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Happy Monday everyone! I just wanted to start a post to just check-in and see how everyone is doing, regardless of what stage we are at, pre or post surgery I feel that after complaining that I wasn't feeling full, now that I am on proper food, I am feeling it, and boy is it a struggle 😂 On the plus side, I feel a lot better in myself already, and I am going to go back to the gym! Just body weight stuff and light cardio to begin with, and maybe 2-3 times a week. I notice that I am getting dizzy spells lately, probably due to struggling with eating much, so I will be mindful of that! I've had some people comment on my weight loss already - which admittedly was quite nice - they were friends and I don't mind hearing it from them, but they were just proud of me regardless, which made me feel quite good. I hope everyone is doing well ❤️

Ok, so a couple of things. First, let's look at things a little differently when it comes to that pound you lost. You LOST A POUND!!! Which means you DIDN'T GAIN A POUND!!!! WooHoo!!!! Sometimes, we have to remind ourselves that ANY loss is still a success. Some weeks will be better than others. This is a marathon, not a sprint. Next, you know where you went wrong with the foods you ate, you know you retain water when you have too much salt, so now you know what to avoid. Sometimes, the best way to learn is by trial and error. There's nothing wrong with experimenting with new foods. Just read the labels carefully and make adjustments accordingly to how much of that food you eat and what you eat the rest of the day to compensate for it. Finally, if I were to make a suggestion, I might say to lower your carbs a bit. That seems like a pretty high amount, and unless you're carb loading for intense workouts, I don't think you need to be over 100 carbs per day. PERSONALLY for me, I never go over 50, and that's on weight training days. But again, that's me. It just works out the best for my body. But I, too, had to experiment until I found the sweet spot for my body in regards to calories, carbs, healthy fats, protein. All in all, give yourself some grace, take note of what your body did and didn't do this week, and make changes as needed. You're still doing great, and you'll get to where you want to be. Don't worry about that.

It’s been a really frustrating week. It took me right back to the feelings I had when trying yet another weight loss regime and getting nowhere 😡 I have been trying new things this week plus sticking to my eating plan. However my weight has been all over the place, even though my calories have averaged 1400 per day, my protein intake around 100g and my carbs between 100 - 140g. I’d forgotten a couple of basic things - my body doesn’t do well losing weight when I’m throwing down a handful of pain killers 3 times a day and I didn’t check my salt intake. I retain water like mad when I have high salt foods which a couple of the new things I’d tried this week had (looking at you low fat sausages 👀) But, lesson learned with that, especially as I had bookmarked these sausages when I had to complete the liver reduction diet (allowed on my NHS trusts plan) Better to know now and not later when I know it would have sent my in to a proper flap! Overall, a whole 1lb down this week. Not a roaring success by any means but I did stick to plan and I didn’t fall headfirst into things I shouldn’t! Plus I am at a lower weight now than my initial reported weight to the clinic by the GP so that’s a positive 😊 Onwards and Downwards!

Looking pretty fine there @Lilia_90. Actually @GreenTealael started a thread the other day where a few of us have started sharing our maintenance stories which you may find interesting. Link below. 😁 What you have gleaned already is certainly true: there are many different ways of successfully managing your maintenance. As I say, & say very often, the only right way is the way that’s right for you. In the beginning you may find you are a little more controlled about what you are doing but over time you become more flexible in your food choices, eating style & how often & how much you eat of certain things. As you progress you continue to learn more things about what you can & can do. Well that’s how I was & am now. Certainly more flexible about some things. Bring in maintenance didn’t stop me going out & socialising with friends & family. I just was & still am very conscious about what I chose to eat, how much I ate & ensured I still ate slowly. Sometimes you have to make the best decisions you can in the situation. They may not be perfect but you can’t beat yourself about it. It’s not like you’re doing it everyday. I don’t track, but do random checks especially when I introduce new foods or new recipes. It may be checking calories or looking at ingredients & swapping some out, weighing serves t check portion sizes (weighed my cooked vegetables last night as I’ve added some extra ones & wondered if I needed t adjust the portion) or changing the cooking methods. I usually weigh a few times a week. I do this as previously if I thought I was gaining I wouldn’t get on the scales - it’s not true if there’s no proof. So weighing myself every second or so day keeps me honest. PS: It takes time to get past the body dysmorphia & being able to see how you really truely look now with your weight loss. Even with the evidence of body measurements clothing sizes, photos, number on the scales it can be hard to see the reality. Those fears of looking ‘sickly thin’ are very real with the dysmorphia. Doesn’t help when people around you may still be playing catch up too: Oh, you’re so thin. Don’t lose anymore weight. You look too thin now. Try to ignore those comments & in some cases you may need to tell others to butt out & mind their own business. In time & with regularly looking at the evidence you’ll come to accept & see how you look now. Though I still am surprised sometimes by how I can comfortably fit in small seats & squeeze through tight spaces. Understanding the space I physically take up in relation to the physical space around me.

