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Hi OP! Lots of us won't know what trimfit is. Or how it would help a post bariatric surgery lifestyle. I think most of us just stick to the plan our surgeons set out. We see greater or lesser losses depending on a number of variables. Please could you provide a link or a clearer description of what it is and what you're hoping to achieve by incorporating it into your plan?

Thank you for the response @learn2cook it’s a little scary even though it seems to be really common. I don’t want a revision and hoping I can just get a hernia repair. But such is life. The doctor said I also had some curves to my sleeve so a revision maybe in my future. But he wasn’t a Bariatric doctor but a gastro. Thank you

I had a 6 week follow up with my surgeons bariatric team.. I was asked how things were going and how I felt I was doing.. I went in with some many questions and concerns in hope of making myself feel better and not feel so overwhelmed.. I left my appointment feeling like I have not done anything right. I was told that I am not eating enough protein and that I was not drinking enough liquid. I don't know how much more I can do. All day I feel like I am either drinking my water, eating something or waiting the 30 minutes between so I am not sick. I knew this would be hard and it would take some time to get used to my new life/ routine but todays appointment makes me wonder if I made a mistake of getting the surgery.. I got back in 2 months. I hope it is a better appointment thank you for letting vent...

Hello all I was wondering if anyone else has had this rare complication. I got my sleeve done in Mexico Oct 2021. About a year ago, January 2023, I noticed I started to have excessive saliva. It started randomly but picked up more. Well fast forward to January 2024 I got an endoscopy and was told my sleeve is “tortuous” and I have a hernia. This means that my sleeve has a lot of turns. I don’t feel any pain but the acid reflux which was manageable completely prior with one 20mg Prilosec, some days didn’t have to take it at all, has now been more annoying. I’m getting a referral to a Bariatric surgeon here in the states even tho the gastro told me I’ll be fine and don’t need to do anything. I’ve read that a twisted sleeve happens to about less then 2% of sleeve patients. I’ve also read some great success stories of surgeons fixing the twist and hernia without revision to bypass etc. I’m hopeful and not in any pain. But I don’t want it to get worse and it’s just a little overwhelming. Thank you!

Courtnay, I am so sorry you had such an awful experience... I had some nurses that really irritated me and treated me poorly but an orderly found me crying because I was in so much pain and stressed by the nurse and so she reported the nurse, which was uncomfortable in the moment because I had to talk to a bunch of people, but really made them treat me decently the rest of the time! You can definitely have the bypass later once the sleeve takes off some weight. This happens sometimes with DS surgeries where they end up doing the sleeve first and then the intestinal part later once some abdominal fat is lost. Livers can be really tricky. Mine was still "plump" during the surgery, I just happen to have an extremely skilled surgeon who was able to work around it, but he told me sometimes that isn't possible. And I really want to say this, what happened to you IS NOT YOUR FAULT!! I'd find a therapist that deals with trauma, specifically medical trauma if possible, to help process this experience. Later down the road if your weight loss isn't stable you can consider converting to bypass or DS, you have options now with the sleeve! I know it isn't what you wanted, and I don't understand why the doctor didn't just close you up and try again later if you felt so strongly about it, but hindsight is always 20/20 and the good thing is that the sleeve DOES take off weight and that weight loss will help you feel a lot better. You should be on a good PPI with your heartburn, twice a day if needed. Omeprazole was always useless to me, so I use pantaprazole in the morning and Dexilant in the evening, both are prescription and they work wonderfully, no food triggers at all. You don't have to suffer with heartburn and reflux, they really should sort your meds out for that. It will make nausea and eating a lot easier. Oh and a few weeks out my digestive system was very testy. I had IBS before and it was grumpy post surgery. Fairlife shakes make me run to the bathroom for days for some reason! I like the Syntrax Nectar fruit flavors, they are like juice. Seeq is also good, it is like juice too, they are water based protein drinks, not creamy milk ones, and my digestive system handles them both better. You can get samples of Syntrax from Bariatric Pal and samples of Seeq from their website. Sending you lots of love... I hope things ease up soon and those hormones calm down, they are really rough after surgery! ❤️

