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I don't like the way that low fat and low sugar things add in other stuff. Low fat things often have artificial thickeners in them, which I just won't eat. And the low sugar things have artifical cancer-causing sweeteners, which I also won't eat. So I pretty much have everything that I eat full fat full sugar. I just stick to healthy options so that the few FF/FS things I have don't amount to any weight gain.

Weight gain should be few and far between with mirena. The medication does not really leave the uterus. Unlike other birth controls, mirena is a localized birth control that does not enter the blood stream.

What about side effects? I am worried about weight gain and acne. I have been told it is really good, but since I have lost my 72 lbs my husband has been all over me. So I am glad I have a good form of birth control. Just a little worried about side effects.

I had my band removed a little over a year ago due to erosion. The thing with me is I didnt have any pain symptoms. The only thing I noticed is I started gaining weight. I also went to a different bariatric surgeon. He did an endoscopy and immediately found it. He immediately took out the band and during the course of a little over a year, I have gained 65 pounds. The weight gain has affected my moods, well being, motivation and friendships and relationships. I am happy to say that I have taken the first step to getting my life back. My surgery date is October 8th. I am having to self pay but I feel like its a small price to pay for a healhier me and getting my life back on track. I hope you find your way and wish you luck.

Has anyone used the mirena iud? I read that it can cause weight gain hair loss etc? Advice welcome!!!!!!!!!!!

If you're taking BC pills you need to continue them for at least 1 year after surgery. The risk is too high to you and the baby if you get pregnant before you lose all of your excess weight. Plus it's very unsafe for a baby to gestate in an overweight mother. While those babies survive just fine, they have many issues as they grow up so it's to your advantage and your future child's advantage for you to get on birth control (no reason to stop taking it 4 weeks before surgery - say on it the entire time - talk to your surgeon about that) and stay on it for at least 12 months following or until you've lost all of your extra weight then about 3 months after you've reached your goal. Once you're at that point you'll know how you should eat. This is crucial because it's very likely you'll have your Fluid mostly - if not completely - removed if/when you become pregnant and if you already know how to eat you'll be able to minimize weight gain outside of the necessary 20-30 lbs for your baby.

I have given this thread a lot of thought. I have to say I now understand the "my body, my choice" argument a lot better than I did before. My option is to remain private. I've very grateful I made that choice. I am losing very slowly. I lost as much in the 6 months before my surgery dieting as I have after being sleeved so no one has noticed anything remarkable. I've also lost large quantities of weight before to where this isn't any different to them. I do not want to be responsbile for anyone else's decision. A friend came to me about 8 years ago and tried to talk me into gastric bypass. She'd had it 3 years earlier and lost 150 pounds.She may not have meant it that way, but I felt pressured. Remember what it's like being fat and having someone come and try to fix you? That choice didn't seem right to me and I didn't appreciate her "come to Jesus" moment of sharing with me. Now, I'm sleeved and she's easily gained 1/2 of what she lost back. She no longer offers solutions to people. And I know there's at least a possibiliy that in 5 years I'll be dealing with rebound weight gain. I see it every month in my support group. Everyone should have a responsbile primary care doctor who should be talking to them about surgical options. If they are not, they need a new primary care. And if you are thinking about going into major surgery like this without having been medically cleared, that's also a bad decision. Everyone I know, and I'm not exaggerating this, has access to the internet and there are multiple WLS seminars advertised and offered in our area by 4 different medical facilities each month. I just don't think I need to be putting myself into anyone else's life as an advocate for gastric sleeve. I don't want that responsibiliy and I don't think it's my job. As this thread starts out by saying, this is just my opinion.

The day I found out both my mother and father had diabetes, and I was walking straight toward that with my weight gain. And I couldn't stand to look in the mirror anymore or go out with my friends like normal. I was depressed about my weight, and it was ruining my life.