Get your protein up to your recommended intake. That should always be your focus. Then ensure you reach those fluid goals. Are you having regular blood work taken? Is that indicating you are lacking in anything? Actually there aren’t any rigorous scientific research into the benefits of collagen on hair growth or strength. The studies that exist are funded by companies that produce collagen supplements. Best to get all your protein in so you’re getting all the complete amino acids your body needs not the few in collagen. Hair is made of keratin, not collagen, and you need the complete range of amino acids (protein) for your body to produce the necessary keratin. The different lengths of your new growth hair could just be from the different times it starts coming in (it doesn’t all grow in at the same time). But maybe give the bleach a rest for a while until things settle. Have a chat with your doctor &/or maybe a dermatologist to check your scalp & hair health. Has your hairdresser said anything?

Hey all, does anyone have any tips on the regrowth? I had my surgery 16 months again and it feels like it's taking forever to be healthy again and to grow. It looks brittle and thin with some breakage. I know I need to up my protein and water, has anyone taken anything to help it? I'm taking Collagen, but I don't think it's helping anymore. I have different lengths closest to my hairline. Part of it I believe is from the surgery and the other part I know it's from Lightening my fringe in August. Now the hormonal acne. Wow, that started in January. I've never had this bad of acne before and it's pretty painful. It'll come, stay like a week one or two will go away and come back and repeat the process. Annoying. I know the hormones change after surgery, but I wasn't expecting hormonal acne 😄

With almost everyone I've encountered who lost a lot of weight rapidly and may have looked "too thin" for a while, it's a temporary thing, just until the body has the chance to shift fat around to different places and even everything out, which it doesn't necessarily do during the weight loss phase. Plus, it's an initial shock when you're used to seeing someone (including yourself in the mirror) look one way and now they are very different and it's jarring. I know within a year at the most after my brother had VSG and went from 300+ lbs to around 150 lbs (which was very skinny because he's 6ft tall), his appearance went from shockingly skinny to totally normal and healthy, even though his weight didn't go up during that time. Within another year after that, he'd gained several pounds and was at a weight he maintained for several years after that. It was all just part of the process.

out with the gals last night...had margaritas with a side of guacamole and chips for dinner omg. i kept meaning to order a proper entree, but just didn't get around to it so just ate the leftover chips and guac that was on the table... the margaritas alone were like 800 cals! so warning to those drinking mixed drinks during weight loss phase! keep your calorie counts in mind! one of my margaritas!

i say just keep doing what you are doing, if it feels good and natural to you. i can almost guarantee you that you will NOT wither away and die. so long as you are not in any danger zones (based on labs and your doc's opinion), then you should be golden. just ride the ride and see where you end up. you will most likely gain a bit after you hit bottom, so a cushion is always good. the fear of losing too much weight is a very, very common feeling in our demographic. very, very few actually prove that their worries were warranted long term. i've only known of exactly 1 person (if any!) on this forum for the almost 6 years i've been on here that had an almost-serious issue with ongoing weight loss..but i suspect it was mostly mental vs. physical. i myself had a mini panic for a month or so after reaching goal. and like everyone else, it eventually became a non-issue. i weigh less now that at that time when i was panicking, and in no way do i think i am too skinny today...nor do the people who told me i was waaaaaay to skinny at 127 lbs. now they tell me i'm super hot at 118 lbs. 🤷🏻‍♀️ good luck!