Hello all I was wondering if anyone else has had this rare complication. I got my sleeve done in Mexico Oct 2021. About a year ago, January 2023, I noticed I started to have excessive saliva. It started randomly but picked up more. Well fast forward to January 2024 I got an endoscopy and was told my sleeve is “tortuous” and I have a hernia. This means that my sleeve has a lot of turns. I don’t feel any pain but the acid reflux which was manageable completely prior with one 20mg Prilosec has now been a little more annoying. I’m getting a referral to a Bariatric surgeon here in the states even tho the gastro told me I’ll be fine and don’t need to do anything. I’ve read that a twisted sleeve happens to about less then 2% of sleeve patients. I’ve also read some great success stories of surgeons fixing the twist and hernia. I’m hopeful and not in any pain. But I don’t want it to get worse and it’s just a little overwhelming. Thank you!

I was very nervous for the same reasons. I started a modified bariatric diet a few months before surgery as part of the preparation, also stopped any caffeine or sugar. I have gastroparesis so eating before strenuous activity is never a good idea for me but I would feel so nauseous and lightheaded. After I started the bariatric diet I realized that even if I was hungry when I started my lap swim, I could still do a normal work out and feel good. The diet allowed me to maintain a consistent level of energy that I had never experienced before in my life. The 2 week liquid diet was not my favorite, days 2 and 3 were the worst for me, day 4 was better until the day of surgery. I didn't like it, but I still was able to exercise daily. I had one episode of woozy..reviewed with my nutritionist and found I was not getting enough sodium, added a daily broth and that took care of it. I know we're all different but this may be same for you and if it is, I'll be happy for you. I feel so much more free now. I don't have to worry about scheduling activities around food/hunger/etc anymore. I can plan my eating around my activities, if that makes sense?

Just for a little perspective, a good rule of thumb is that on average people lose about 50% of their excess weight by 6 months, then it will take the following 6-12 months to lose the remaining weight because loss slows the closer you get to goal. Your 50% mark is 45 lbs, so you are technically ahead of schedule probably when it comes to your weight loss. Take a moment to let that sink in and celebrate it! That's a big deal! Yes, working out for some people slows their weight loss according to the scale because they are exchanging fat for muscle and their fluid balance changes. But, another issue is that some people don't eat enough to fuel their body and workouts when they are in a losing phase, which will also cause weight loss to slow down. You need a session with a bariatric trained nutritionist to help you work out what your target calories and macros are so you don't end up in starvation mode and ruin that nicely reset metabolism you got compliments of the surgery! Stalls are a normal part of it. I stalled one month out from surgery for 5 weeks. It was really lame and I have way more to lose than you do. But it is all part of the game! Putting too much stress on your body and emotions will definitely trigger slower weight loss too as was mentioned above. This is a marathon, not a sprint... ETA: Almost forgot---are you monitoring your measurements?? Most of us lose inches when we aren't losing pounds according to the scale. That's because even when the scale is at a halt, our body composition is changing! Take those measurements!!

What does your bariatric team say? We both had surgery in August and according to my team I should be at max 800 calories a day, 50 carbs max a day and 80 grams of protein. 1200 calories a day sounds closer to a maintenance amount... On average on maintenance a person should get from 1200 - 1800 per day. I'd check with your surgeon/dietician and see what they say since each surgeon has their own plan, but if you're putting weight on and sticking to the diet..they need to know. Good luck I hope this helps. I'd add more exercise and less carbs and calories..but I'm not a medical doctor.

I have yet to get a date. I was trying for the Duodenal switch. Insurance denied, it was expected since that was the only bariatric surgery they don't cover, but it was worth a try. Resubmitted for Rouen-Y gastric bypass. Should hear back in a week or so. Hopefully I can get a surgery date in February.

