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TBH, I'm in a similar boat, I meet with the surgeon next week for my second meeting with them. We'll discuss surgery types. In my hometown all the hospitals only do two (SG and RYGB). So I don't really have a choice unless I got to hospitals out of state, and I'm concerned about getting medical care if I have complications and have to drive a 45 to an hour plus to get to the hospital, also the state south of me won't do telelhealth across the boarder, but they also don't have many in-person appointments because normal practice is telehealth. One hospital that does SG, RYGB, SADI-S, and BPD/DS basically said I was out of luck. My situation is a bit different because I am concerned about stomach cancer because it runs in my family. The idea of a remnant stomach freaks me out, at the same time my EGD found H. Pylori negative gastritis (antral and oxyntic mucosa with mild chronic inflammation). To be frank I didn't know how that impacted anything, and all the GI doc did was put me on a high does of a PPI. I don't have GERD, like most people I have heart burn from time to time and Pepcid complete works and i'm done. Surgery is hella scary, but these surgeries are amazingly safer than a lot of surgeries. I am more scared of the recovery and any complications, than dying from the surgery. At the same time, although I've fished my program's requirements save for the final exam I and waiting until this fall to have a procedure. If Tuesday I learn they was to do the RYGB I may very well back away and continue Zepbound. Not being able to scope my stomach is a fear of mine because the GI had no idea what as causing the gastritis and his report suggested that I was on my way to ulcers. So Joy. The human body is complicated. Take your time, it's your time, your life, your body. If you feel rushed tell them so, and if you're scared tell them so. It's okay to be scared, it's okay to be that annoying patient (I know I'm that patient) that asks questions and needs to feel settled. It's also okay to change your mind, and change you mind again. It's a big freaking deal. And living with obesity is also a big freaking deal. Only you can make the decision that's best for you right now. You'll be fabulous if you have the surgery, and you'll be fabulous if you defer.

I've had the exact same thing. Op was on the 7th of October and I lost about 8kg (18lbs) in week one, and then no budging. But that's to be expected. Are you constipated? This can also help with weight retention. So can fluids and gas post op. Just stay the course and it will drop. Taking measurements and seeing your size go down can also help to stay motivated. You can do this!

I'm post post post menopausal lol and I still have serious cravings for about a week. My appetite goes sky high, I feel like a bottomless pit during those times. Our bodies continue to go through hormonal changes even without a menstrual cycle. To manage this, I use a period tracker to stay prepared for these fluctuations.

I’m still fairly new to the game (only 8 weeks out from sleeve surgery), but I look at it as I have invested a lot of money, time and energy into this surgery and so I want to make good choices now. I don’t want the money and hard work to go to waste. I am losing slowly but it’s still rewarding to see the pounds drop on the scale and it makes me want to keep making good choices.

So glad to hear you're out the other end of the surgery OP. My advice is prioritise your fluid goals for the first week or two. Honestly vitamins and protein goal and almost everything else can be caught up on later if you can't make them right now.

So I'm finding doing this EXTREMELY difficult. I don't think I will EVER be able to take small enough bites and will EVER be able to make my meals small enough so i have decided against the surgery and have decided to try losing weight on my own. I have lost almost 20 pounds so far in the 3 months since I've started so I think I can lose the 150 pounds I want to lose eventually I've been losing about 1/4 pound every 3 weeks about lately but hey any weight loss is weight loss and I technically have all the time in the world the lose the 150 pounds I want to lose.

So I am trying to navigate everything with new boobs haha. They are bigger than I thought they would be which is not a bad thing. I am 5 days post op and will be getting my drains out Tuesday. Hopefully. I had an appointment yesterday and he said I’m more swollen than he would like me to be, which being sedentary is so damn hard for me, but I am trying! Anywho I go back to work on Wednesday and I am wondering what you all wore to work? Im not sure if I need to go buy more button ups? Or can I put tshirts on. I have no issues lifting my arms above my head but it’s a no no for a few weeks. I’m in a casual office setting. Usually nice tops and jeans. Also I knowwwww I shouldn’t have stepped on the scale but it’s 10lb up and now im unhealthily nit picking my body. I put on jeans and they were so damn tight. Someone tell me it’s not fat weight 😂

Hey bari family ❤️ I know body dysmorphia is something that is really common in this community, and I did expect it of course, but I am really feeling it at the moment. To preface my feelings I am about to describe, I am PMS-ing so I know a lot of this is probably exacerbated by that! Either way, I have had such a noticable influx of people complimenting me on my weight loss at work this week - it seemed that there was no one mentioning it at all, and now every day this week I have had people come up to me and say/ask things like: "what is your big secret?", "you look amazing", "you're a skinny minny" etc. It hasn't been anything that I have taken offence to at all, but it has come during a week where I have felt so down about my appearance. I'd say this is the first time post-surgery where I have been looking in the mirror and just seen the 'old' me - I genuinely cannot see any loss, even though the scales & my clothes are telling me different. It is so saddening, normal, but sad. Anyway, that is my little reflection done with! What sorts of things did others do to get past this?

