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I heard it! I was intrigued, and honestly I think that any treatment that helps people improve their body and/or mental health is worth investigating thoroughly -- so I'd like to see how it develops. But that said, my question is, how do these studies take into account the people for which depression, eating disorders, etc all go hand in hand with being or becoming obese, low self worth, trauma, etc. Mental/emotional health and obesity / physical health & ability can easily boost each other up positively or send you into into a vicious downwards spiral when things are going bad. How many people on GLP-1s who attempted/considered suicide were already suffering from depression or suicidal ideation, etc? How many people who lost weight through GLP-1s had their mental health and self worth so intrinsically tied to their body image or the side effects of obesity that the resulting weight loss improved that aspect of their lives almost as a side-effect? Either way, the potential for improvement in both areas upon taking GLP-1s would be worth it, in my eyes, but I'm always a bit skeptical about how studies like this are framed.

that's totally up to you. Some people count their highest weight, others count the day they start their liquid diet, and still others count the day they had surgery. It makes no difference.

Congrats on passing your test My boobs look smaller (😭) but whilst I have gone down a couple of band sizes the cup size is still the same DD just doesn't look it, I think I am closer to a D but it depends on the bra. My bum is also smaller/flatter which isn't so bad. Today I was on a day off work so I went to the shops and got myself a couple of padded bras, never had to do that before but already they make me feel better. I know feel like my boobs are a bit of false advertising, like something out of a JP Gaultier advert. 😀 I have travel for work and vacations next month so trying to build up my wardrobe bit by bit. I put 1kg on during the week, no idea how but as I am still under the surgeons target weight I am not letting it bother me too much. The health system here covers some plastics post weight loss surgery and I hadn't thought it would be something I would be interested in but I think I will enquire about when I have my next surgeon appointment in January to see what areas they do the plastics on and what the requirements are.

I need to rant a little! I have always struggled with excess weight in my adult life. Over the years I tried Weight Watchers, Nutrisystem, Jenny Craig, my own thing, you name it. For the past 8 years I have been struggling to lose 50-60 lbs. It was extremely difficult for me to lose anything at all unless I severely limited calories - like 800, 900 per day - which I could only do with the help of prescription medicines. When I'd stop taking them the weight would come back despite that fact that I was rarely overeating, usually around 1500 calories per day. Over the years I gained and lost the same weight this way. I took Contrave, but it hyped me up so badly I couldn't stand it. I took Belviq, which worked well - I didn't care if I ate or not so it was easy to consume so few calories, but it was taken off the market. I used Qysmia, which also worked the same way. I lost 30 lbs, but I was paying out of pocket and couldn't afford it any more. One of my issues is that I lose weight VERY slowly, and it was frustrating to work so hard and lose a pound or 2 a month. After gaining all the weight back plus 10 more pounds in 2 years, I knew I could lose it again by getting back on Qysmia but I couldn't bear the thought of the "yoyo" again. I'm 67 and have diabetes and heart disease in my family, which I was afraid of developing if I didn't take and keep the weight off. I'm on blood pressure and cholesteroI meds already. I can't play with a yoyo any longer at this point in my life and so I began to consider sleeve gastrectomy. I researched and thought about it for a long time before finally having surgery 1/24/24. Yesterday it was 4 weeks since surgery. In the 1st 2 weeks I lost 10 lbs. While I hoped to lose more, this was a good result because before surgery it would have taken me about 6 months to lose 10 lbs. Victory!! Or so I thought. Since then, however, I haven't lost any weight. I've read about the 3 week stall, which I guess is what I am experiencing. I think I get it. And at the same time I am enormously frustrated and sometimes find myself thinking that I made this drastic and permanent change in my life only to have the same result - consuming very little calorically and the weight just not coming off. Except now I'm consuming even fewer calories (still on purees). And on top of that, I am hungry almost all day. After breakfast, I wait 15 minutes and start on water/fluids again. Fifteen minutes after that, I am hungry again. And yes, it's genuine hunger - with growling and an empty feeling. Eating 1/4 cup of food is not filling me up. I am getting usually around 70g of protein each day in what I'm eating and drinking, so it's not that. I had some wild expectations, I'll admit. My doctor gave me a goal weight that requires me to lose 50 lbs. (60 for a "stretch" goal). I (crazily) thought that it would take about 2 months to lose that much. I've since realized that with relatively little to lose it will go slower, but geez! For who knows what reason, I also thought I would hardly ever be hungry. Five days post op, natural hunger returned. I was mad! And surprised, but I relied on this forum and learned that hunger was still normal. I thought once I could actually eat something it would be more like "normal" hunger - like before surgery - when it was about time to eat. Instead I find that I am often just hungry all day (usually worse at night) and the amount I'm eating isn't enough. I eat the recommended 2 oz of food and I never feel full, but I stop because that is the recommended amount. The instructions I've been given have implied that this should be more than enough to fill me at this point and that I might not even be able to finish that much, but it hasn't been the case for me. In 30 minutes or so, it's like I didn't eat anything and I'm hungry again. Of course I realize that a lot of my problem is my unrealistic expectations. But sometimes I do feel frustrated that I did this drastic thing only to have nothing change - I still can't lost weight. Mostly, reason prevails and I know that sooner or later the weight has got to come off. Reason is reassuring for the mental issue I have here, but reason does nothing to help the hunger. Ok, rant over. Does anyone have experience like this? Very slow loss and constant hunger? Does the weight loss pick up? How long does the 3 week stall last? Does the hunger ever return to normal? Help!!

