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A nice, positive week last week 🙂 Weight gain - gone with a couple of extra pounds thrown in for good measure. Our anniversary dinner was lovely. As autumn has hit with a vengeance (non-stop rain and cold 🙄) the dress I was going to wear was relegated back to the wardrobe so I bought a smaller sized top and IT FIT!! I was so pleased. I was able to wear a nice set of underwear, a skirt I couldn’t get over either my stomach or my arse a couple of months ago and a smaller top and dressy jacket. I’ll be honest, it felt wonderful to be in smaller sizes and not feel that I was trussed up like a chicken in clothing that was too tight or something that didn’t really suit me. I didn’t even have to wear pully-in control knickers - the shock!!😮 I called the Bariatric admin on Friday, just to enquire about the MDT etc and was told that it was around a 3 month wait to go to the MDT. This should be around the beginning of December. At least I know now so can stop wondering. I will just carry on with what I’m doing presently and wait for the next steps on the WLS journey 🙂 Went back to the gym today and really enjoyed it. I upped my levels and really felt the difference. Will see if I can get out of bed without crying tomorrow, just to make sure I didn’t overdo it! Hope everyone has a wonderful week! Onwards & Downwards 🥳

What did a daily day look like? Mine is mainly chicken nuggets and string cheese both because of restriction and limited recipes despite searching When did you have bread? Even low carb? The only I found is sarah Lee? Low carb tortilla? Did you start eating out? What were your favorite bariatric friendly go to?

No worries.i haven't had a period since 2018, so I can't use that as a guide. I've been to nutrition and my bariatric team. Nutrition gave me calorie and macro goals and I'll repeat a body composition the end of October. What's funny is I haven't changed how I eat, just tracking, and I've meet or exceeded the goals given. They also did blood work and everything checks out fine. At this point, the only thing I can think of are the times my activity level has been higher. However, I compensate for that by eating more calories. I'm very in tune with my body and adjust my eating as needed. I guess the key factor is calorie input/output. Also, my bariatric team seems to think the body composition was inaccurate. We'll see what the end of October brings.

I'm going to start with my obligatory recommendation to talk to your surgical team. There is a possibility your issues are complications due to surgery, or even other potential medical conditions. It's better to be safe than sorry and talking with a medical professional can help rule out some issues. With that out of the way, I will give you my non-medical opinion just based on what you posted. Again, just based on what you wrote, it is possible that what you're experiencing is related to the volume of exercise and your low calorie intake. While it's not exactly the same, this is similar to something we call RED-S (Relative Energy Deficiency in Sport). Feel free to Google that to get an idea of what I'm talking about. Both in the case of RED-S, and what you're describing, it sounds to me like your body is telling you that you're overdoing things. I love that you're being more active, but without properly fueling your body, you can actually cause some nasty problems (again, see RED-S). Keep in mind that your body actually only improves physically during recovery, which includes both proper rest and proper nutrition. Dehydration can also exacerbate the problems your having. Plus, while dehydration can always be an issue for anyone, for someone so soon after bariatric surgery it can be really problematic. One of the most common reasons bariatric surgery patients end up back in the hospital is due to dehydration. My advice would be to give yourself a down week from the exercise, which should do a couple of things. One, it will give your body a chance to recover some, which is a good thing. Two, it will help you know if this really is due to the volume of exercise and the incredibly low calorie intake. By the way, a down week, does not need to be a week completely off, Just stepping things down 25% to 35% is enough. For example, instead of walking 5 hours, shoot for 3 or 3.5. Do the same on your swimming. Taking a down week like this around once a month is really common for even pro-level endurance athletes. I promise it's going to help and not hurt you in any way.

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!

Where are all the pet parents! Has your new lifestyle impacted them as well? Do they help you exercise? Are they emotional support animals? Please post pics and stories about your favorite furry friend!