I am turning 50 in a few months, and I've struggled with my weight most of my life. At 26, my BMI was probably around 30, but I didn't have the health issues so it was just a nuisance to me. I tried dieting and healthy eating for years, but my weight increased steadily in typical yo-yo fashion. Post-pregnancies, I spent my late 30s and early 40s in the 35-39 BMI range and started getting co-morbidities. By the time my BMI hit 40 this past year, I was aching in my feet and joints, had high blood pressure and cholesterol, and was prediabetic. So it's not about weight or appearance at this point but getting control of my health now, while my body can still bounce back and hopefully age more gracefully. I feel like I'm at that tipping point where if I don't act, the next decade will not end well and I will not have a good time of my senior years. This is despite all my best intentions and 7 years of actively going to a weight management doctor. All of that is to say that trying hard and knowing the right things to do rarely leads to success if you are prone to obesity. It's a disease, not a moral failing, no matter what people tell you. Unlike dieting, weight loss surgery provides lasting metabolic changes, as close to a cure as you can get. And you still will have to make all the lifestyle changes you would need to do anyway to lose weight, but they will actually work (instead of spending the next 24 years getting bigger and less healthy like I did). I have posted frequently about what a huge fan I am of Dr. Matthew Weiner's books, YouTube videos, and new podcast. Honestly, his books were life changing for me in terms of my perspective. I highly recommend starting there. He has 3 books, one is called Pound of Cure and gives great, scientifically sound information on what a healthy, set-point lowering way of eating looks like and how to get there. The second is a book that explains exactly how gastric bypass and sleeve surgeries change your metabolism and why they work (it's not just a smaller stomach and eating less!). The third is a cookbook with bariatric friendly recipes and serving sizes for different stages. These books are super fast reads. You can probably get through all three in a week (minus making all the recipes, of course!). With three months to go, my suggestion is get these books and start implementing the diet changes in a deliberate way. Start exercising in a sustainable way, working up to it little by little. See how you feel. Don't do crash diets. Don't start anything, whether food or exercise, you don't think you can basically do 90% of the time for the rest of your life, because there's no such thing as doing it for long enough to lose weight and then getting to "go back to normal." This has to become your new normal, with or without surgery. In three months, if you really aren't sure about the surgery, don't do it. It'll always be there. But know that it's an additional tool that will make the hard work you have to do either way in order to keep your health for the rest of your life more likely to stick. Without it, there's a very high (but not impossible) chance you will not be able to keep your weight in a healthy range.

You sound as if you have a great deal going on in your life. You need to take a moment out of your busy life to just breathe. Three months is still a long time to decide which way you want to go, either with surgery or not. You can cancel right up to the minute you walk into the hospital. A few have. This may not be your time. So lets take the things that you are most worried about, Your hair. You will not go bald. You probably will loose some of your thickness. You are young, you have masses of hair. When you are as old as I am you would have already have lost lots of hair due to menopause, so I started off with a deficit. It did get a little scary and I needed to get my hair cut really short but I do love the freedom that it gives me. I felt it was worth it. This surgery was my last chance at a normal life. You will not loose too much weight, you will stop a right place for you. You need to up your calories until you get to a balance. I am ok on 1500 calories a day. I have a slow life, I dont work anymore. I go out with friends, I eat and drink as before. The only thing I do not do is overeat. I don't miss doing that, my friends might do. Especially if they liked to overeat with me. How do you see yourself ? Not how others see you. They may want a fat friend to bolster their own negative ego's. Do you put weight on every year and keep it on ? We all did. We did diets after diets and put it all back on again with added weight. Lots of us ended up with weight related illnesses like diabetes and blood pressure. If you think you can loose weight yourself and keep it off then you need to try. Give yourself 6 to 12 months to do it. Bariatric surgery is not an easy option but if you stick with it, it is a solution. If you do not follow the guide lines then like a diet, it will fail. You should go back and chat with your surgeon. You need to be totally happy with your decision. Give yourself the time you need.

The best option would be to contact your old bariatric team. They can set up a comprehensive diet and give you guidance on what and how to kick start your new plan. If for some reason you can't do that, look at how and what you've been eating, cut back on calories, carbs and fats. Are you going over the maintenance limits? Its the same rules as before you had surgery: less calories in than you burn off. Go back on a reduced calorie, carb fats diet.

