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Very happy this week! The London gain of 3.5lbs has gone plus another 6lbs has joined it this week so I’ve hit my 2stones loss target 😊 Hubby has documented this by taking pics and I can definitely see a difference - my backside isn’t as much as a shelf now 😉 I will post pics when I gain more confidence but they are definitely worth doing for your own records, even if you hate and despise your photos being taken. I’m sat here with my feet on a circulation booster, with my feet and calves twitching away. I’ve got it for both me and hubby in the hope that it will help both of us with our circulation and start helping me strengthen my muscles around my knees. We had a chat yesterday and agreed to rejoin our local gym. I know I won’t be able to do cardio like the treadmill etc but I certainly do need to spend some time on the resistance machines and hopefully the free weights. I want to try and get some muscle tone going and avoid masses of sagging skin if I can. I desperately miss going to the gym so I’m definitely looking forward to it. I’m due at physio next week for knee exercises so we’ve said we will begin 1st Sept (helps with keeping monthly finances straight too) Lots of NSVs this week…can now take my wedding/engagement/eternity rings off when in the bath. That certainly hasn’t happened for a long, long time. I’m finding more clothes to wear when ‘shopping in my wardrobe’. I’ve actually had to buy a BELT for my jeans 😮😮😮 I bought 3 pairs in the sales some time ago. 1pair fit fine, 1 I could just about fasten but not breathe, 1 I couldn’t fasten for love nor money. Fast forward to Saturday and it’s now 1 too big, 1 fasten easily and 1 fasten but can’t really breathe!!! Hopefully a belt will let me get some more wear out of them before they go off to the charity shop pile. It’s our wedding anniversary in September and I’ve set myself a target of wearing a dress that I wore for our wedding anniversary dinner 2 years ago. It’s a lovely dress and I felt fantastic when wearing it so hopefully it will fit again. I would like to lose another 10lbs or so before trying it on so fingers crossed 🤞🤞 Hubby knows what I’m aiming for and is all for it. Need to remember to record my food diary next week, ready for the dietitian appointment the week after. I record everything now but not the moods pre- and post- eating which they need. I’ve already recorded a dietitian diary just before I began my weight loss journey so hopefully she will be able to see the differences. Have a fantastic week everyone 🤩 Onwards and Downwards!

Absolutely. I had the sleeve four years ago and now the revision and you definitely want to make sure that you’re in a good place with your mental health because it takes just as much mental energy as it does physical to deal with all the changes you will be going through. It’s like a whole new lifestyle post surgery if you’re doing it right. They are really great changes, but it is still alot in short time. Be honest and trust their judgment- they have done this a lot of times and they just want to make sure that you’re in the right headspace when they do it so that you can be most successful immediately post surgery to keep you safe but also long term so that you will be successful in your weight loss. One thing I did too was to ask my team if it would be okay for me to just check in with them a little more often than they typically require. They agreed to that and it has made the process a lot less stressful this time. I just get super anxious about everything and medical stuff is even worse so stuff like this creates a million questions and it’s hard when you call the front desk and they don’t know about your mental health for them to not be annoyed when you call a bunch of times. This time I just go in and have a chat with the NP about all my concerns and she reassures me everything is fine and I’m on my way. Also, you will want to let your prescribing Dr know about your surgery at some point if you haven’t already. They will want to check in with you a couple of times post op because sometimes with the absorption changes in the body your medication doses may need to be adjusted a bit. And keep posting on here. There are so many people who have been through anything you may have a question or fear about or if you just want to vent about a stall. People are so wonderful here and eager to help. Staying active on here and the in person support groups has really helped me. Im excited for you. It’s a pretty incredible journey and you will get there soon enough.

Congrats!!! The first 2-3 weeks seriously suck. After that, it gets easier and you really start to learn your new body. Just prioritize walking, getting in your fluids, and getting in your protein. Don't rush things, stick to your meal plan, and trust the process. Weight loss stalls are NORMAL and to be expected. Watch for NSVs (Non Scale Victories) when the scale isn't moving. You got this!!