Thank you! I'll try to reply to everything. It took me some time, but for me personally the main reason I went with the sleeve is because I want to build muscle on top of the weight loss over time, and nutritionally it is easier to get the amount of nutrients needed to bulk up with a sleeve. However, that was not an easy decision and I did speak with two doctors first to educate myself. Both recommended that I went with a Deudonal Switch because of my diabetes as it would help that faster, however that is an option I have in the future if need be. Of course I'm not a doctor, so I would say this depends a lot on your personal factors and what would help you best. My sister had a DS done and she dropped over 200 pounds of fat, she's a different person now. My sister is also very short and I'm 6 feet tall so we carry the weight very differently. Either way, as long as you get it done I think you will be alright. No disrespect to the forums, but I understand the hesitancy from looking around here. However, I would say to look at this as more of a support group and a place for help from others that have gone through it. Everyone is completely different as far as what happens. I have been fortunate to have little to no side effects at all, others are not as lucky. I can say that before and after surgery it's up to you to control how well you achieve your goals. It's hard but absolutely worth it. You got down this far on your own, you should be proud of yourself. I'm proud of you. Don't look at surgery as a miracle cure for weight loss. Look at it as a tool that will aid you to achieve your goals much faster. After all, once you have the surgery it's on you to follow the meal plans, supplements/medication, and exercise in order to truly achieve your goals. And knowing your journey so far, I think that whatever you have done will help you immensely. Thank you again for sharing your story. Feel free to reach out if you ever need to.

Hello and welcome! Also -- congratulations!! How exciting it must be to be at that stage of seeing the weight peel off, and past the point of initial recovery, and past the point of choosing which surgery to get. I noticed that you chose to go with the sleeve as opposed to the Roux-y surgery. I think that's where I'm likely to begin, myself. I have bounced around, investigating what they call a SADI-s / Loop / SIPS surgery which has an extra component with the intestine beneath the sleeve, often done as a revision of the sleeve for those who regain weight or aren't satisfied with their results. It SEEMS to have fewer side effects than the Roux-y (full gastric) but I just don't know. I've also been given a fair amount of advice suggesting I try to find an expert to do the duodenal switch (DS) due to my BMI being in the high 50s/low 60s. I'm certainly willing to try to go that route but as someone else said -- there is usually a LOT of back and forth before committing to surgery and I'm almost 7 months into the program I'm at with my current surgeon. How long would it take me, realistically, to get this far again? WLS is such a difficult and scary commitment, and then getting on here BEFORE having a surgery has filled my brain with so many more complicated options. Its kind of hard for me to commit to big decisions and sometimes I wonder if learning more and more is making matters harder for me. I love to feel in control of what's happening with my body and try to inspect EVERY detail such as to avoid any regrets -- but sometimes staring at the water for too long makes one less likely to jump in, doesn't it? But you've DONE it! I think the sleeve is a great option and respect your choice, and am so happy that it has gone smoothly thus far. It could just be my perception, but most of the men I've seen post about their surgeries seem to indeed have a bit more gentle recovery, with fewer complications. I've seen a lot of folks caution me (this forum and others) about whether I'd be satisfied with the degree of weight loss if I were to go with a base sleeve, Roux-y, or SADI-s. This makes me really appreciate where you talked about that dark spiral and maxing out at 407. I say this as someone who feels like I understand pretty dang well what you're talking about because my max weight was 435! Being 'down' to 366 feels a heck of a lot better by comparison, and I got this far by myself, so maybe I don't need to be as concerned about satisfaction with the numbers as I do making sure I'm comfortable with the process of surgery to help me continue my weight loss journey. Please keep us in the loop as you continue on to your goal! Also - congratulations to the rest of you posting here who are inches from your goal weight or have already made it there!! No matter what surgery (or surgeries) helped you get there, you DID IT! Definitely an inspirational group of people here!