Received a call at 8.30am this morning to be told that I was discussed in last Fridays MDT meeting and was accepted for surgery 🥳🥳🥳 I was then told I would be having a ‘One Anastomosis Gastric Bypass’ - huh?? The nurse repeated herself and I was still none the wiser. She said that she would ask a specialist Bariatric nurse to call me to discuss and would send me the info out. I asked for it to be emailed, which she did. I had a read through and did some more research on the internet, just to familiarise myself with what had been suggested. It’s the mini gastric bypass. The specialist nurse rang me just after 9am and explained that it meant that my ‘pouch’ is slightly bigger then that of a Roux-en-Y bypass and there is only one connection or ‘anastomosis’ which is from the pouch to the bowel. Apparently it’s not as complex with the op taking around 1.5hours and recovery just the same as the normal bypass plus the weight loss is expected to be the same. I was recommended it because of Fibromyalgia and the chronic pain I have with RA and osteoarthritis as it would be easier for me. That made sense, thankfully! The specialist nurse said it was a relatively new procedure to the hospital which is why it wasn’t discussed in any detail at the first education session I attended a few months ago. Fair enough, I’m happy to go ahead with it. The wait is around 4-6 months - oh 😒 I was honest and said that I was concerned about losing focus while I’m waiting and gaining weight once again (we all know how easy that is) She went through everything again with me - 3 meals a day, 20/20/20, use a portion plate if I have one (I do) focus more on my protein etc. She also said that if I do begin to struggle, to contact her and they would fit me in with the dietitian to go through things with me. I felt better for her saying that. I did reiterate that I am happy to take a cancellation. She said they do get cancellations but would have to make sure that I had at least 3 weeks notice to complete the LRD. I’ll be honest and say that I’m really, really hoping that the 4-6 months is on the outside and that the surgery is sooner! I know that whatever will be will be, so just to keep on keeping on. Gym is going well, 3 visits last week and I’m hoping for 3 more this week. I’ve upped my levels and weights and I’m burning around 600-650 cals in around an hour or so workout or so my Apple Watch tells me! I can feel muscle, it just happens to be deeply buried and camouflaged with fat 😮 I tried my smaller sized gym stuff on yesterday and, while I can get it on I wouldn’t say it actually fitted, so a few more pounds to go before I would feel comfortable enough to wear it. I bought a new black trench coat from Costco at the weekend. It’s been a very, very long time since I’ve been able to fit into clothing from there so that was a nice boost. It will definitely last me a reduction of a couple of sizes too. My weight is steady at the moment but I do hope to bring it down a little bit more before I have to do the LRD. Bloods to have taken yet again on Wednesday. If my liver is off this time then they will have to think of something else. I’ve not had my weekly jabs for 7 weeks, I’ve missed my other jab for 4 weeks plus no pain relief for 4 weeks either and it’s all wearing really thin with me now. I’m finding that I’m snapping at hubby because of pain and it’s not fair. The gym is really helping my range of movement but the pain remains. We’re out for belated birthday drinks on Friday (postponed because of blood tests ) and that’s about it. I’ve decided to crack on and make a start on wrapping Christmas presents this week. Thankfully my Christmas shopping is almost finished - hurray for sales! Wishing everyone a happy week 🥰 Onwards and Downwards!

You tend to experience constipation &/or diarrhoea post surgery. The constipation will often remain a regular occurrence. Initially it’s because of the surgery (blood and digestive irritation from the surgery and then because you’re on the liquid diet & consuming so little & not having much to poop out. Best advice is to try to keep on top of it. Add some soluble fibre to your diet, set a routine for a stool softener or similar. For example I’d take a stool softener (coloxyl)or similar if I hadn’t gone in three days. (Going every 2nd day was pretty common for me especially while losing.) Now 5 years out, I’ll take one if I haven’t gone for 2 or 3 days. (I’m on Creons and they tend to firm things up and slow the progress through the intestines which doesn’t help.) Some people swear by smooth tea, or regular miralax. You may have to try a few things but you’ll discover what works for you in time and it may change as you progress and eat more and a greater variety of food types.