One of my favorite resources is Dr. Weiner's videos (as well as his book The Pound of Cure and his weekly podcast). He talks about the type of food we eat being more important than the number of calories we eat. Here is one video that I watch probably once a month just to get it into my head. But he has hundreds of videos, so I encourage you to check out all of the playlists on his channel. Having said that, there's a good chance you're in a stall as opposed to being done. Your BMI is low enough now that you're approaching "normal weight" and weight loss at that point gets really slow and difficult. But it doesn't mean you can't do it!

@BlueParis, you look amazing. I wish you didn't have so much societal pressure to be crazy thin. Being a healthy weight should matter most, then feeling good. I grew up in southern California and always felt pressured to be thinner than I was. Even when I was 116 pounds, I was told, "You're getting there." Looking back, I looked sickly thin for my frame. My scars are pretty dark, too, especially the largest one. The others are quite small and not that noticeable. I saw my primary doctor today and she wasn't at all worried about my A1C being at 6.1. She said we'll take another look at it in 6 months. She was very happy with all my numbers and thrilled about my weight loss. She said I was "boring and making her job so easy." That was a first!

it's very common in the weeks or months AFTER surgery have unusual periods. Haven't heard about before - but the reason for having weird cycles after is due to estrogen being released from fat cells during rapid weight loss (estrogen is stored in fat cells) - so that might be what's going on with you now...

Your experience is totally within normal limits of loss OP! I know you'll be reading the posts here of others who have lost really slowly but still reached or exceeded their goal. I lost really steadily but most of us don't. If you stick to your programme you will lose lots more. I did, and my last few months saw me lose 1 or 2lbs max per month - still a loss! Keep the faith.

first of all, most people who aren't the size of the folks on "My 600 lb Life" tend to lose somewhere in the 15-25 lb range the entire first MONTH. So at only two weeks out, you are way, way ahead of the game. secondly, you are starting out at a MUCH lower BMI than most WLS patients, and starting BMI is one of the factors that determines your rate of weight loss those first few weeks and months. So your rate of weight loss would be expected to be at the lower end. So again, esp given your low starting weight, you are way ahead of the game. third, you have likely hit the infamous "three-week stall". The vast majority of us have our first major stall within the first month or so after surgery. It's usually the third week, hence the name, but it can happen any time during that first month or so post-op. It usually lasts 1-3 weeks. I had mine during weeks 2 & 3. After it broke, I dropped like six or eight lbs practically overnight. so first, you need to manage your expectations. You are not going to lose like someone who starts out at over 600 lbs. But again, you are currently WAY ahead of most of us even "normal" WLS patients at this point. Secondly, the stall: you just have to ride it out. The only thing you can do is make sure you are following your plan to a "T", and stay off the scale. Stop weighing every day. Just weigh every few days or once a week until it breaks. And it WILL break as long as you're compliant with your plan. if you want more info on the three-week stall, do a search on this site for it. You will find over 17,000 posts on it. And no, I am NOT kidding.

hiya! alot of us worried about rapid weight loss and getting too thin. more often than not it really becomes a non-issue. very very very rarely does someone lose too much weight to the point that it affects thier health. aesthetics though, may be a different story. you (or others) may believe you are too skinny, but your labs will likely say otherwise. you are taller and weighed less than me when we started. i too was "normal-sized" for the majority of my life. my weight gain was in my 30's, and early 40's (kids, family, work, mortgage, lol). went from 130-235 lbs. but at 5 months post op, we are both very close in weight loss PERCENTAGE WISE. you lost 66% of your body weight, i lost 65%. ** EDIT: CORRECTION, did my math wrong: you lost 34% of your body weight, i lost 35%. (i used end 5m body weight vs weight lost at 5 months for original calc..oospies!) ** and i can tell you that i did not get dangerously thin, nor was my surgeon or primary care doc worried at any point during my weight loss (nor during maintenance). i DID think i got really skeletor-looking when i reached 127 lbs, BUT i was 118.4 lbs this morning (and over 5 years out now), and honestly, i think i have not looked better since i was a teenager (i was firmer as a teen vs now lololozzzz). stuff shifts around, and the same number will look totally different on you at different times of your life. regular exercise does WONDERS for your appearance (and well being). anyway, i know i can't really just TELL you to stop worrying and you will magically stop worrying. i worried for a month or so as well way back when i decided to enter maintenance. alot of us felt the same way. maybe we all need to just go THROUGH the worry to get OVER it. good luck! ❤️

I am in the same boat with not having had surgery since I was younger so I really can't remember what it was like to go under! I am really glad to hear that you don't remember anything and it wasn't a scary experience! Also congratulations on your weight loss so far!

im proud of your loss too! I see you all over the forum and loosely have followed your progress! Super proud of you!

