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Great advice from @SpartanMaker as usual. I’d also add if you’re lifting weights you’d be building muscle which is heavier than fat. So you could have been losing some fat during this time while building muscle. May be consider having a dexa scan to measure your current muscle, fat & bone density. Then have another in a couple of months to compare. Are you still in contact with your dietician? If not maybe arrange an appointment. Because you are aware of your average daily calorie intake, I presume you’re measuring and tracking every thing you’re eating and drinking every day. I’d take this with you to the appointment and ask the dietician to go through it with you in case you are missing something not only in regards to calories but nutrients as well. If you’re a random tracker like I was and am, vigilantly track everything for a week or two before seeing the dietician. Don’t give up though. The scale may not be moving but I bet you’re fitter, stronger and generally healthier than you were before.

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 😂

That is AMAZING! Nothing beats the feeling of achieving a new PR! And it feels so good to discover that your stamina has picked up and that you are able to go for longer (whatever that is you're doing), or do things you were never able to do before. Disclaimer: it is addictive. While I worked out my whole life, including while being obese, I was never fond of running. I did all sorts of cardio (Spinning, HIIT, BodyAttack, BodyCombat, Step, you name it) but I hated running with a passion. Found it boring. Although I was able to run for 6-7 km straight I rarely ever did. Fast forward to my foot injury, I was so immobile I was in pain walking, so I did a lot of jump rope and spinning to compensate but my weight never budged. 4 months Post VSG I started getting into serious fitness again and I discovered this newfound love for running that I run every single day now. I do 5-6k once a week and 3k every day after my lifts and I LOVE it with a passion, how times change LOL. I have a feeling you will too. Although I don't know you, I am very proud of you and hope your journey is full of such pleasant surprises.

I have no idea why I feel this way. I'm finally down to 1 more surgery (my hysterectomy) and then I'm totally done with hospitals. I'm healing well from my hernia surgery (even did a VERY light workout today for the first time in a month since I'm only 3 1/2 weeks out). I love my job, I'm feeling good, our rent is paid and we have plenty of food, car is running well, gas tank is full, finally stable again. Hubby and I get along great, kids and granddaughter are doing well. It's driving me nuts that I can't figure out why I feel down. Normally I'm excited about the new year. I don't get SAD (Seasonal Affective Disorder), and I was fine up until about 2 days ago. I don't suffer from depression, so it's just really bugging me. What in the world do I have to be down about???

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.

A couple small wins yesterday. Small, but I take note of them and small wins encourage the behaviors that lead to bigger wins, right ? So...this 'un is a two parter. Several months ago, a few weeks before I had taken action to burn off the regains and dig my way back.... I was goofing around on the web... looking through a certain company's website. They make gear that is hobby related. I happened to notice that they also had some logo T-shirts that looked cool. So I ordered two....but ordered them for two sizes smaller than I was wearing then. They arrived and were stashed away with some other clothing, all smaller sizes, that I'd been ordering. The stash had made it's way upstairs to be put away. Soon afterwards... I started putting in the work....burning off the regain and get in better overall health. Kitchen discipline being the first step. Fast forward to yesterday.....laundry day at the hacienda. Grabbed a shower and started getting dressed so I could go knock out some errands. Almost dressed but remembered my normal day off work stuff was on the drying rack. Damn. I spied the stack of smaller sized stuff still in shopping bags....sitting there. Hmmm. Screw it...let's find out, dude...either it'll fit or it won't. Grabbed one of the new cool guy t-shirts and some new flat fronted cargo pants. Cut off tags & peeled off stickers and began to.....WTH !!! This shyt if fitting. Bamsucka. Got dressed and strutted around the room like a bantam rooster....chest poked out....big grin. Small Win Numba One Achieved. While running errands I wheeled into a parking space in front of one of the local gyms I'd been considering. Took my bantam rooster arse up in there and looked around. It was clean, plenty of open treadmills and recumbent bikes...just what I need for pre-habbing my knees. Gonna build up the muscle tissue before getting those suckers replaced over the next couple years. I joined. Small Win Numba Two Achieved. I plan on never having to eat an elephant (although I used to look like I could)......but....but if I did....I'd eat that thang one bite at a time. Thankfully getting healthy may prove to be easier than elephant eating. 🤣

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.