Hi all! So I am working on Maintenance, I feel good, I *think* I look good, health is great, I am eating anywhere from 1800-2000 calories a day. I am burning around 500-700calories for my workout and walking over 10k steps a day usually hitting 11,500 steps. I am maintaining which is great! I am hungry or I get lethargic which when I eat helps a lot! My obese mind set is slightly freaking out. and I am scared because I'm still within the year of my surgery I am messing it up. I have tried all week to stay within the 1500-1700 calories, 140g carbs, 40g fat that my bariatric packet tells me, and its IMPOSSIBLE. I know I have done well on this journey, I am just terrified of going back and eating too much and ruining all this progress. My approximate daily macros: 1700-2000 calories 100-150g carbs 130-175g protein 65-80g fat Just need reassurance I am not alone in this journey.

Our surgeons did their very best to educate us in a manner that would be easy for a broad population to understand but sadly WLS is not as simple as restriction driving weight loss. Check out these excerpts from a review on the Endocrinology of the Gut and the Regulation of Body Weight and Metabolism and also a study that tried to predict outcomes of various WLS on (hedonic) hunger and weight loss : The mechanisms behind the success of bariatric/metabolic surgeries remain to be fully elucidated but post-surgical changes in gut-derived hormonal peptides, bile acids (BA), gut microbiota, and vagal tone are suggested to be involved (13, 14). Read more here: https://www.ncbi.nlm.nih.gov/books/NBK556470/ Bariatric surgery engenders weight loss through a number of biological changes, which alter eating behavior and thereby result in a reduced energy intake, which is the main driver for sustained weight loss. Gut hormones, metabolically active polypeptides secreted along the GI tract in response to fasting and eating, act upon CNS centers involved in appetite regulation and generate either orexigenic or anorectic responses. Following bariatric surgery, gut hormone secretion profiles change as a result of the anatomical changes from the surgery. Altered gut hormone secretion profiles are thought to be key mediators for weight loss following RYGB and SG. RYGB results in a marked rise in meal-stimulated circulating levels of anorectic hormones peptide YY 36 (PYY) and glucagon-like peptide 1 (GLP-1); these changes are also seen post-SG but to a lesser extent. SG, in contrast, leads to a significant reduction in the orexigenic hormone ghrelin, by means of removing most of the ghrelin-producing cell population from the stomach. Ghrelin and PYY/GLP-1 act on appetite-regulating areas of the CNS in an opposing manner, stimulating orexigenic or anorectic responses, respectively [16]. Read more here: https://link.springer.com/article/10.1007/s11739-022-03063-0#:~:text=A reduced energy intake%2C as,weight loss following bariatric surgery.

You've gotten some good advice already, but reading your post, a few things stood out to me. These are in no particular order: 1200 calories sounds high for 15 weeks post-op, but if that's what your plan calls for, who am I to question it? I think the bigger question is does this 1200 number include all the alcohol? One of the reasons alcohol is not recommended post bariatric surgery is that it's got a ton of calories and will definitely slow weight loss. The other huge concern on alcohol is that a substantial number of post-op patients develop alcohol use disorder. (Some estimates are as high as 20% or even 30%.) You didn't actually specify how much you drink, but when I see "active social life", I interpret that as "I drink a lot". Maybe try drinking non-alcoholic drinks when you are socializing? If you find that you can't give it up the alcohol, this is a major red flag and you really need to seek help. Taking another approach here, I noticed that you are being more active, which is fantastic! I did want to make sure you knew that changing your activity levels like that (starting a couch to 5k plan), will cause your body to retain more water. This means you may not see the results you are expecting on the scale, even if you are still losing fat. Keep in mind that the your weight is made up of lots of things other than just fat, so variations are normal and are just part of the process. If you are eating less than you burn in a day, then you are 100% burning off fat reserves, even if the scale does not show it. Best of luck.