Thank you,i hope your husband is well. I can only imagine that being the caregiver that this hasn’t been easy on your bariatric journey either. Just being post op is pretty time consuming in itself (or at least it has been for me) and any big life curveball you throw in I assume makes for a pretty crazy schedule which make healthy choices that much harder. I know for me that I don’t need much of an excuse to be tempted to eat off plan so having no time to plan ahead makes the little obese voice in my head say it’s not your fault your too busy right now it’s okay to stop and have fast food just this once. But then this once turns out to be more and more often. That’s how I got to be obese was listening to that little voice too often. Luckily I did have a solid three months to get into some pretty good habits and I have really been trying to stick to them the majority of the time. I have a whole bag of healthy protein snacks that I just keep with me all the time in the car (I rotate them out so don’t stay there too long) since you rarely know when you start out what your day will end up bringing with these doctors. Or at least that’s how it has been for me. You start thinking it’s just one appointment at 8:30 am and don’t get home until late at night because you don’t even get seen until 10:30 and then they want two other things which you have to wait around to be squeezed in for those as well. I hate paying For and stoping for water so I bring a cooler with bottled water and protein shakes everyday since my surgery in case I get stuck out and don’t have time to eat on plan but now I also have my big bag of non refrigerated protein snacks with me as well. I can’t say it’s made me be 100% perfect but I’ve done far better than if I had to keep stopping on the road for sure. My favorite on the go snack is chomps pepperoni flavored turkey jerky right now. I do half a stick of that with a mozzarella string cheese or a baby bell light. Just 85 calories for 11 grams of protein and they are actually tasty. Them and the quest protein chips are my favorite go to options. Sometimes that’s lunch and then I end up eating what would’ve been lunch as a snack a few hours after dinner to get all my protein for the day since I need 90g.

New Week New Win! I say continued weight loss of about 2.5 pounds a week is a win being 5 months out it's still steady and that's good. I have until April which is my surgiversary to make it to goal weight I think I shall be there way ahead of time 👊🏅🏅

I’m one week out of surgery and I’ve been consistently hitting 4000 steps a day since I left the hospital a couple of days ago I’ll take that as a win any day

Hi all, New here names Kat. 46 years old. In 2009 I had a gastric sleeve and hiatal hernia repair in Colombia. In 2020 I had horrible GERD and had another hernia repair as my stomach was in my chest cavity behind my heart at that time. I was doing ok until last week. I work in an animal hospital and I assisted in lifting a 90lb dog that fell off a table during a surgical prep and instantly felt I had injured myself when I lifted this dog. The next day I went to the ER and was told I had a large hiatal hernia which incorporated my entire stomach as well as part of my large intestine and my liver was also coming up through my diaphragm. I consulted with the surgeon that did my repair in 2020 and he is recommending a sleeve to bypass revision as he does not want to risk my sleeve slipping and the hernia recurring because going in for a 4th abdominal surgery isn't ideal and becomes quite difficult as scar tissue accumulates with every repair. Needless to say I am terrified. Having done my original procedure in another country I did not follow America protocol when it came to the appropriate mental health to go along with a bariatric procedure. I have never had a healthy relationship with food and have continued with a poor diet throughout the years. My fears are not so much surrounding the procedure more so the lifestyle change that must be made post surgery. The liquid diet pre and post surgery, the portion control, the protein and water intake that's require the regiment of vitamins and supplements needed to stay alive. Over the years I've never even been good with taking a daily multi vitamin. I'm not really sure what Im looking for by posting this thread as I'm sure I will get plenty of negative comments about just having to do what I'm told but was hoping that someone anyone can relate to the anxiety I am feeling about not being successful in what needs to be done. I know I WANT to do the right thing. I know I want to see my 9 and 12 year old grow up. I know I don't want to leave my husband heartbroken and alone. I know that even if I suck at doing the right thing for myself I need to do the right thing by my family. Im just freaking out a little. I just dropped of the CT scan cd to my surgeon yesterday and am waiting to hear back from him this coming week about talking to a bariatric dietician and discuss a date when this is all going to happen. Looking for any insite and honestly from people with similar fears sticking to post op care and life long lifestyle changes. Thanks in advance and please be kind.

Thank you for this post. It meant a lot to me. My bypass is scheduled for Aug 12, and I am on day three of my two-week liver cleanse. Your post just added to my excitement. Thanks again.