I can't respond to the particular complications you have (only a doctor can) or how bypass might affect them (ditto), but major complications are pretty rare with bypass. The most common complication (and it's considered minor) is dumping, which 30% of patients get (I've never had it - and neither have a lot of others I know), but that can be controlled by not eating a ton of fat or sugar at one sitting, which none of us should be doing anyway. The next most common complication (also minor) is stricture, which is easily fixed by doing an upper endoscopy and using a balloon-like tool to stretch it out. This happens to about 5% of us, and as being the second most common complication, it gives you an idea how common complications are (I had a stricture, btw). You probably hear about them more because people are more likely to post or talk about them because they're looking for advice or support. People generally don't mention that things are going great unless someone specifically asks them how things are going. So it might appear that complications are more common than they actually are. Other than that stricture early on (and they happen very early on, if they're going to happen at all), I've had zero issues, and I had my surgery ten years ago. we were told that it was OK to take NSAIDs on a very limited and very occasional basis, but I haven't taken any since my surgery. I've taken Tylenol for any pain, and when I had hip replacement surgery two months ago, they found a non-NSAID alternative to aspirin for me since I had to be on some kind of blood thinning agent for six weeks. As far as your other prescriptions, it could be that there are non-extended release versions available - but again, a doctor would know that. Sounds like you'll be having a long conversation, and hopefully it'll provide some answers to make a decision. as far as having the surgery "late in life", there are many of us who had it in our 50s and 60s (I was 55 when I had mine), so you're definitely not an anomaly! I wish I would have had mine years earlier than I did. The thing probably saved my life (I weighed almost 400 lbs). I am grateful every day that I had it. good luck with your appts and decision.

I've often thought of moving there, or the South East coast, but the house insurance rates in Florida have made me think twice and three times about it. I've seen insurance rates as high or higher than the mortgage each month! Wowsa! I'd still love too..but dang I don't know how ppl do it.

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.

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.

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.

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.

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.

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. ❤️

Okay pretty much what I do now LOL I run 5x a week, HIIT once a week, close min 10k steps a day, lift heavy 5x a week. Maybe I need to incorporate Pilates then. Do you feel like you need to eat more? I am closing close 1700-1800 calories a day. I tried to cut back and I was sooooo tired. My protein is above 150g a day. you look phenomenal! Your stomach is so flat, and not to be weird but are you blessed up top or did you have a breast aug? My have completely depleted. I went from a 44DD to a 36A (barely) LOL

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.

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).

all that for $82 ??? my groceries list this week will fit in my purse and cost almost as much as that. also that is a whole lotta meal prep, am totally impressed! ....remind me again how many people are in your household???

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!

So, I'm 6 months post Sleeve. I'm 86 pounds down from surgery day, and about 116 pounds from my max weight. Body dysmorphia is a real thing I've experienced where I forget on the day to day how far I've come, but when co workers or friends see me they are super excited and happy for me. One picture is me back in January, wearing a denim vest that is 4xl and barely fits, and size 58 jeans... Now(2 weeks ago) down to a loose 2xl shirt, and a size 44 shorts. I almost cried like a month ago when I was able to buy clothes off the rack at Target for the first time since 2006. PS. Someone please teach me how to take a selfie lol IMG_3342.heic

How long did it usually take you guys to get your results? It's only been 3 days and I'm already nervous as heck. I was going to wait at least a week before calling the bariatric clinic to see if they have my results yet but... yeah... nervous.

Thank you! I have to agree, I noticed when I was making myself eat less, I cannot even work out well, I am lifting lighter or running slower because I am lethargic and fatigued. I do have to admit I am on the straight struggle bus with not being able to work out. I feel like I am eating too much however I am not eating near the calories I was. I do think it has to do with the dietician from my program shaming me into how much I was eating at my 6m appt. She told me that I needed to stick to 800 calories max, 100g protein, 140g carbs and 40g fat. I told her that is just not possible with sustaining my activity. She got into my head and I have been avoiding my 1yr check up for this reason because now I eat even more but I weigh 25lbs less. I wanna be you when I grow up! I was running 15ish miles a week and that was insane to me but 30miles? wow!!! how do you break that up? I would love to do a mini marathon though I am very intimated. I ran 5miles at once ONE time. The next day I couldn't move hahah

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!

Wholeheartedly with you on this. I was fit and in shape my whole adolescence, I had both my kids and stayed slim and never tracked anything. I worked out hard, ate well, prioritized protein and had fun on the weekends and that worked for me for over a decade and two pregnancies. My weight ballooned up all of a sudden and kept going up and never stopped, and no matter what I did I was never able to lose weight. I had a very bad ankle injury 2 years ago that caused even more weight gain (33 lbs) on top of what I had already gained and due to the injury my mobility was greatly affected and my weight was spiraling out of control. Even at my highest weight I worked out 5 days a week and ate well and Nothing! So I understand your frustration fully. The only thing that worked was the VSG, the pounds melted off like butter and I regained control. If I were to go back in time, I would track everything I ate to figure out where the issue lay, I would weigh myself multiple times a week and see what the scale is telling me. I would do this before jumping on the surgery wagon. I wish I did that, because no matter how much I worked out and how well I thought I was eating, I was doing something wrong, and the surgery outcome proves it. Now that is my own experience, I am all for living worry-free and being intuitive, however these tools can give us great insight until we are where we need to be. I never weighed myself regularly (went by how my clothes fit), now I do. I never tracked my calories, now I do a few times a week just so I don't go off track again. There are days where I don't track because I know roughly how much I'm eating, and some days I do just for QA. Again, calories from here and there add up, so it's good you're aware of that. Also, there are other tools out there (GLP-1s if you're willing) that can rev up your metabolism and help the weight loss start again. With all that being said, you are doing amazing and it is important you don't lose sight of that ♥️