The sleeve really does help keep portions in control. I promise I did not diet during my maintenance time, but I was conscious of my food choices. I eat anything and everything I want. Grant it, about 85-90% of the time I still eat Protein first, but I enjoy all foods. I drink soda, alcohol(not in pregnancy), enjoy a lot of social gatherings which revolve around food. So, I do feel I live a pretty normal little life with food. BUT, I put in the work early out when really didn't have room for a lot of other foods. I remember even getting into maintenance, and being perfectly content with a few chips/crackers. Now, I can sit around mindlessly eat an entire "Big Grab" (those 99cent) bags of Funyuns.or half a sleeve of crackers without restriction. Those are the habits that I was talking about in my first reply. The sleeve really does help us not gain the weight back, but the sleeve doesn't stop ice cream, Cookies, carby/fat/fried foods from sliding right through. None of the WLS options stop carbs and sliders. So, we still have to be mindful and diligent in our food choices. My weight gain was over the holiday season last year. From Halloween to New Years, we attended a bunch of parties, social events, get togethers, etc etc and they all involved alcohol in copious amounts, party foods, Snacks. Seriously, every other weekend, I had somewhere to be and had food and booze in hand. Over those 3 months, I had a solid 7lb gain. I saw the scale gradually go up, and thought "oh it's Water weight from the booze". Low and behold, the new year came and those pounds were still there. I went back to just my normal eating habits, not dieting, just protein first for my meals, and I dropped those pounds in a little over a week. I admittedly hate working out. It's no different than scrubbing toilets. I could probably have more laxity in my food intake if I worked out more. However, I don't want to work out, I don't want to go to a gym, I really just hate exercising. That is a big part of my pregnancy weight gain. I'm eating 1700-1800( about 400-500 more calories than what I ate in maintenance) calories a day with a minimum of 100-200gr of carbs, and 80-100gr of protein per day. The sweet/junk food cravings are unbelievably difficult to fight at this point. I've never dealt with this level of head hunger, or cravings in my life. So, I know that it's pregnancy, and the fact that my eating habits have changed in pregnancy. The lack of physical hunger really is my #1 contributor to my success. I know my sleeve limits, I also know how to cheat the sleeve so it is still all on me to make the best decision on what goes in my mouth for every meal, every day. I can still go several hours without eating. I still never get a stomach growl, or any physical sign that I need to eat. But, I can eat every hour on the hour if I choose. That's the part that is very hard to overcome for me. I know I can eat a meal, and then an hour later I can wander into the pantry and eat more. I wanted to just put it out there that losing was easy, and maintenance is where I (and many others) struggle. That was my issue before surgery as well. I could lose on WW, or any other "diet attempt", but life would happen and I'd gain back what I lost and then some. For me, the most successful sleeve patients out there are the ones who made major behavioral modifications, and really adhered to a solid plan post-op. I have read 100s of topics from people who experience several stalls, slow weight loss, and/or their weight loss comes to a complete halt because they think that the sleeve will do all the work. Sadly, those same patients post how they don't want to diet, how they want normalcy. Well, I hate to say it, but most of us are NOT normal. If we were, none of us would have sought surgical intervention. Pretty much if you are diligent with food choices, and allow indulgences in moderation, the sleeve works. I can still suck down a milkshake, or eat an ice cream without issue. I really do live by the mantra of "just because I can; doesn't mean I should". It's not always easy, but the sleeve helps tremendously.

What they told you about the BCBS PPO approach is true. You have to be on a six month medically supervised diet before the surgery. You might lose weight, not lose weight, gain weight...there is no requirement other than the surgeon's office being able to say that you were on "a six month medically supervised diet". Then BCBS of Illinois will pay for the surgery. I don't want to wait six months and having any of the surgeries (lap band, gastric sleeve plication or gastric bypass) are less than half the cost in the Mexican hospitals. Plus, the Mexican doctors have more experience with the procedures. They have all done more and have been doing them longer. That is why I decided to go to Mexico and to pay for the surgery myself. Clinic in Chicago wanted $13K for the lapband vs. 4995 in Hospital Angeles Tijuana. They don't even offer the gastric plication surgery here yet. So, I am off to Mexico for surgery at the end of the month. I should be 60 pounds thinner before BCBS would even let me do anything.