Its crazy how different every Dr is. Mine tells me the same things to strive for. 3 meals plus a snack no more than 4oz or 1/2 cup. But she 100% understands that I just can not physically do it yet at 2 month post op. So she absolutely tells me to supplement with shakes because it is more important to “try” to get to these guidelines while maintaining my protein intake for the health of my body. Right now she says is the time to take advantage of the weight loss, to try all the foods I can tolerate so I can build that healthy diet. But telling my I am not allowed to supplement will only discourage me and make me feel like a failure. She said these are your goals, and every day you work to make it to these goals. But 3 priorities over everything. Water Protein vitamins…..

I agree with your statement and probably why I've been in a holding pattern at the same weight now for 2+ months and I'm not happy about it. As far as macros: Protein: 80 grams was 70 until 3 months post op Carbs: 50 or less - H2O: min of 45oz but prefer 80+- JennyBeez: "It sort of makes sense? A nutritionist I saw years back (not program related) told me that she often starts people on higher calorie counts and then as the weight loss slows down, that's when she restricts them further to keep the momentum going. These days, I take it all with a grain (or seven) of salt because everyone reacts differently to foods / calories / etc. Different strokes. " These are what they've had me at since I went to solids about 8 weeks post op. I've had no change oin calories since then..your idea makes sense tho!

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.

When I had my sleeve, I never lost my hunger and I didn't really have any restriction. It was mostly learning what I can and can't eat, how often, and when. I had to do the work to retrain my brain because I didn't get the benefit of loss of hunger. I complained about it all the time on here lol I had to have a revision to bypass 13 months later due to complications and while I didn't really lose hunger, there was DEFINITELY a hard stop when it came to how much I could eat and how often.

hiya! 1-2 lbs loss per week is NOT a slow loser at all. its actually quite common/average. you are doing great

H Hello there I have had my band for 8 years. Weight loss was not remarkable and at the max of 5-7 kg over all the years. Instead, the band has only caused issues and daily vomiting. Have finally decided to have it removed, as I now suspect it has slipped. I haven’t been able to keep food down for 7 days, despite not having had any fills for years. However, I have once concern: I am 41 y.o and have no children and planning to become pregnant this year. How soon after band removal am I allowed to become pregnant? Thank you

Hello! My name is Zach, and I am a 2nd year medical student conducting a research project, "Evaluating GERD symptom alleviation following robotic Roux-en-Y gastric bypass surgery", which essentially seeks to evaluate the efficacy of robotic gastric bypass surgery in relieving GERD symptoms. I was interested in minimally invasive surgery long before starting medical school, and decided to spend my past summer working alongside a bariatric surgeon in my hometown. While working with him, I noticed how many of his patients stated that their GERD had resolved after undergoing robotic gastric bypass. My time there was limited, so I was not able to really share this survey with his patient population. Below is a link to a survey that follows the guidelines outlined in the official GERD health-related quality of life questionnaire. I would greatly appreciate your help with this! My goal for this survey is that your responses will allow me to publish a paper from an educational perspective, illustrating how efficacious robotic gastric bypass is at alleviating not only weight loss, but symptoms of GERD as well. While I hope that all of you have had nothing but success following your surgeries, I understand that this is not always the case. I would love to hear all of your various experiences and perspectives, whether they are positive or negative. This survey below is entirely anonymous. You should not be asked to sign-in to Microsoft in order to complete the survey, and I will not have access to your name or any other patient identifiers aside from your age. When you first open the link, you will see information regarding informed consent. After agreeing to participate, you will then see seven screening questions. After that, you will begin the actual survey, in which you will answer questions regarding various symptoms before and after your surgery. This survey should take about five minutes of your time. Survey link: https://forms.office.com/Pages/ResponsePage.aspx?id=5CBDHRt_fk2_8ubn-Q2YhAxSQabe5PdIrhihxZU9cCZUQ1hSQjE3WkozVEFHTUQ5N0RTNERSMUNPMy4u If this type of post is not allowed, I understand and apologize! I hope to have the opportunity to share your experiences with this survey and shed some light on the relationship between gastric bypass and GERD. Thank you all in advance!