I never stopped taking stool softeners twice a day since surgery and I'm over a year out. I was concerned to continue as I didn't want my body to become reliant on them but I was told softeners were not like a laxative and only brings more water into the intestines to keep things moving regularly and avoid constipation. With a laxative your body becomes dependent on them. Big difference. The last thing I want is to get constipated and have a weight stall because of it. I haven't had one day of constipation so there is no need to stop taking them. It will not harm you to do so.

you're forgetting that the SADI is a malabsortive surgery (so is DS. RNY has some malabsorption, but not as much as the other two). That's what makes it so powerful. You won't absorb all the calories you eat. This doesn't mean you can eat with abandon, BUT...a percentage of the calories you eat won't be absorbed. So I guess I wouldn't worry too much that they won't be doing anything to your stomach. A lot of the action is going to be in your small intestine. As long as you stick to your plan, you should lose weight.

I have read through so many posts on the topic of revision and see that people are mostly very happy to have gone through with it but a lot of them seem to be due to regain, hernias or bad GERD so my query is a bit different. My surgeon has mentioned a number of times to me about doing a revision from sleeve to bypass as following my surgery a year ago I had bad reflux. When I was released from hospital in November I was prescribed two pantomed (PPI) a day and since then GERD has become less frequent, for the last three months I am now on just one a day and I don't consider that the GERD impacts me, maybe once a week I might have a bit of gas, but the surgeon was still suggesting bypass and at my last appointment (in May) even mentioned that it would help me lose more weight, even though I was then just 5kg/11lb from the target he gave me and still only 10 months post-op. Given all the complications I had after my sleeve surgery in July last year I am very hesitant to have any further operations as I don't know if it was the medical teams fault and/or my body. If it is something that the surgeon says is needed I am torn between asking for a referral to another hospital or risking his team again in the belief that they would be extremely careful with me after everything that went wrong the year ago. So far, in just under 12 months, I have lost 47kg/103lb and am only 7kg/15lb away from my goal weight (3kg from the surgeon's target) and therefore I was wondering, from those who have gone through the revision process, if you think it is worth it? For me the only benefit I see is that I would be able to stop taking the daily pantomed, so not sure that is worth risking another surgery for. I have not had a single dumping episode and for the last few months have been able to tolerate all foods without issue so am a bit fearful that the bypass may lead to a backwards step on those fronts. If my GERD is not impacting me is there any other long-term benefit to the revision when I am still (slowly) losing weight? I don't want to go more than a few kg below my goal weight as it is not a good look on me. If there is no drastic weight loss, given so much has been achieved already, is there hair loss with the revision? Any insights would be appreciated as I have my one year check-up in a couple of weeks and I want to be prepared for when the topic is raised