For me, my issues, and my goals, I had to change some behaviors. It's a nice thought process that eating small amounts throughout the day will work forever, but your stomach capacity will change. I can easily consume way more calories today than I could say at 2-5 months. Actually, I can and do consume triple the amounts of calories I ate during my losing stage. Mainly, it's because of the pregnancy, but I can eat way more than I could early out. It happens. Most people who are 2-4 years out report the same issues. We can eat more, but that doesn't mean we should. I can tell you that snacking and grazing is dangerous especially in maintenance. Losing was easy, keeping it off, staying in maintenance is not as easy as just eating small portions. If that were the case, none of us would have had to have 85% of our stomachs removed. Certain foods that just didn't work early out, essentially just slide right on through my stomach and allow me to eat way more than I should be eating. So, for me, I stuck with what my surgeon prescribed for me during my losing stage and then tweaked my maintenance intake to ensure that I was able to keep the weight off without dieting. I promise I do not diet nor deprive myself of any foods in maintenance, but I sure do not need or want to pick up the bad habits that helped me reach my surgery day weight. I ate 4 meals a day (each meal consisted of 15gr of Protein per meal and this gave me the necessary protein grams per day, it isn't "that" hard to eat enough protein), no Snacks, didn't use protein drinks/shakes, and it worked for me. I continue the same program in maintenance for the most part. As for the pregnancy stuff, I have to snack to eat 1700-1800 calories a day. I have horrific head hunger and cravings that I never dealt with when I had a set meal plan and schedule. There are plenty of sleeve patients out here who report a real gain of 40-60lbs because of habits/behaviors were never addressed, and life takes over, and BAM here they are back to real dieting trying to get back to their goal weight all while battling the mental/emotional aspect of weight regain and trying to lose it again. Those stories are what made me realize it "just winging it" wasn't going to work for me until I changed some behaviors with food. We all have issues with food, and no 2 patients will be the exact same, but I do know what I was trying to do before surgery didn't work, and I wasn't willing to just "do it my way" to see if it would work. That didn't work in the past. I wasn't naive enough to believe it work now. Plus, I never really felt like I was dieting in my losing stage. I just didn't have much room for anything else other than protein. I was satisfied on my small meals, and that kept me on track. So, getting out of "diet mode" is again nice in theory, but long term, we still have to be mindful of what/how much we eat for the rest of our lives. I surely do not know one single 30something year old naturally skinny woman that can just eat whatever and how much of those foods that she wants without seeing some weight gain. All of my naturally skinny girlfriends are not constantly dieting, but they do not have issues with food, and quantity. It's a fine line between not dieting and intuitive eating. I've had a true gain, it was scary, but I know what caused it and resolved the issues. I agree that it's confusing, and you have to do what works best for you, but realize that if you are not getting the results you want from your way of doing it, don't be afraid to change it up and go on the prescribed post-op losing plan from your surgeon.

I have felt this too. I agree with littlemissdiva you will save money in the long run of years and years of eating properly, health improvement ( even if you don't have problems now long term weight gain is hard on a body) and think of the thin person inside. Do you ever see who you can be? That person can do more, can't they?

Okay I have been on vacation since 8/30 and I GAINED 2.5 POUNDS!!!!!!!ARRRGGGGGG!!!!!!!!!!!!!! My fault so I have to take owner ship of this mess. Must have been the beers on the beach and the chips and salsa. Damn Coors light!!! LOL.... I am positive it will come off in a few days of not eating. Nothing is tasting any good. Don't want to upset my tummy anymore than it is. Sticking with the broth and a little yogurt. Well to top it off I have a cold/flu. I so feel like POO!!!!!!! Ate or should I say I drank some chicken broth. Then some chobani yogurt. Lets not forget the Thera-Flu and Ricola!!!!!YUMMY!!!!! Can't wait till I feel better. Went and bought the kettlebell set and got a few dvd's for the workout. I so want to try them soon!!!!!!!!!!! Deb.