You are doing great! PCOS or menopause or something did slow things down for me, but the surgery does work. 2+ years out and I’m still tinkering with how carbs and preservatives trigger inflammation in me. I still track when inflammation strikes and you will find your ebbs and flows too. I don’t know if you tried WW or any other plan? I remember the normal loss of 1/2lb a week. Just keep thinking of how this loss compares. WLS does work. Body measurements helped me through the many stalls, speaking of which, you’re probably heading into or out of your “3 week stall.” It’s temporary, you will get to where you hope to go. Here’s to good health!

I think most just want to compliment you on your great accomplishment and we can be too sensitive. What I mean is no matter what someone says (yes some don't think it through AND do say hurtful things) it can be kinda hurtful if you think about it to much; " Oh you've let weight, you look great!" - So what are you saying, I didn't before when I was fat!? "You lost a lot of weight in your face, you're beautiful! - Again, I wasn't before? Its a very difficult mine field for ppl to transverse - I just take the compliment and move on. "better yet learn to see a person for who they actually are and not even notice a persons size amongst other physical things (only in a perfect world I know)." - After all the work I've gone though to lose the weight, its nice to have it acknowledged. I'm not sure I'd be happy if they just kept talking after not having seen me in awhile and not at least mention my weight loss...but, to each their own, we're all different. I try my hardest to not read into what or how ppl say things, I just take it as hopefully a compliment, but if it's not, then the hurtful thing is on them - not me.

I had the sleeve on 4/22. I have lost 36 pounds since starting liquids. I previously had a lap band that was removed 10 years ago. With the sleeve I feel almost zero restriction. I feel I could eat as long as I wanted. I can drink and drink. I’m getting close to 2 gallons a day with no issue and have been from first day post op. I am hungry all the time. I don’t feel satisfied ever. I’m restricting myself to 1200 calories a day. I thought this would be more like the band where you felt full. I hate being constantly hungry. I’m at a loss. I read other people saying they they can only eat small amounts and have to struggle to get the protein and I think I wouldn’t mind some of that.

my husband met me when i was a smokin' hot, 120lb-23 year old, married me at a decent sized 130lb-30 yr old, was by my side as i worked my way up to a morbidly obese, 235lb-45 yr old, and is surprisingly still around as i am now a 105lb-52 yr old (smokin' hot again, if i say so myself, lol). i say "surprisingly" cuz i'm ALOT. and i know it, lol. the man has the patience of a SAINT for effs sakes (i'm very lucky). while i can't say if my weight loss/gain changed his attraction to me (i mean he'd NEVER say so, and apparently his want for sexy times has not increased nor diminished this entire time...if anything, MY OWN want for sexy times is directly proportional to my weight....the heavier i got, the less interested i was, you know? now i'm like energizer bunny again like my younger days, which i guess Mr. is pleased about, but i digress.) as for attention from others (male and/or female), yes, i know it is also proportional to my weight/looks. but i mean, lets be honest, i get more attention when i'm fitter, because...well, i'm fitter. i am not one of those that get offended because the same person that hit on me now when thin again, didn't when i was fat. that person is psychically attracted to a certain type. and i may or may not fit that bill depending at what point in time you get me. yes, i have a stunning personality, but if i am not physically attractive to you, you may never get to discover that. oh well, that's just how it goes. truth be told, i am much more physically attracted to fit, muscular men (case in point: my Mr. has been a literal FIT SPECIMEN then entire time i've known him). BUT...once that initial attraction is cemented, if a dude turns out to be an un-funny, un-intelligent, boring, DUD, then, well, next. luckily, Mr. has the brain to match the body (I WIN! lol) if a sandwich looked unappealing? would you eat it? most would not. i think the physical attraction is what hooks people, but its the personality/vibe that brings them in. so i guess what i'm saying is that people are people, and we don't need to hang on to perceived offences if it does us no good. accept the compliment, bask in your awesomeness, and move on. (or stay if you want a little fun, ha!)