Congratulations on being down 3 1/2 lbs this week!! I’m so glad your knee is feeling better too!! I had knee pain once a few years back and I swear that is one of the worst pains there is. I was so glad mine went away eventually because I told myself many times I didn’t know how people dealt with such pain continuously. I do hope yours stays away. I have not stepped on the scale. I do not want to be disappointed. I start work tonight after 10 years of not working. I’m disabled and do not know how long it will work out but the activity will count towards helping me lose the weight if I can make it any amount of time. Sadly I will probably have to up my steroid dose to do it but those should burn up and not add any extra weight. Wish me luck.

.......... I "think" I broke the stall ! * knock on wood* 😁 Yes! I've been at 192 for months and nothing I did would break it. Finally ....I am gradually going down and as of today I am 185 ! It's the weirdest thing - all summer I was exercising and walking and the scale wouldn't move. Now that it's winter in Wisconsin , I haven't been walking at all except for grocery shopping and the weight loss started again. The only reason I can think of why I was stalled is,I must have been gaining muscle . Well - I'm not going to question it .... I'm just going to enjoy it I'm so happy to be a "loser" again..... LOL

I have 3 kids 12, 6 and 2. I did not tell them. The day that I went my mom stayed over and hubs and I told the kids that I had to go to the doctors because my stomach needed to get checked and fixed. Now all they see is that my eating habits have changed, and I workout every day. So they just think that I made a lifestyle change and got thinner that way. My oldest is my step son and his mom is very very body conscious and body shames? She struggles with her weight and has made comments how my daughter has slimmed down, or how the 12 has finally lost his baby weight and will barely eat. I nip that in the butt quick! I have to tell her that we cannot speak negatively in front of our kids, its going to cause a complex like we have. I grew up with my mom always talking about weight and she still does. I try my best to not surround our conversations on negative body image. I do home work outs 2-3x a week and sometimes with my daughter who is 6 asks to work out with me to get skinny, I tell her its not to get skinny its to get strong and stay healthy. So I try to just surround our convos around that. Its tough with kids!

i am stunned over it. i went to the hospital for back pain after i met my surgeon. i was weighed at 379 lbs. not even 1 year later i am at 254 lbs. last time i was at this weight was when i was 23 in 2006 i got some swim trunks that are 3xl and they dont fit me anymore. they used to be hella tight on me.

Thank you! I think it is just something that us bigger boobied ladies are going to have to come to terms with 😢 Though I also haven't worn a padded bra in years and years, so I can imagine how strange that must be for you! Definitely don't let it bother you lovely, weight is always going to fluctuate and you are still clearly doing all the right things Oh wow that is amazing! I hope you get some of the answers you are seeking - I know it is definitely something I will look into a year or 2 post-op!

Happy Wednesday everyone! I spoke with the nurse today and she suggested I add protein water to help get me to 60 grams and my 48 oz of water. Once I get there I can start to add some puréed food. She also said it will help me start to lose more weight. @ShoppGirl I did not think I would try a vacuum at this point. I can’t even bend over to open a kitchen drawer. I’m lucky though I have 4 teens that have been super helpful with anything I need.