That seems about bright. I was eating about a cup at 6 months which is what my surgeon advised. Slowly I was able to eat more until I am where I am now. So about a good cup of vegetables and about 3 or 4ozs of protein. My portions fit nicely on an entree plate (9inches/23cm). Doesn’t matter how large a portion you eat you can still enjoy and try a variety of foods. Five years out and my restriction is still there too. Not as tight as it once was but it can still shout no stop when it wants too. But yes, picking is the devil. So easy to lose track of how much you’ve actually eaten and because it’s usually such small portions, whatever you have left of your restriction, isn’t going to kick in. I have specific times I snack and I generally don’t snack or pick outside of those times (of course there are odd times or situations when I don’t stay the course perfectly). @SleeverSk did you speak to your GP or your bariatric surgeon about GLP -1 meds? Wonder if your surgeon may be more open to you trying it if you only spoke with your GP.

Wanted to share my experience and echo the other commenters here. I am 9 weeks out of my gastric bypass and I am right where you are almost exactly weight loss wise- Pre surgery and liquid diet I was 260lb (117kg) After liquid diet in surgery day I was 244lb (110kg) Now after 9 weeks I am 99kg. I haven’t weighed in a few days so I may be a pound or two more but I’m trying to limit myself to only weighing every few days so I don’t hyperfixate. I definitely feel like I’m losing slow- but last week in my bariatric programs’ support group on zoom, almost EVERY patient had that same feeling. It was very validating and most of us were feeling disappointed and impatient. After hearing that it made me feel a lot better. I keep reminding myself that I haven’t even been this weight in a long time and that it’s going to keep going down on its own schedule, when it’s right for my body. Keep fighting the good fight and showing love and kindness to your body and we will all get there.

You must be so incredibly frustrated! Which type of surgery did you get, the sleeve or the bypass? I'm at about 7 weeks post op from getting the sleeve + intestinal revision and my calorie consumption ranges from 500-700/day, with my carb intake less than 35/day and a protein goal of 60/day with fluids of at least 48oz/day. I agree with others - it seems like a good idea, regardless of any advice you get from this forum, to revisit your surgeon. That said, I do believe you hit the nail on the head for one with the alcohol, and secondly I'd ask how many of your calories are coming from carbs. It's ok to include carbs in your diet, but really, this early, unless you are very physically active there isn't cause for many of them. At this stage it's typical to eat no more than 1/2cup - 1 cup of total food per meal, three times a day (or spaced out into 4 meals if needed). That's including your protein, which as someone else said should be the first thing you eat. Another thing about alcohol - it tends to cause dehydration - so you'd need to be consuming even MORE water throughout the day to compensate for that, just like caffeine. If you aren't hitting your hydration goal (PLUS, because of alcohol) then your body will struggle to convert your stored fat into energy, which is what causes most of the weight loss. An example of what my diet looks like at this stage is a single serve yogurt for breakfast (I have been getting the Aikos zero sugar or 2Good ones) - Remember no drinking 30 minutes before or after, and your meal should last at least 20-30 minutes. For lunch I might have a 'tuna melt' - which I make out of 1/3 can of tuna in water, a zero net carb small tortilla, and maybe 1/8 cup of shredded cheese or a low fat string cheese (I cook it folded over like a quesadilla) with maybe 1/8 cup of low fat cottage cheese, then for dinner a serving of one of the many bariatric recipes - there's a ricotta bake (lasagna with no noodles, basically), unstuffed cabbage rolls (Kind of like egg roll filling), or maybe chicken or tuna salad made with low fat mayo and a dab of relish with some cucumber slices/2-4 saltine crackers. I use the free Baritastic App to track my food and fluid intake. Using a tracking app increases weight loss significantly from what I've been told because you can see and understand what exactly you're putting in your body. The good news is that as far as I know, it isn't too late to backpedal and reset yourself! I'm NOT a doctor but my understanding is that if you get off track after weight loss surgery, especially this soon, one way to 'reset' is to go back on a liquid diet for a week or two, with zero-sugar jello, zero sugar pudding, and protein shakes (less than 5g of sugar each) to hit your goals. After that, work your way back up to puree foods for a week, then soft foods for a week. I strongly recommend eyeballing the nutrition information on any shake you think of buying, too, because there are some that are loaded with sugar and have as many as 22g of carbs EACH. After weight loss surgery it's also strongly discouraged to have fried food at all for the first 6 months, and after that maybe once per month. The same goes for sweets and baked goods. I hope this helps, and again - I feel like you should really follow up with your surgeon and a nutritionist! Best wishes!