When I had my initial sleeve surgery, my kids were 24 and 15 and my granddaughter was 1. None of them had ever seen me thin. I was 240 pounds when I had my son and his first real memories are from when he was 2 and I weighed 270. When I had my daughter, I was 315 pounds and her memories are from around 3 years old and I weighed 340. My highest weight, when I had my initial consultation, was 421 pounds. I lost 33 pounds pre-surgery and I was 388 on surgery day. I knew I had to be open with them, so I just came out and told them the truth. I went over my goals for health, getting off medications, increased mobility, weight loss, etc... They were both surprised but really happy for me and supportive. Now my kids are just so proud and impressed with not only my weight loss, but the improvements I've made with my health, my overall fitness (one of my son's favorite things to do with me is go on hikes now). My granddaughter only knew me as 421 pounds. She's 3 now, so it's taken her a little bit to get use to me being thinner (she lives in Arizona and I'm in Colorado, so she doesn't se me a lot, so the changes are more dramatic for her). I'm glad I was open with my kids, because it taught them about the real struggles with morbid obesity, the tools available, and they saw first hand the changes that have to be made, the relationship with food that has to improve, and the work that has to be put in. My son said he always looked at the surgery as a way for someone fat to be lazy and take the easy way out. Now that he's seen what it REALLY takes, his whole opinion changed.

I don't know how to feel about this. Not because she's taking weight loss medications, but because she's taking these 2 together. I've done about 4 hours of research and 95% of what I read says NOT to take these 2 meds together. The other 5% is from people who take them together and have had excellent results. She gets the phentermine from her doctor and the Tirzepatide from a compounding pharmacy (they mix it with sterile saline and not B12 or niacinamide). I don't think she's told either provider that she's taking them together, and I can't help feeling like there's a reason she's hiding it. I'm on here partly to vent because I've shown her the research and expressed my concerns and she isn't listening, but also because I'm wondering if anyone here has combined phentermine with either tirzepatide, Zepbound, or Monjauro, and if so, how did it go?

Since I started my weight loss journey 2 years ago with my first surgery, he decided to change his eating and exercising habits. I lost 200 pounds in 2 years, he lost 66 pounds in 2 years. We're both absolutely thrilled My A1c went from 7.9 to 5.0, no more more high bp or diabetes or high cholesterol (mine went from 249 to 170). His A1c went from 12.8 (yes you read that right) to 5.9, no more high bp, and his cholesterol went from 266 to 194. I went from a size 30/5x to a size 14/XL. He went from a size 52 waist to 42. And from a size 3x shirt to XL. And we go on 3+ mile walks together twice a week and he works out for an hour to an hour and a half twice a week with me (I work out above and beyond that). He's changed about 80% of his eating habits. He's more confident and happier, as am I . It certainly helps when you have a supportive spouse that wants to better themselves because they see you doing well and get inspired. That's what he told me

I absolutely LOVE to pull out my historical spreadsheets! thanks for giving me an excuse to do so!!! 1. Pre op weight, BMI or measurements 2. Surgery type VSG (Sleeve) October 24, 2018 3. Lowest post op weight, BMI or measurements and when it occurred 4. Maintenance weight, BMI or measurements and when it occurred Stabilized at about 115 lbs (BMI 21) around June 2020 and stayed that way for about a year or so. Unfortunately i don't have measurements for that time but i think they were similar to my lowest post op weight above. 5. Bounces (up or down) in weight, BMI or measurements and when they occurred around year 3 i averaged closer to 120 lbs (but rarely ever above 120), and have stayed that way until today (almost 6 yrs post op). This morning I weighed in at 119.4 lbs. 6. Methods used to maintain and what has/has not worked i track my food intake almost daily i weigh myself daily when i have access to scale (i also take my measurements once a month) i engage in regular exercise. i try to NOT eat to fullness (don't always succeed) if i want to eat something, i do, but i generally limit it to tastes/bites, vs full on meals. i generally ONLY eat things i really want to, and skip the stuff i deem "not worth it", as i consider it a waste of valuable stomach real estate. 7. How your life has changed (losing vs maintaining perspective) i eat carbs now lol (i avoided them like the plague during weight loss phase, and a year or so afterwards). its been a while for me know and i do notice that i am not as worried as i used to be about regaining weight. i think i've learned to trust myself in that i can make good decisions about my health and weight maintenance, and that i know i am flexible/resourceful/confident enough to make changes and adjustments WHEN things change. i guess that is it really, i am exponentially more confident than i was before: in terms of decision making, self-image, relationships, dealing with stress, all of it. I am so much more CHILL. Life is really good (plus im super HAWT, lol) 8. Words of wisdom/cautionary tales/stories of beating the odds Don't give into the angst. Don't try to do stuff that is beyond your abilities or desire. Don't compare yourself to others. Exercise. Drink water, Wear sunscreen.