Well.. month 2 is over, and it hasn't been near expectations. I feel fine, and great.. I get frustrated very easily these days.. I'm of course on solid foods now, and I'm still having trouble adapting to going out to eat with my family or for work functions. I order food, and usually don't realize that there is no way I'm going to be able to eat it.. then for some reason I get frustrated when I can't eat it.... Is that weird? It still hasn't sunk in to my head I guess that I just can't eat a lot. Also, I stalled.. hard. Literally the day after my last post, the scale stopped moving.. and it didn't move for a couple weeks.... I went I believe 16 days only fluxuating up or down 1lbs... however, eventually it started moving again. and today I'm down to 238lbs... 305 before pre-op diet, 283 day of surgery, and 238 today, giving me a total loss of 67lbs since June 16th... and 45lbs since surgery, 30 in the first month, 15 the 2nd month. I was really hoping to take out another 5lbs or so before my 2nd month ended.. but that's ok... I'm 18lbs from my goal weight, in just over 2 months... If I can do more, great.. but I'm perfectly content at being 220lbs.. I'm a big guy by nature, and I honestly don't even remember being less than that, when I was skinny before all the weight gain, I remember being about 224.... and that weight suits me just fine. So I've went from wearing a XXXL shirt, down to an XL, sometimes a L depending on the brand. I've lost 10 inches from my waste, and went from a size 44 jeans, to a 34... so things are going well.. I've haven't started at the gym yet, like I wanted to, this relocation has been hard, and I haven't even started my new job yet, and money is just kind of tight... I start my new job next Monday, and plan to get gym memberships out of my first check. My main issue, have been beverages... foods haven't been an issue, however, I find myself sometimes drinking high sugar drinks, especially slurpees, lol... usually once a week I'll drink a slurpee, and it's hard to resist drinks like at Sonic and stuff, which is a big favorite for drinks while we're out and about... the diet cherry limeades are good.. but sometimes I just don't want to drink them.... and I'll get a cherry coke or something... Carbonated drinks I've had no problems with, I drink them fairly often, not daily, but at least 2-3 times a week I'll have a diet coke or a coke zero.. and no issues... Anywho, I'm going to work hard and try to cut these vices and get to my goal weight this month... here's hoping for the best!

Hi everyone well I had my surgery Nov 15 of last year and have lost about 35 pounds ..only problem is , is that my life has got really complicated and stressful (more so than before) and I started putting myself on the back burner again and hello weight gain! So my question is I need a diet plan or some sort of structure to follow..I ma to free for all now..I can eat most anything still.....Please I would love any ideas. The doc told me two shakes and one small meal ....I dont know if that would keep me full..what do you all do and think is a good food plan????? And for those of you who have been really successful what worked for you in the losing phase of this process???

Why would we think you are crazy. Stretch marks can be caused by rapid weight gain or rapid weight loss.

Nothing to do with weight loss and the band, but just wanted to say hi to you wonderful Australians! I was there two years ago for two weeks. Went to Adalaide, Kangaroo Island, the Great Barrier Reef and the rain forest. Beautiful, beautiful, and what nice people! Wish I stayed longer and saw more! By the way, good luck to you both. I've been at the band thing for a little over 3 months, and despite the few little negative 'downs' (little or no weight loss sometimes, or even once, a weight gain!) it has been an amazing journey, already reaping super rewards (off 3 blood pressure meds, down 4 sizes!). The frustration/grumpiness will pass, I promise! It will visit again from time to time, but like my Mom always said, "This too shall pass." And it always did! Best of luck to you down under!

I am over 6 months out and I still can't eat and drink at the same time. I really focus on eating my Protein first and seem to forget about the drinking thing. I usually get something to drink when I put my plate away, but let it sit for about 20 minutes and allow the ice to chill the drink really well before I even consider drinking. I sometimes get that bubble feeling when I first start drinking after eating. I think, mostly because I drink a little too much at first. Then, I wait about 10 minutes and sip the rest of my drink for an hour or more. My husband had gastric bypass 5 years ago and I have watched him put on 30 lbs since his big loss. I am terrified that I will do the same thing so I really focus on what the program has taught me this far. He doesn't eat and drink at the same time still, but does overeat and has forgotten the chew, chew, chew method. So, just because you are eating and drinking at the same time doesn't necessarily mean that you will put on weight unless you are overeating. Since I don't really have hunger anymore, I know how much my new tummy can hold and that's all I eat. I believe the weight-gain is more about what you are putting in your mouth and if you are using what you are taught. I do know that my doctor said that if you drink too quickly after eating, it washes away all your nutrition before your stomach has time to process it. So, I try to remember this since I am still only eating small portions. A few times I have forgotten about this and went back to my old habits not even realizing it. Oh my! The discomfort from the Fluid mixed with the food was enough to remind me of it! I have taken a sip if needed if something doesn't seem to go down right and I have been OK with that, but nothing more than that.