I am 22 pounds from goal weight and the only exercise I have done for the past year is walking 2-3 miles a day. Casually. To be honest, I joined Planet Fitness since everyone kept telling me I needed to lift weights to avoid too much muscle loss from the rapid weight loss. I went a few times then stopped during flu season and never went back. I had a few different stalls and of course the weight loss slows the closer we get to our goal weight. But on the average, I lost 1-2 pounds per week since RNY WLS in April 2023. I plan to amp up my workouts after I get below my goal weight with resistance training. I used to body build in my 20's so I'm counting on muscle memory to kick in for me. LOL I also knew that weightlifting would increase my appetite and eating more when our bodies can't build muscle during our honeymoon phase didn't seem logical. According to bariatric surgeon, Dr V, we are in a catabolic state for 1 -2 years after surgery. Meaning we cannot build muscle while our body is breaking it down. (losing weight) Makes perfect sense to me. I'm curious if you have gotten a bodyfat test that shows increased muscle mass 9 months after surgery coupled with weightlifting?

I have yet to see a nutritionist or dietician that truly understands the optimal diet for a SADI or DS patient. Most of the time we just get a modified version of what they give Bypass and Sleeve patients. But as you say, you aren't absorbing as much as they are, therefore to give you their requirements would leave you malnourished. 15 grams of fat is absurd by all medical standards. Most medical studies show we need 60 grams of fat for proper hormone function and even if you ate 60 grams of fat, with an altered digestive tract, you aren't absorbing that much, so you need to eat a little more than that. Even the ASMBS recommends 60 grams of fat by 1 year out!! Your dietician is not following best practices. Most SADI/DS patients I know follow the vets that have been living with this surgery for 10+ years and maintaining their weight loss. We figure they know more about optimal diet than a surgeon who has never lived with this surgery, or a dietician that has never even researched best diet for bariatric patients of various surgeries. Most patients I know are eating 100-120 grams of protein, less than 50 grams of carbs, and over 60 grams of fat, usually around 100 grams of fat for SADI and 150 grams for DS. You can increase your carbs once you have reached your goal weight, they tend to slow/stop weight loss, so in active weight loss it is important to keep them low so you stay in ketosis. A calorie range makes dieticians feel better, but it makes no sense for a SADI or DS patient because we malabsorb so much fat we can't even begin to properly calculate our calories. You could eat 1200 calories, but that wouldn't be what your body is absorbing. I'm sorry this is so complicated. In the end you have to decide what you feel best at. I don't feel good following guidelines like your dietician gave you and when I go over 50 grams of carbs I stop losing weight. So...yeah. I'm going to follow what allows my brain and hormones to function, what makes my skin, hair, and eyes feel best, what gives me the most energy, and what allows me to lose weight steadily. I'm the one that has to live in this body. It is sad these surgeries are so uncommon there are no good studies about optimal nutrition for them. But there is no way I'd go below ASMBS guidelines, they are the closest thing bariatric surgeons have to a standardizing body. Your dietician should be able to give you ASMBS guidelines for your surgery.

I see your point, but I think the psych eval is necessary. Weight loss surgery outcomes are much better when used along side pysch evals, dietician visits etc. This is all documented and confirmed by the medical community. I think if I was an insurance company, I would prefer to pay out for a surgery that it likely to be successful because the patient is using all the tools in their tool belt and is more likely to be successful. I would also think that more than one appointment with a psychologist should be the norm. You can sometimes do more harm than good with only one therapy session. I don't see it as discrimination because ultimately, it's an elective surgery. We can live (albeit less well) if we are overweight. There are also other surgeries that require psychiatric evaluation too, for example gender surgeries. It's not really discriminatory to require that the person getting certain surgery is likely to have a successful outcome because the require life changes to be successful. However, I definitely agree that it shouldn't be down to the insurance companies to determine the requirements, it should be medial professionals. Insurers should never get the final say in what procedures a patient can or can't get if the doctor disagrees with the insurance company. I also don't think a tick box appointment should be enough to get approved for a major surgery which is what insurance requires.