Just coming in to say I am in the same boat. One day I washed my hair and so much came out I got scared. I started adding collagen to help with new growth and I have been taking biotin since before surgery. Its just one of those things. Nothing we can control. Just take all your vitamins, collagen, biotin to help with the new growth so it comes in healthy. I am actually contemplating a shorter hair cut. which I have never done so I am panicky a bit lol but im vain LOL

For all my currently stalled folks, I want to offer some hope. I hopped on the scale this morning (like I do every morning) and I was down another 2 lbs. Since yesterday! That makes 6.4 lbs in a week, which is more weight than I've lost in one week since my very first week on my pre-op diet. I am in shock because I was so convinced deep down that the stall was going to be the beginning of even slower weight loss for me, especially now that the magical "first three months" was over. So don't lose hope! In other news, I finally bought that air fryer I've been thinking about for a year, so hit me with your simple, go-to air fryer meals!

While I was losing I didn’t cheat. In saying that as I got close to my goal & then when trying to maintain, I stated developing a way of eating that would allow me to enjoy the foods I wanted to, enjoy my life & how I wanted to live it, and still maintain my weight. Actually I don’t like the word ‘cheating’ in regards to eating. Too negative much like the word ‘diet’. To me they mean failure, weakness & punishment. However or whatever you chose to eat now or in the future must be sustainable. It must complement your lifestyle and support your weight loss & long term maintenance. If you choose to eat in a restrictive way that means you can’t participate in social activities or makes you feel you’re missing out, it’s destined to fail. Especially if you are defining any diversions off that path as cheating. But if you adopt a way of eating that is flexible, means you can have pizza with your family or friends, or have birthday cake, or whatever & you accept this as just how you eat in your life, it will be sustainable and lead to long term success. You’ll have to consider portion size, frequency, alternative ingredients or cooking styles but it certainly isn’t cheating in my thinking. Well that’s what I believe.

The stress of the surgery, the weight loss, hormonal changes, etc. accelerates your natural hair loss cycle. So the hair you are losing would have fallen out at some time it’s just happening faster. As @vsgcriminal said it’s very common, it starts around month 4+/- & lasts 3 or 4 months. It’s common after times of high stress, pregnancy and other major surgeries. It’s also quite common to undergo a period of heavier hair shedding every 7 or so years. (Just had one which lasted four months with a similar loss to my post surgery loss.) Yes, it can be scary at first but it usually isn’t really noticeable except to you & your hairdresser. Many of us cut our hair shorter so it takes less time for your new growth to catch up to the length of your hair. (You’re still growing new hair just at its usual rate.) Plus shorter hair is always bouncier and therefore looks thicker. How much hair you lose is very much an individual thing like most things after. Remember though the hair on your head is already dead and was ‘scheduled’ to fall out. Any additional vitamins or hair growth supplements will only help strengthen new growth. (Fertiliser can’t save a dead plant 😁.) And those who do take supplements find the hair loss still lasts 3-4 months. My hair grew back as thick as it was before surgery.

i used to get that in the early days/months of wls. it got better as time went on. my doc called it orthostatic hypertension and is apparently a common condition during rapid weight loss and even just after a surgery (wls or not). but my blood pressure readings were always on the low side...not normal like yours. are u eating less than normal? i do recall u just had a recent surgery...did it start after that? p.s. at the time my doc said to add more salt to my diet...which was fine by me cuz i love salt 🤷🏻‍♀️

Orthostatic hypotension or postural low blood pressure. Your blood pressure drops on standing or sitting up because your blood pressure is low it takes longer for the blood to get back up to your head on changing position. Hence the dizziness & narrowing of your vision (if you get that too). I get it all the time. I can even get it if I stretch up to get something from a high shelf like at damn supermarkets. Keep hydrated, which you would be, get up slowly & then wait 10-20 seconds before moving. Some say pumping their legs or rotating their ankles before standing helps but it doesn’t for me. I was on a med for low blood pressure for a while but it didn’t help. I just live with it. Do try to grab for a table, chair, wall or even person if it happens just to ground me for those few seconds until everything stabilises. Sometimes I’ll bend over (head at waist level) so the blood gets back to my head faster. I always had a tendency for this (low blood pressure runs in the family) so the only surprise was the frequency of it since my weight loss.