I have heard that is the first thing that makes you gain is drinking with meals. If you drink, you are able to eat more and therefore you should not do it. NOBODY was a bigger drinker with their meals than I was!!! I could easily drink 3-4 glasses of tea with each meal. I started practicing about 2 months before surgery and when I had my surgery, I was prepared. I missed it at first. Now, I am 4 months out and NEVER think about drinking when eating. I still only eat about 2 oz of food at a time so maybe that is why, but the only time I think about it is afterwards to see what time I can drink. I think it just becomes a habit and we have to break it. If drinking with meals is the number one reason for weight gain with the sleeve, I WILL NEVER drink and eat together again!!! Kelly

I'm about 5.5 months out and my folks so absolutely not. They discussed weight gain with me and said one of the first things they ask is if you are eating and drinking together. They see a pattern there. I miss it a bit but not nearly as much as I thought I would. I miss it most when I am out with a group and see others getting to do it. Here at home, I don't think about it much.

So...my last pre-op appointment is on 9/12 with my surgery scheduled for 9/28. At my last appointment the doctor that works with surgeon ordered me to lose between 5-10 lbs. before my last pre-op appointment on 9/12. She also said that if I did not lose the ordered amount it was fine, but that if I gained any weight, even an ounce that the surgery would be cancelled. Wow! That's a lot of pressure. So far I have lost about 4 lbs, giving me 6 days to lose between 1-6 more lbs. So scary! The surgeon didn't even make me go on a pre-op liquid diet. So, I have been going the low carb route and trying to walk and ride my bike more. Anybody else been given this kind of ultimatum? Ducker

What are you eating? Are you tracking your food? The weight gain might be from upping your Water and you may lose that very quickly. If your diet is carb-heavy, you might try upping your Protein and reducing your carbs. I would recommend tracking everything that goes into your mouth so you can see exactly how many calories you're eating (and what the mix of protein, carbs and fat is). Good luck, I'm sure it's frustrating!

Papa - this is a great list. I have saved it so I can re-read it when I need a refresher. I think the 2nd mistake could be expanded to include the need to understand why you got into the situation where you needed WLS - what your inappropriate behaviors were (portion control, carb addiction, etc) and what your triggers were.etc. This may take going through conseling to find out and address them. If a person doesn't figure out what drove them to end up where they were before surgery, I think they are likely to end up there again in a few years. People who have significant weight gain never address the underlying issues. They figure out how to abuse their sleeve and meet those unmet needs. The sleeve to me is only one of the tools I am using to end up being a thinner, healthy person. Best of luck in getting to your goal, Papa Jack. You are doing outstanding!

