start to introduce solid foods again, and especially carbs, your body is very keen to restore those glycogen stores. So it burns fat while also replenishing glycogen. Glycogen is bound to water, which means the water weight you lost in the pre-op diet and right after surgery are regained, which is fine. You need glycogen. It's what helps us get through short periods of lower food intake, like when you have a bad cold and lose your appetite for a week. Your body is still burning fat because you have a major daily calorie deficit. It will show up on the scales in a few weeks when everything else balances out. My advice is to just do what your doctors tell you, stop tinkering with your diet, and don't weigh yourself for a few weeks. Your doctors have advised hundreds if not thousands of patients just like you. They know what they're doing.

Your feelings are valid @Nan CC, surgery is stressful and the idea that we have done so much for so little loss in the beginning is discouraging and depressing!! I have some thoughts to share about your experiences... 1. That hunger you are experiencing is normal. It doesn't go away for everyone. I woke up in the recovery room ravenous which pissed me off because all they kept saying is I wouldn't be hungry! And I ended up more hungry than I'd been in years!! The first two months I was hungry all the time. True hunger. I think it is because the body is panicking and trying to figure out what is going on. Plus we've been lied to, that growling sound is often not hunger, but just our system digesting and moving air and fluid through our system. After surgery our internal digestive process sounds louder to us for some reason. Maybe because we are paying more attention?? I don't know. But I had true hunger constantly. One thing that will help this is a PPI (proton pump inhibitor). Our tiny tummies are still making enough acid for a normal tummy and that can irritate it as it heals. That gnawing hunger can often come from this and gets worse at night... 2. No, you aren't supposed to automatically feel full with 1/4 cup of food. A lot do, but not all by any means. The reason for this primarily is because all the nerves that communicate fullness to us were cut during surgery. It takes at least 3 full months for those to heal enough to accurately communicate again. The 1/4 cup portion size is to keep you from inadvertently overeating and stressing your healing stomach. At about 8-10 weeks you may notice you can eat more, that's because the internal swelling has gone down. By then you should be able to start gauging your fullness signals. They are often different post op and can look like sneezing, a congested or runny nose, hiccups, pressure in your breastbone, nausea, etc... By 3-4 months out you may be eating more like 1/3 to 1/2 cup of food at a time. Not everyone progresses that way, some have high restriction all the time and have to stick to smaller portions. But the key here is to start building that relationship of listening with your body and learning that the feeling of hunger does not mean you are starving. If you are eating 1/4 cup of food 5-6 times a day, you are getting enough nutrients for your stage in the process. As @AmberFLmentioned, I suggested Millie's sipping broths (you can get a sample pack of all the flavors on Amazon) they help a LOT when you want something, the warmth and savoriness can really soothe the extreme hunger until it balances out on its own. 3. Stalls are normal and can happen early and often. I lost about 15 lbs in the first 3 weeks and then proceeded to stall for 6 weeks and gain and lose the same 4 lbs!! I was horrified and really worried my surgery wasn't going to work. I lose weight VERY slowly, my body is resistant to losing, and I have diabetes and such like you, which I think makes losing hard too. This stall was normal, even though it didn't feel normal. DS patients are known for losing dramatic amounts of weight and my surgery weight was 307, there was no good reason for the stall. But my body needed to take a break and recalibrate and heal, so it did. Finally after those 6 weeks I SLOWLY started losing again. Then at the beginning of February the weight loss finally started to pick up! A lot of people lose a ton at the beginning, I didn't. Apparently my body needed 3 months before it felt safe to start dropping weight steadily... All you can do is get good movement, good sleep (sleep is crucial to weight loss), good hydration, eat every few hours, and stay off the scale for a bit...it will break when it is ready to. 4. Hunger does eventually return to normal, or whatever is normal for you... I'm almost 4 months out and mine is back to what is normal for me. I still have to eat every 3 hours, if I don't I feel drained and irritable and my weight loss slows... I drink plenty of fluids during the day, it helped with the hunger. I feel my fullness signals clearly now, I think all that healing is finally done. I just have to eat slow enough to allow those signals to get to my brain (it takes longer than you think!). Broths, milk, coffee, tea, flavored waters, all these will ease hunger pangs, but the best cure is time and learning to heal your relationship with your hunger so you can feel it and not feel stressed about it. The great thing about eating every 3 hours is the next meal is around the corner, so I can drink something and tell my system to wait until mealtime. This helps heal the insulin resistance too by allowing your body to go through the full insulin response cycle post meal. I'm sorry this feels so hard. I hope your stall breaks soon! And I hope it helps to know you are not alone. ❤️

hi all, I posted this in the pre op forum for June buddies, but thought I'd also post it here in case it helps anyone. Here's my experience so far after getting the Gastric Sleeve procedure on 13th June 2024... Immediately after surgery It was pretty rough for me, I woke up in a lot of pain, so much so that the nurses had to give me 30mg morphine for the pain. I was in a recovery room for the first 24 hours (standard procedure for the private hospital in the UK i went through) After the initial 24hrs I was moved back to my room where I felt a lot better. Even able to eat an ice pop and a small cup of Tomato Soup (sipping of course) and sipping Water every 5-10 mins. Week 1-2 I quickly moved onto the liquids phase, in which I must have taken in around 2-300 cals per day through Protein Shakes and watery Soups. I must admin this phase was the hardest for me, managing the pain meds as well as trying to drink as much liquids as I could in a day. It just so happened there was an international football (soccer) tournament on in Europe in my first 2 weeks' recovery so was engrossed in that! I also started walking 1 mile per day and upping that to almost 2 miles by the end of it. My weight loss was drastic in this phase but my word I was lethargic/got tired v easily and not up for doing much. Week 3-4 Puree stage - finally I felt I was able to get some proper food in me, and a few days after starting this phase, my weight slowed right down - the dreaded (but expected) 3 week plateau kicked in. I went around a week and a bit without any weight loss, despite me sticking to the recommended diet. I am not going to sugar coat this, it was a bit disappointing standing on those scales after a week, but I knew this would happen so meh I guess. Still walking 2 miles per day during this phase and now feeling I have a lot more energy. Week 5-6 Week 5 started with me starting to lose a pound every 2 days or so, so my body seems like it has adjusted to the inro of more foods for the 'soft foods' stage. I also started back at the gym doing some cardio work on top of my walks, and oh boy I have so much more energy for it! I am now around half way through week 6 and had my first appointment with my nutritionist and he is blown away by the progress I have made/am making. He gave me further chewing tips to make sure I am not overeating as I have been sick a couple of times when I've eaten too quickly and not realised I'm full/satisfied. He is now happy for me to start introducing more fibred meats and more complex foods, like a little Pasta and a little bit of rice, to test the waters. Struggles so far: Reminding myself I have a new stomach not eating what family members are eating e.g. Sunday dinner Eating too fast resulting in vomiting Extra attention from people who have noticed a loss in weight (47lbs and counting since pre-op liver diet). Since I've been overweight most of my adult life, I carried a lot of shame internally, so its in my nature not to talk about myself/get photos taken etc Wins so far Losing a lot of weight and all the benefits that go with it. Being more present with my family. Having the energy to do everything they want to do (I have a wife and 2 kids, girl 11, boy 7) Clothes! I have dropped from XXXL to XL already. Which was a surprise when I packed to go to a 5 day getaway with my fam in week 5 Mental health - the mental benefits come as such a relief. I no longer feel down about my weight (although I know I still have a ways to go) Confidence - generally just feel I can be more myself - hopefully some here will resonate with this. Would be great to hear of your experiences so far, especially if you had your procedure in April/May/June/July!