Hair loss is a super common concern with being post-op! and I hear you on not wanting to continue to lose hair, because it was quite distressing for me too lol. This type of hair loss, known as telogen effluvium, typically begins around 3-6 months post-op and can last for several months. Make sure you're staying well-hydrated and eating a balanced diet rich in vitamins and minerals. Iron, zinc, and other nutrients play a role in hair health. Hair loss after surgery is usually temporary. It might take a few more months before you see improvement, even after you address nutritional deficiencies. Keep up with your protein and supplement regimen, and be patient with the process. With all of that being said, it is something that you just need to ride out unfortunately. A big part of it is also because of the "delayed response" of not getting enough protein earlier on in your journey, so even though you're hitting your protein/vitamin goals now, it's still going to take a minute to kick in. It typically resolves with time and proper nutrition. Keep focusing on meeting your nutritional needs, and your hair should start to recover. Wishing you all the best on your journey!

Hi , I'm 5 months post op , I noticed hairloss around 1month a go , when I wash my hair I lose the most , some days I loose more hair then others, I take my vitamins everyday , I don't get my 80g of protein in a day like I should, I'm really starting to try hit my target each day now of 80g , I've added in protein shakes to help achieve this, how long does this hairloss go on for ? It's been 1 month, i really don't want to loose anymore 😓😥😢 I take the highest strength biotin I started taking that 1 month pre op, I'm going to start taking collegen , is this something I just need to ride out ? I know my hair will grow back but I don't want to lose it in the first place

March buddies, how're you all hanging in there? Is everyone nicely healed up? Are you coming across any difficult hurdles? Finding a love of new healthy foods? How's your hair lol? Me, I keep hurting myself, lol. First I tried recumbent biking too early -- even though it was on the most minimal setting, my care team scolded me good for that. But even as recently as last week, I bent/twisted sideways while sitting at my desk trying to reach my purse, but it was snagged on something and something about being in that position too long (or tugging a resistant object) aggravated something internally. The same area that took the longest to feel 'normal' and not tight after surgery. I feel like a dope. My hair has just started thinning in the last week or so. It was only a few strands from all over at first -- not concentrated anywhere -- so I got a new haircut hoping that the thinness would look purposeful. Two days after I found a little patch right at the front where my buzzcut ends and the bob-length hair begins. C'est la vie. I'm finding I'm craving sashimi on the regular. It was one of my first meals 'out' after surgery, so maybe there's something psychosomatic going on -- but when I eat it, it just feels like such a clean protein and is moist so I know it'll go down easily. It's my new comfort food, I guess. (Ironically, before WLS I could really only stand salmon or butterfish sashimi, everything else had to be in a roll, preferably with spicy mayo or unagi sauce -- and I hated tuna -- but now yellow tail and tuna seem to be my go-to.) I'm dealing with the cravings much better than I would've pre-OP, but I swear every three or four days something in my brain is trying to convince me that I should ignore my pre-packed lunch and go pick up some ice-cold fish instead.

Must meet one of the following three criteria: 1. Must have a minimum body mass index (BMI) of > 30 with a diagnosis of Diabetes Mellitus. 2. Must have a BMI of > 35-39 and must have at least one of the following conditions: a. Degenerative joint disease of major weight bearing joint(s). The member must be a candidate for joint replacement surgery if weight loss is achieved. b. Other rare chronic conditions (for example, pseudo tumor cerebri) in which there is medical evidence that bariatric surgery is medically necessary and that the benefits of bariatric surgery outweigh the risk of surgical mortality. 3. Must have a minimum BMI of > 40 Here is their wording. I’m obviously number 3 I’m just worried it’s a case by case basis and they won’t approve me.