This is good to read. I am 10 weeks out and sometimes a reminder is good to read through. I have kept to most of the basics since my surgery with the exception of going on a cruise a few weeks ago. I did make some mistakes on my cruise by drinking some alcohol and eating a few spoonfuls of desert. Since I am home again I have been back on my regular schedule and am back to my "new normal" eating." New normal" is getting in all my Protein, having enough Water, no snacking and taking my supplements. I am feel so much better since losing almost 40 lbs. 1st Mistake: Not Taking Vitamins, Supplements, or Minerals Every WLS patient has specific nutritional needs depending on the type of surgery you have had. Not only is it a good idea to ask your surgeon for guidelines, but also consult with an experienced WLS nutritionist. Understand there is not a standard practice that all surgeons and nutritionists follow in guiding WLS patients. So, it is important to do your own research, get your lab tests done regularly, and learn how to read the results. Some conditions and symptoms that can occur when you are deficient in vitamins, supplements, or minerals include: Osteoporosis; pernicious anemia; muscle spasms; high blood pressure; burning tongue; fatigue; loss of appetite; weakness; constipation and diarrhea; numbness and tingling in the hands and feet; being tired, lethargic, or dizzy; forgetfulness, and lowered immune functioning. Keep in mind, too, that some conditions caused by not taking your vitamins, supplements, or minerals are irreversible. 2nd Mistake: Assuming You Have Been Cured of Your Obesity A "pink cloud" or honeymoon experience is common following WLS. When you are feeling better than you have in years, and the weight is coming off easily, it's hard to imagine you will ever struggle again. But unfortunately, it is very common for WLS patients to not lose to their goal weight or to regain some of their weight back. A small weight regain may be normal, but huge gains usually can be avoided with support, education, effort, and careful attention to living a healthy WLS lifestyle. For most WLSers, if you don't change what you've always done, you're going to keep getting what you've always gotten -- even after weight loss surgery. 3rd Mistake: Drinking with Meals Yes, it's hard for some people to avoid drinking with meals, but the tool of not drinking with meals is a critical key to long-term success. If you drink while you eat, your food washes out of your stomach much more quickly, you can eat more, you get hungry sooner, and you are at more risk for snacking. Being too hungry is much more likely to lead to poor food choices and/or overeating. 4th Mistake: Not Eating Right Of course everyone should eat right, but in this society eating right is a challenge. You have to make it as easy on yourself as possible. Eat all your meals--don't skip. Don't keep unhealthy food in sight where it will call to you all the time. Try to feed yourself at regular intervals so that you aren't as tempted to make a poor choice. And consider having a couple of absolutes: for example, avoid fried foods completely, avoid sugary foods, always use low-fat options, or only eat in a restaurant once a week. Choose your "absolutes" based on your trigger foods and your self knowledge about what foods and/or situations are problematic for you. 5th Mistake: Not Drinking Enough Water Most WLS patients are at risk for dehydration. Drinking a minimum of 64 oz. of water per day will help you avoid this risk. Adequate water intake will also help you flush out your system as you lose weight and avoid kidney stones. Drinking enough water helps with your weight loss, too. 6th Mistake: Grazing Many people who have had WLS regret that they ever started grazing, which is nibbling small amounts here and there over the course of the day. It's one thing to eat the three to five small meals you and your doctor agree you need. It's something else altogether when you start to graze, eating any number of unplanned Snacks. Grazing can easily make your weight creep up. Eating enough at meal time, and eating planned snacks when necessary, will help you resist grazing. Make a plan for what you will do when you crave food, but are not truly hungry. For example, take up a hobby to keep your hands busy or call on someone in your support group for encouragement. 7th Mistake: Not Exercising Regularly Exercise is one of the best weapons a WLS patient has to fight weight regain. Not only does exercise boost your spirits, it is a great way to keep your metabolism running strong. When you exercise, you build muscle. The more muscle you have, the more calories your body will burn, even at rest! 8th Mistake: Eating the Wrong Carbs (or Eating Too Much) Let's face it, refined carbohydrates are addictive. If you eat refined carbohydrates they will make you crave more refined carbohydrates. There are plenty of complex carbohydrates to choose from, which have beneficial vitamins. For example, if you can handle pastas, try whole grain Kamut pasta--in moderation, of course. (Kamut Pasta doesn't have the flavor some people find unpleasant in the whole wheat pastas.) Try using your complex carbohydrates as "condiments," rather than as the center point of your meal. Try sprinkling a tablespoon of brown rice on your stir-fried meat and veggies. 9th Mistake: Going Back to Drinking Soda Drinking soda is controversial in WLS circles. Some people claim soda stretches your stomach or pouch. What we know it does is keep you from getting the hydration your body requires after WLS--because when you're drinking soda, you're not drinking water! In addition, diet soda has been connected to weight gain in the general population. The best thing you can do is find other, healthier drinks to fall in love with. They are out there. 10th Mistake: Drinking Alcohol If you drank alcohol before surgery, you are likely to want to resume drinking alcohol following surgery. Most surgeons recommend waiting one year after surgery. And it is in your best interest to understand the consequences of drinking alcohol before you do it. Alcohol is connected with weight regain, because alcohol has 7 calories per gram, while protein and vegetables have 4 calories per gram. Also, some people develop an addiction to alcohol after WLS, so be very cautious. Depending on your type of WLS, you may get drunker, quicker after surgery, which can cause health problems and put you in dangerous situations. If you think you have a drinking problem, get help right away. Putting off stopping drinking doesn't make it any easier, and could make you a lot sicker[/b]