I’m not sure about in AU, but in US medical files sometimes still say history of obesity/Bariatric surgery so that bypasses a lot of issues when trying to explain why you need help losing regain or maintaining weight. Can others please chime in if they have any information about this? But either way if you can swing it, they are effective.

Has anyone ever gone to ALO Bariatrics in Tijuana, Mexico? I’m interested in having the modified duodenal switch. Just wanted to know what your experience was like there. Any issues with the hospital? Did you feel safe having your procedure done there?

I have an appointment already this week. My body composition is done via bodpod at my bariatric clinic. So the accuracy is pretty spot on. At 12%, it's very concerning.

I'm almost a year and a half since my RNY (November). I've lost about 135 give or take (I bounce between 125-130lbs). I haven't lost any fat free body mass since month 3, and have actually gained 5lbs of fat free mass since May. At my 1 year, in May, my body composition said I was at 18.1% body fat which is on the low end of "lean" I did another one last week because I was feeling off (tired, muscle cramps, brittle nails, headaches) My body fat percentage was at 12.3% which translated into roughly 16 pounds of my overall weight (130 at the time of the test) being fat. Anything under 15% is "at risk". I eat, what seems like all day long, I get my calories, protein, healthy fats, fiber. I take all my supplements. All my blood work I've had this year for random things and specifically for post surgery, has been normal. Nothing, other than feeling off, pointed to this. I do have an appointment with nutrition and my bariatric team this week. But wanted to see if anyone has gone through this, heard of this... Anything? My initial thought is how my body is absorbing nutrients, but again, my labs have been normal.

Okay so I will remind you yet again that my surgery was a revision and they did not operate on my stomach so I’m probably quite a bit further along when it comes to food tolerances but when you get there you may want to try these spring rolls. The rice paper is kinda hard to work with so the first ones looked pretty bad but I got to the end they looked a little better. My guess is next time they will be good. I still don’t know what to do with the leftovers. I made 8 instead of 10 because I didn’t ration the chicken well enough but it just increased the protein which btw is kinda low in this as well. I am thinking I may add edimame next time. This time I just supplemented by having a shake for my snack. Ooh and the peanut sauce is super salty. Maybe because I used 100% ground peanuts and that doesn’t have any sugar but next time I may try reduced sodium soy sauce. Anyways, here is the recipe if you like spring rolls. The hardest part was trying to figure out the mandolin to julienne the veggies. https://www.bariatricfusion.com/blogs/recipes/bariatric-recipes-chicken-and-veggie-spring-rolls

You can totally DM me on here! Totally am down to help a fellow bariatric pal! I took 2 weeks off, just for my mental health too. I needed to get into the game with the foods and the meal prepping. I definitely had to work my way up, Lots of tears and sweat. Even still ! LOL I did greive clothes, I still have 3x tops and dresses in my closet that I have not been able to get rid of. I wear them tthe tops to bed now..For the most part I had to buy all new clothes. Still working on building it up. I went from an 18/20 to a size 4. 2/3x to a Small top. No you do not need to add the quote lol