After having my surgery cancelled last month due to the abrupt closure of my hospital's bariatric practice, I have a new date at another hospital in the area and can hardly wait for the time to fly by. I'm scheduled for gastric bypass on February 21. Any other February peeps out there?

With about 5 months ahead of you, I suggest making some changes to your eating now to break yourself of bad habits and get into better ones. For example, I started this journey in July and spent the first month cleaning my cupboards. As I used up unhealthy snack foods, sweets, and processed foods, I opted not to buy more. I replaced the crackers and chips I would snack on with dry roasted, lightly salted nuts. I added a lot of veggies and fruit to my diet every day. The next month, I stopped drinking diet soda and artificial sweeteners and cut way back on sugar. The next month, I stopped buying bread and cut way back on dairy. I bought a few bariatric cookbooks and have been finding recipes to try. I might still have bread, diet soda, dairy, or sweets every so often when I'm out, but I don't keep it in the house, which means I'm avoiding it probably 90% of the time. I also started taking my vitamins so I will be in the habit of taking them every day and not forgetting. Oh, and I got into a good routine with water and trying to remember to take a water bottle with me wherever I go. Changes like that will hopefully go a long way in helping you feel mentally prepared for the changes you have to make post-surgery.

300-500 calories a day at 6 months seems low, at least by my bariatric teams outline and booklet/plan given to me. I'm at 4 months and eating regular food at 800 per day. I'm told its right on track. Have you spoken to your doctor/dietician? Perhaps do as I was told instead of three meals a day - have 5 small meals to get you to where you need to be? Either way, I'd check with your doctor.

I'm sorry to hear you we're denied. Just keep pushing them. It amazes me that insurance companies refuse to pay for bariatric surgeries and weight loss drugs BUT have no problem paying for a lifetime for the health consequences of being obese. I know I'm going out on a ledge here for potential condemnation but..those same insurance companies will pay for gender reassignment surgeries AND reconstructive "cosmetic" surgeries for gender reassignment (that in the long run is cosmetic to align with how patient perceptions are - no different than skin removal mentally) but they won't pay for some just as necessary bariatric surgeries and skin removal surgeries! Both can be mentally debilitating! I always thought perhaps a class action lawsuit forcing insurance companies to pay for these things is what's needed. No one elects to be obese and insurance companies treats obesity as "its your fault" you're obese so they won't pay. I wish you luck, preserver and eventually you'll get it! Lastly, I'm told bariatric surgery is cheaper in some states if you have to pay yourself, so shop around and research research research making sure you have a good bariatric team! Also, make sure that if you do go out of state that they don't have a long travel restriction like mine did (90 days) first! Good luck!

I did. I noticed no difference in my blood sugars, blood pressure, nor my weight. I took it for 6+ months. Of course this was all before WLS. My bariatric team took me off all my supplements other than my multi and calcium post op.

I'm sorry you're having to deal with this. I was denied by my insurance company for years, got a pre-approval in 2021, and then denied again after I started the program. I had to do months of song and dance to meet their requirements, and then they just dropped me. I appealed repeatedly, and they gave me some BS response like the governor of the state that my insurance is based in effectively declared all bariatric procedures as elective and unnecessary. I ended up having to save up and do some self-financing to have a self-paid procedure. It was stressful in the planning phase, but I am happy with my decision. The surgery team was very helpful, and are staying in regular communication 5 weeks out from my surgery. It is like a smaller used car payment (not a new car price at least!) but it was manageable. I had my Gastric Sleeve done in the US as I was unsure about going to Mexico. I can't speak to the specifics on the pricing, but MX seemed to be generally half the price or less than the US, but it can be a crapshoot for the level of care. Some in the US have some room to negotiate, but a lot are firm on pricing. Just do you research, take a break, and redo the research again to be sure if you go the self-pay route. Hoping your insurance comes to their senses and assists you with this. While this isn't a cure-all or "easy mode" approach to weight loss by any means, it is a very useful tool that will help your overall health and quality of life!