Getting back to the OP's question about what do do: If they really feel they are accurately logging and are also having a hard time eating less, then the option would be to take steps to increase metabolism. Yes, GLP-1 drugs can do this, but there are other options. First, would be adding muscle mass from strength training. Estimates are that each pound of muscle increases calories burned per day by roughly 6 calories, Each pound of fat contributes ~2 calories burned per day. This latter fact surprises some people, but fat is metabolically active tissue. It's just that muscle is more metabolically active. If someone were to gain ten pounds of muscle and lose ten pounds of fat, that would lead to an increase in BMR of roughly 40 calories. That doesn't sound like much, but it adds up over time. If you also add in EPOC (Excess Post-exercise Oxygen Consumption), from the strength training needed to add muscle mass, then I'd estimate this would over time lead to ~400-450 extra calories burned in a week. That would lead to a loss of ~6 pounds in a year even while eating the exact same amount of food. If this is not a sufficient amount, then one can always reduce calories a bit as well. Alternately (I know this will sound counter-intuitive), but the OP might well want to consider UPPING their calories a bit for a while. Our bodies were designed to upregulate our metabolisms slightly when calories are available and downregulate it when calories are scarce. This means our bodies can maintain weight at a wide range of calorie intake. If we're constantly in a calorie restrictive diet, our bodies do downregulate metabolism to keep us from what it perceives as starving to death. What I'd recommend instead is going up 200-300 calories per day for about a month. After this "diet reset", drop down again to 1200-1400 for no longer than 2 months before cycling back up again. You can keep this cycle going on indefinitely. One of 2 things will happen here. Most likely the OP won't gain anything during the increased calorie intake diet reset because their metabolism will increase to compensate. However, when they start back at the ~1300 calorie range, their metabolism may not drop immediately, meaning they'll lose a little bit in the following 2 months. If they do find that they gained during the diet reset, but fail to lose when back in the diet phase, then worst case it shouldn't be more than about 2 pounds (less than 1% of body weight). This isn't likely, but even if this does happen, it will at least tell us that 1300 won't work for weight loss for them and they'll need to go lower. I'd also be remiss if I didn't come back to exercise here. I mentioned that low levels of exercise (30 minutes of cardio), really are not going to do anything toward weight loss. It's obviously going to be different for everybody, but current research seems to suggest that the tipping point is about 400 calories per day. What I mean by that is if you can burn OVER 400 calories in exercise in a day, the body can't suppress your metabolism enough in other ways to keep you from going net-negative for the day. Said differently, you'd need to do something that burns more than 400 calories before it "counts" for weight loss and the only part that counts is the part above 400 calories. Unfortunately, 400 calories is A LOT for most people. The good news is the heavier you are the more you burn, but even at 215 pounds, you'd probably have to run over 3 miles to hit 400 calories. Keep in mind, this would just be to break even, so if you're actually trying to burn more calories this way, it will take even more. I'll use myself as an example here. I'm not trying to lose weight right now, but I have found that if I run over roughly 28 miles in a week, I tend to lose weight. If I run less miles, I maintain. Do the math, and for me that's right at about the 400 calories a day mark. In my use case of one, I'm pretty close to the statistical average as shown in the research. Best of luck whatever you decide.

at 1 month post op, i was cleared for everything. i didn't eat everything (by choice) but still. by 7 months post op (i.e., goal) i eating ALMOST everything...i didn't eat rice, bread, nor pasta/noodles (again by choice) i was also limiting sugar as i was/am a dumper. i would not have alot of it (if at all) at one time or on an empty stomach. like maybe one bite of cake, 2-3 licks of ice cream, etc on rare occasions. by 2 years post i got over my carb-o-phobia and started eating rice, bread, pasta/noodles, yay! still limited sugar though. today - i hit my 6-yr wls anniversary this week! - i still can/will eat/drink everything. i can eat more in volume now that i could at year 2, but still less than those around me. i can also now have maybe up to 1/2 a slice of cake without ill effects (but only if my stomach is not empty). i probably eat out 4-5 times a week, and order take out another 4-5 times a week. i used to cook alot more before, but the past couple years me and Mr. have been empty nesting, and its actually really hard and inefficient to cook for just two people! not counting the past month* or so, i average about 2300 cals a day for the past year (full disclosure: i exercise alot). so long story short, you will be able to enjoy food at your own discretion. how much of it will be up to you.