I had a ton of scar tissue from a butcher surgeon 40 years before my sleeve surgery. The bariatric surgeon noted it and allowed a little more theatre time for me. My surgeon said it was very stuck inside but he did it all keyhole. It just took him longer. This week I was due to have my ovaries and a huge ovarian cyst removed by key hole surgery. I was informed that I may have to be opened up if it became a problem. It was and I was. This is day 6 and I am feeling more like myself and the pain is manageable today without meds. So what are the differences, More pain, your muscles are cut. A big scar and drain holes. And a 12 week ban on house work and lifting, more of a bonus that one really. I hope it goes well for you. It will be worth it even if its not keyhole. Trust me

the two they usually measure for are ALT and AST. But not all clinics test for those, so not everyone knows their values (actually, my bariatric clinic doesn't test for them, either - I'd gone to my primary care provider for some reason or another (it's been eight or nine years, so I don't remember why) and she did some panel that included liver values. She freaked about it, but my bariatric clinic knew what was going on - and again, they were back down to normal once I was about a year out).. They go up because rapid weight loss is really hard on the liver.

This is my worry. Got in 2012 also. I only have 3ccs in a 10cc band. But I keep hearing how the band can erode and mess us up internally. There are no bariatric doctors locally and I would have to go out of town too. I don't have any issues per say. How are you doing now?

Who got you approved? Typically you have to get a referral to a bariatric surgeon, their coordinator tells you what Medicaid's requirements are, you spend however much time doing everything Medicaid wants, then it's all submitted to them, then they approve it. How did you get approved for bariatric surgery with no surgeon?

If you are the same in the US as we are in the UK, then Amazon deliver the day after ordering. If thats the case, save your money and buy as you need it. As a example, I bought a blender and did not use it as I barfed every time I thought of pureed foods, still do. I sent for a bariatric cookery book, same outcome. On a whim, I bought a personalised bariatric plate, it is still in its wrapping. My clinic told me to buy suckable vitamins and dissolvable calcium tablets. I used a thermos cup, I was allowed coffee and it takes an age to drink in the early stages, it kept it hot for me. I bought a bed wedge as I had GERD, still do. I never had protein shakes, my surgeon did not believe in them, I just had milk. Everyone who has stock piled a protein shake they love pre surgery, has found it disgusting after surgery. Your tastes flip and you may have a problem with lactose or vegetable protein. Buy one or two of a wide range if you must. I really wished I had a recliner chair, I had to sleep sitting for 3 weeks. As I said before I had problems with Gerd. It took a while to get my meds right. This forum and its wonderful forumites are a asset I used so much. Its all gifted free. Paid forward if you will. They have so much knowledge, they have been and done it before. Some one will have had every eventuality and will help Good luck

Look into Dr Weiners Program. I think it’s pound of cure.com. His book “pound of cure” is pretty good too but he is a bariatric surgeon who has a podcast and his team offers nutritionist appointments online and he is always coming up with more stuff to help the bariatric community. He was the first one I heard mention GLP-1 long before it became widely known. He had lots of videos on YouTube about pre and post surgery as well. It may be cheaper or more in depth. Not certian but I know he is extremely knowledgeable and his nutritionist is on the podcasts with him and she really seems to know her stuff too. correction it’s poundofcureweightloss.com Also, if you don’t already you may want to start using a tracking app. That way you can share the info about your macros for a period of time. I really like Baritastic. You can get reports sent to you email if your macros and your food which you can forward to your nutritionist so they can see exactly what your eating

Hi all. Im 7 weeks post op as of today. I’m curious if anyone has hired an independent bariatric dietician… in other words, someone outside of your surgeon’s office to support you? I am not really satisfied with the level of support that I am getting from my surgeon’s office. I’d like at least a weekly or bi-weekly check in with someone and to discuss goals and things I can work towards. When I asked my surgeon’s office at my last follow up appointment if I was where I should be weight loss wise, I didn’t really get much of an answer. I asked where I should be at my three month follow-up and she couldn’t find her chart. So I never got an answer. I live in an area where I haven’t been able to find any support groups locally. I’ve located someone online with a wealth of experience in working with bariatric patients and is a certified dietitian. She works primarily online with patients. I am hesitant to move forward based on the price. Just curious if anyone has had luck with this or has any thoughts about it? I haven’t decided against it, just hesitant due to cost.