1st Mistake: Not Taking Vitamins, supplements, or Minerals Every WLS patient has specific nutritional needs depending on the type of surgery you have had. Not only is it a good idea to ask your surgeon for guidelines, but also consult with an experienced WLS nutritionist. Understand there is not a standard practice that all surgeons and nutritionists follow in guiding WLS patients. So, it is important to do your own research, get your lab tests done regularly, and learn how to read the results. Some conditions and symptoms that can occur when you are deficient in vitamins, supplements, or minerals include: Osteoporosis; pernicious anemia; muscle spasms; high blood pressure; burning tongue; fatigue; loss of appetite; weakness; constipation and diarrhea; numbness and tingling in the hands and feet; being tired, lethargic, or dizzy; forgetfulness, and lowered immune functioning. Keep in mind, too, that some conditions caused by not taking your vitamins, supplements, or minerals are irreversible. 2nd Mistake: Assuming You Have Been Cured of Your Obesity A "pink cloud" or honeymoon experience is common following WLS. When you are feeling better than you have in years, and the weight is coming off easily, it's hard to imagine you will ever struggle again. But unfortunately, it is very common for WLS patients to not lose to their goal weight or to regain some of their weight back. A small weight regain may be normal, but huge gains usually can be avoided with support, education, effort, and careful attention to living a healthy WLS lifestyle. For most WLSers, if you don't change what you've always done, you're going to keep getting what you've always gotten -- even after weight loss surgery. 3rd Mistake: Drinking with Meals Yes, it's hard for some people to avoid drinking with meals, but the tool of not drinking with meals is a critical key to long-term success. If you drink while you eat, your food washes out of your stomach much more quickly, you can eat more, you get hungry sooner, and you are at more risk for snacking. Being too hungry is much more likely to lead to poor food choices and/or overeating. 4th Mistake: Not Eating Right Of course everyone should eat right, but in this society eating right is a challenge. You have to make it as easy on yourself as possible. Eat all your meals--don't skip. Don't keep unhealthy food in sight where it will call to you all the time. Try to feed yourself at regular intervals so that you aren't as tempted to make a poor choice. And consider having a couple of absolutes: for example, avoid fried foods completely, avoid sugary foods, always use low-fat options, or only eat in a restaurant once a week. Choose your "absolutes" based on your trigger foods and your self knowledge about what foods and/or situations are problematic for you. 5th Mistake: Not Drinking Enough Water Most WLS patients are at risk for dehydration. Drinking a minimum of 64 oz. of water per day will help you avoid this risk. Adequate water intake will also help you flush out your system as you lose weight and avoid kidney stones. Drinking enough water helps with your weight loss, too. 6th Mistake: Grazing Many people who have had WLS regret that they ever started grazing, which is nibbling small amounts here and there over the course of the day. It's one thing to eat the three to five small meals you and your doctor agree you need. It's something else altogether when you start to graze, eating any number of unplanned Snacks. Grazing can easily make your weight creep up. Eating enough at meal time, and eating planned snacks when necessary, will help you resist grazing. Make a plan for what you will do when you crave food, but are not truly hungry. For example, take up a hobby to keep your hands busy or call on someone in your support group for encouragement. 7th Mistake: Not Exercising Regularly Exercise is one of the best weapons a WLS patient has to fight weight regain. Not only does exercise boost your spirits, it is a great way to keep your metabolism running strong. When you exercise, you build muscle. The more muscle you have, the more calories your body will burn, even at rest! 8th Mistake: Eating the Wrong Carbs (or Eating Too Much) Let's face it, refined carbohydrates are addictive. If you eat refined carbohydrates they will make you crave more refined carbohydrates. There are plenty of complex carbohydrates to choose from, which have beneficial vitamins. For example, if you can handle pastas, try whole grain Kamut pasta--in moderation, of course. (Kamut Pasta doesn't have the flavor some people find unpleasant in the whole wheat pastas.) Try using your complex carbohydrates as "condiments," rather than as the center point of your meal. Try sprinkling a tablespoon of brown rice on your stir-fried meat and veggies. 9th Mistake: Going Back to Drinking Soda Drinking soda is controversial in WLS circles. Some people claim soda stretches your stomach or pouch. What we know it does is keep you from getting the hydration your body requires after WLS--because when you're drinking soda, you're not drinking water! In addition, diet soda has been connected to weight gain in the general population. The best thing you can do is find other, healthier drinks to fall in love with. They are out there. 10th Mistake: Drinking Alcohol If you drank alcohol before surgery, you are likely to want to resume drinking alcohol following surgery. Most surgeons recommend waiting one year after surgery. And it is in your best interest to understand the consequences of drinking alcohol before you do it. Alcohol is connected with weight regain, because alcohol has 7 calories per gram, while Protein and vegetables have 4 calories per gram. Also, some people develop an addiction to alcohol after WLS, so be very cautious. Depending on your type of WLS, you may get drunker, quicker after surgery, which can cause health problems and put you in dangerous situations. If you think you have a drinking problem, get help right away. Putting off stopping drinking doesn't make it any easier, and could make you a lot sicker[/b]