Went Jean shopping yesterday and my biggest struggle was everything looked good and with my size I had so many options. Then went to VS and was picking out size small panties and they are sexy. TMI but I wore a sexy piece for the mister and I felt really sexy in my skin. It was the best freaking feeling! Attached are the very first pair of pants I bought after WLS because my 20s were way too baggy. I don’t always do amazing with my choices in food- a struggle we all will forever be a struggle for me, but damn! I did this work, I put in work at the gym, I meal prep every damn week, and I track. I am humble bragging that I am proud of myself!

Sure. She was concerned that I was eating too fast when I told her that I was eating my meals within like 5-10 minutes. She said that I can't do that with the surgery because not only will I be miserable with vomiting and diarrhea and nausea and the like but I likely would undo the gastric sleeve surgery. She said I should aim for eating my meals in 20-30 minutes preferably 30-40. This seems like an impossible goal for me especially when I see her again in just 2 weeks. She also wants me to savor each bite and focus on the food or something like that. I don't really understand it to be completely honest with you. Mostly I just wanted to work on eating slower over the next two weeks so that when I do get the surgery I don't get sick and undo the surgery and "pass" with her so I can get the surgery. I can fake my way out of the mindfulness part of it or just tell her that it won't work for me and if it's a crucial part of the surgery than maybe bariatric surgery isn't the right option for me.

I work in healthcare as well, and I know that feeling all too well. Epic is gonna Epic. Worst three years with trying to work the kinks out of this thing. So are you back on for the 16th?

Good morning! Im 143 days into lapband revision to GB and down 41lbs. I had a 3 week plateau. I was not eating enough protein and was starting to snack. (Death in family , depression, weather is terrible) perfect storm for over eating. So anyway . .. if anyone is struggling my recommendation is to tell your team. They hooked me up with a counselor, im taking some depression meds to het me through this tough time, dietitian gave me some tips, and really supported me. I lost 3 lbs this week!! Hang in there and talk it out.

well, i sort of had the opposite issue, as i wouldn't eat enough & and needed a reminder to eat.... but my M.O. would work for you as well i think: i would set a timer on my watch for a certain amount of time (i.e., 2-3 min earlier on, and like 1-2 min as i got further along). i'd take 1-2 BITES of whatever i had prepared for myself, put my fork down, and set the timer, it goes off, i take 1-2 BITES again. rinse and repeat. yes, it took me FOREVER to eat a meal, in the early months: like 60-90 mins omg. after a while (like 3-4 months) i was able to do it without the timer. in your case, if you feel you are eating more and/or faster than you should, i would suggest focusing on putting your fork down, and maybe, if it helps, maybe even physically remove yourself (i.e., walk away) until your timer goes off again. after a few weeks/months, you will form a habit and not need the timer anymore, it will become muscle memory. it may take weeks/months, but if you stick to it, you could totally do it. ❤️

I would avoid the week before and after Christmas because a lot of doctors take vacation and close some days for the holidays. Plus the staff is pretty much checked out anyways. If you do have a complication or concern you don’t want to have to be waiting for an answer or have to go to the ER and get stuck with whoever picked the short stick and is overwhelmed by a huge patient load. (Not saying those things always happen but they are more likely with the holiday).

So just wanted to pop in and give you my short experience. I never ran, until 6months ago, I started out with walking outside, then stair master, then walking on incline a little faster to a short jog. I too would jog for 2-3min at a time then walk for a min and continue that pattern for about 15min. Now I can run 3.5miles on my lunch break and it takes me about 30-32min to do so. I started really slow but running really helped with my body composition, my mind is more focused and overall has really helped my moods too. I also lift weights 4 days a week so that has helped. My only thing I noticed with all the working out is that I eat more LOL however when I was only eating 1200-1500 calories I was not building the muscle I wanted, and not looking how I wanted. So if you start eating more remember its the working out and your muscles is burning off all that fast! Now that I am not able to work out how I like due to PS I am slowly dying LOL but soon enough i'll be back to it. Enjoy this journey its so fun!

My bariatric team and GP both suggested it when I hit a three month stall and was becoming discouraged and angry. I was prescribed Ozempic and it broke my stall the first week! I've lost 10lbs in one month so my stall is over. I stuck to my "diet" plan the entire time so some might just say it was nothing more than my stall finally ending, who knows? I receive the compounded version with B12 and its $120.00 a month without using my insurance (I didn't want to go through the hassle of pre authorization). So, its a possible option for you. I've had no side effects as of yet, I'm starting on my second month with a higher dose so I can't speak on the head cadence beat of the drum to EAT yet, perhaps its diminished a bit and my hunger has quieted. Your best bet is talk to your doctor they'll know what's best for you and it can't hurt to ask. I hope this helps. Good luck!