Hi there!!! I have been summoned, I see lol Ok, so a little about what I've been through, and then I'll give any advice I can. I had the sleeve in May 2022. Initially, I was doing awesome. Lost a lot of weight, got off several meds, health issues corrected, it was awesome. Right up until it wasn't. Around 6 months post op, I started noticing some reflux issues (which I had never had before). It steadily got worse and I had to have a barium swallow (NASTY!!!) to see what was happening. I had severe GERD, gastritis, and esophagitis. I also had a narrowing esophagus. So I was put on Nexium (40mg once per day). The GERD steadily got worse and worse until I was put on 80mg of Nexium daily as well as Pepcid for break through (which I took daily). It still didn't completely help. I was on such a high amount of PPI for such a long time that I ended up developing an OBSCENE amount of polyps all through my stomach and duodenum. This year, I had 7 surgeries to remove all of the polyps, stretch my esophagus, and have a revision to a bypass. I also had to have the part of the stomach that's bypassed removed because that's where so many of the polyps were forming. When I had the sleeve, I had so much pain, trouble tolerating anything cold, trouble taking pills, trouble getting in enough water. It was completely miserable. With my revision to bypass, it was like the heavens opened up and the angels started singing to me. No pain meds at all beyond Tylenol. Up and around within 4 days. Was able to take pills from day 1. No GERD at all. No constipation like with the sleeve. Able to get my fluids in from day 1 (drank a 20 oz of water in the hospital within 2 hours of getting back to my room from recovery), no issues with temps of liquids. My only regret is that I didn't just get the bypass to begin with. Because of all the surgeries, my abdominal wall weakened and I developed a ventral hernia that was repaired 3 weeks ago. Still recovering from that one. I was freaked out at first at the thought of getting a bypass. It's why I opted for the sleeve to begin with. I was afraid of dumping, I was afraid of malabsorption, I was afraid of getting a stricture. Well, I only dump if I have too many carbs, so I just avoid them for the most part (I never even get to my allotted amount, I'm always way under). I haven't had any stricture, but if I do, it's a super easy fix (and after everything I've already been through, I'm not even a tiny bit worried). And malabsorption is only an issue with extended release meds (I don't take those now) and vitamins (take bariatric ones or double up on the regular ones). There was nothing to be worried about, but I let the chatter from those that weren't in my position freak me out and cause me to choose the sleeve instead of the bypass. My advice to you is to not listen to anyone else. You and your doctor know what's best for you. The revision will give you your life back. Being pain and complication free is worth its weight in...well...everything. When you look at everything you've been through up until this point, the recovery from the revision will be a walk in the park. It's better for your health (physically and mentally) and it will allow you to get back to your life. This surgery is supposed to afford us the chance to have the life and health we've always been meant to, and complications can really do a number on us. The revision will be a godsend to you, mark my words. I don't have a single regret.

Hi everyone, I am new to this, or any group. I had the gastric surgery in Feb 2006, weighing nearly 430 lbs. in one year, I lost 210 lbs. I gained about 50 lbs back the following year traveling every week for work. But I maintained the 160 lb loss for many years. Little by little I gained another 50 lbs back, but was still 100 lbs less. About a year ago, 17 years post surgery I began having many many problems with dumping, nausea, dehydrating and severe diarrhea. As a result I have lost about 90 of the 100 lbs I had gained. I have seen gastric doctors, Bariatric doctors and all types of specialists and nobody can find anything wrong, yet I continue not to be able to eat. Has anyone on here ever had these issues and if so, what did you do? Thank you!

I've yet to get a surgery date. But, I was told I will be on a 2 week liquid diet pre op, to shrink the liver so it's safer to work around. Every Surgeon has their own thing. I've heard a wide range from 2 days to 2 weeks. I don't think they would be mad if you started a couple days early. Going off of what I was being told from the bariatric center I'm going to, the longer the better. As I said, every surgeon has their own plan.

**Update** Hey everyone! Sorry for being MIA for a while. I really appreciate all your responses and well wishes. I will be 2 weeks post-op tomorrow, which is kind of nutty to think about. My 9 day post-op follow up appointment went really well. Incisions are healing well, and they seem quite happy with my food diary. I started my bariatric vitamins about 4 days post-op as well and been doing great so far with those. I use Paravita bariatric multivitamin 3x daily and I take Vitamin D3 2500 IU one drop daily. Plus of course the medications needed temporarily prescribed by my surgeon. I got to say though that it's been HARD going through Christmas day and not being able to enjoy our traditional Christmas breakfast, or our amazing turkey feast. Least I got to smell it though lol. I feel a lot more strong, so I have been able to have a lot more normalcy in my life. I make my family their food, while also preparing my clear liquids and full liquids. Unfortunately I'll be on the liquids until January,10th as it is 4 weeks with the gastric sleeve. Then eventually pureed foods, then soft, then finally regular healthy eating for life lol. I am making turkey soup today with our turkey carcass, onions, carrots, celery, and some seasoning, so I can at least enjoy the broth of our Christmas dinner my spouse and out kiddos had yesterday lol. I hope you all are well. I am fighting my brain and always will, and I am still having some regretful thoughts over having this surgery. I am taking one step ahead at a time and trying to look towards the positives. As I've said in other posts I just was so set on Gastric Bypass for my acid reflux issues, and I liked that it could be reversed if needed, plus I hear it has a higher success rate. So when I found out they gave me the sleeve, I just been having mixed thoughts since, and now I can't go back even if I wanted to down the line. So it's been weighing on me a lot. Please know I am not trying to discourage anyone from WLS, and the sleeve can be just as successful, everyone is different. I also thoroughly did my research on WLS prior. Lots of great things about these surgeries. I hope you all are well and that you all had a very Merry Christmas, or Happy Holidays if you celebrate. Much love. ✌

If just going to the gym was so easy to lose weight Americans and other countries wouldn't have medically necessary weight loss surgery and the diet industry wouldn't be a billion dollar sinkhole. Usually people who state that bariatric surgery is the easy way out have no idea what it entails. They believe you have something done to your stomach, you eat less and lose 150lbs. Educating them might change their minds but most of us don't care enough to try. I just ignore people. People will always have an opinion about what others are doing with their body.

There is a lot of conflicting information out there so I'm not going to argue. Even different surgeons say different things. I will say that all bariatric surgeries altogether have a high chance of reversing diabetes. I have not heard of anyone that still has type two diabetes after the sleeve unless they regained their weight. Maybe the 'punishing' term rang bad to you, but what I meant was consequences for carb dumping and overeating are usually more severe for DS and Bypass patients. So maybe punishing was not the correct term. I'm sorry you saw it as being negative for those with bypass/switch but that was not my intention. But I do view throwing up, foaming at the mouth, dumping, and general malaise as punishing. No one enters into these surgeries to feel that way but keeping bad habits does result in this outcome and I wouldn't call it a reward. It is a definitely and incentive for many not to eat badly. I have even read on here and seen in other places where people felt they need something really restrictive to keep their diet in check. It happens with sleeves (not the foaming bit) too but you can usually get away with more. This is why the success rate with sleeve patients are slightly less. Also you don't have to defend your choice in surgery to me or explain it. I am not saying any surgery is better or worse than the other. All surgery comes with risks and downsides. The original poster asked for the NEGATIVES and the positives for the different surgeries and I just told her what my surgeon, research, patients of all three surgeries have said, and some other bariatric surgeons I follow. Also I never said sleeve patients couldn't suffer from vitamin deficiencies. I said it is more common (easier) with switch and bypass, which it is. Sleeve is not a malabsorption surgery. Vitamin deficiency also occurs in non-bariatric patients. A lot of people are suffering from vitamin d deficiency right now who have never had surgery. I can point you to a bariatric surgeon who doesn't even believe that sleeve patients need as high as potency and 'bariatric vitamins' like bypass and switch patients but they set the standard and the industry is going with it. Also, weightloss is more rapid for switch and bypass generally which is why gallbladder problems is more common but as always it doesn't HAVE to occur. Which I never indicated this was a one shoe fits all for anybody. It's a risk. At the end of the day everyone must make their own decision on what is right for them. Be it sleeve, switch, or bypass. I commend anyone taking charge of their life and going through this difficult process to come out the other side happier and healthier.