Looking pretty fine there @Lilia_90. Actually @GreenTealael started a thread the other day where a few of us have started sharing our maintenance stories which you may find interesting. Link below. 😁 What you have gleaned already is certainly true: there are many different ways of successfully managing your maintenance. As I say, & say very often, the only right way is the way that’s right for you. In the beginning you may find you are a little more controlled about what you are doing but over time you become more flexible in your food choices, eating style & how often & how much you eat of certain things. As you progress you continue to learn more things about what you can & can do. Well that’s how I was & am now. Certainly more flexible about some things. Bring in maintenance didn’t stop me going out & socialising with friends & family. I just was & still am very conscious about what I chose to eat, how much I ate & ensured I still ate slowly. Sometimes you have to make the best decisions you can in the situation. They may not be perfect but you can’t beat yourself about it. It’s not like you’re doing it everyday. I don’t track, but do random checks especially when I introduce new foods or new recipes. It may be checking calories or looking at ingredients & swapping some out, weighing serves t check portion sizes (weighed my cooked vegetables last night as I’ve added some extra ones & wondered if I needed t adjust the portion) or changing the cooking methods. I usually weigh a few times a week. I do this as previously if I thought I was gaining I wouldn’t get on the scales - it’s not true if there’s no proof. So weighing myself every second or so day keeps me honest. PS: It takes time to get past the body dysmorphia & being able to see how you really truely look now with your weight loss. Even with the evidence of body measurements clothing sizes, photos, number on the scales it can be hard to see the reality. Those fears of looking ‘sickly thin’ are very real with the dysmorphia. Doesn’t help when people around you may still be playing catch up too: Oh, you’re so thin. Don’t lose anymore weight. You look too thin now. Try to ignore those comments & in some cases you may need to tell others to butt out & mind their own business. In time & with regularly looking at the evidence you’ll come to accept & see how you look now. Though I still am surprised sometimes by how I can comfortably fit in small seats & squeeze through tight spaces. Understanding the space I physically take up in relation to the physical space around me.

I would like to know how your workouts are going after bariatric surgery. What exercises help you stay fit and lose weight? What other tips can you give on diet and physical activity? I would appreciate any recommendations or personal stories!

How are you doing now? Also, remember that the average weight loss is 2 pounds per week. So at 2 1/2 months (10 weeks) that would be 20 pounds. You were at 39 pounds. So definitely doing well. I hope you're feeling better now.

In reference to a comment above, I had a DEXA scan and found it very helpful. I thought I had more weight I could lose since I was near the top of my normal BMI range - but the technician said "no - you're done. You're at 21% fat, which is on the low end for a woman". I was shocked. But like the commenter said, you're always going to have more bone and muscle than someone who's never been obese. And I remember being told at one point by someone in my clinic that that is why we often look 10 lbs lighter than the scale would suggest (you do lose bone and muscle while losing weight - but that's fine because we don't need it anymore - we had all that infrastructure to hold up all that weight we once had. We do lose some of it, but not all). some pain isn't uncommon because of shifting architecture, as someone else said. You're carrying your body differently now, and your bones and joints aren't used to it. I'm not sure if that happened to me, but I'd get major butt pain if I sat for too long. I had to buy coccyx pillows for my car and office chair. I don't really get that any more (although I keep a coccyx pillow in my car for long drives) - not sure if I just figured out how to sit on it so it doesn't produce pain, or what.. re: unrealistic goals - after successfully getting down to around 170 lbs, I told one of the staff members at my clinic that I was going to shoot for 150 (which is a normal BMI for someone my height). I was told that wasn't realistic, that only about 10-15% of their patients make it that far. Most end up in the "overweight" or "class 1 obese" category (which isn't very obese). The research I read back that up (I did end up making it - actually got quite a bit lower than that - but years later, I'm now technically "overweight"). Anyway, that's what your surgeon might have been referring to. Not many of us make it all the way down to normal BMI.

Hey all, I have a bit of a dilemma. According to the FitBit watch I wear everyday, I burn on average around 3000 calories a day. I eat no more than 1,300 calories however, and drink my 2 litres of water but I'm unable to lose any more weight? I've been at this plateau for about 3 months now (which is annoying because I'm a stone away from my goal weight), either staying at exactly the same weight or adding 2/3 pounds a week and it's so frustrating. I can't find any info on why this may be the case, so I thought I would ask you guys to see if you could shed any light? If I'm burning more than I'm eating, surely I could be losing weight instead of gaining? I know muscle weighs more than fat and that it could just be me gaining the muscle I've been trying to build from strength training, but it's incredibly disheartening. The only time I seem to lose weight now is if I go on a 3-5 day liquid diet, but I shouldn't have to rely on doing that every week to lose weight, surely? More info below for context: - 8 months post op - A stone away from my goal weight - I consume as much protein as I physically can a day (between 40-70g a day) vitamins and water - I work out 4 to 5 days a week, mostly strength training with a bit of cardio - I'll probably have carbs 2/3 times a week. Sweet potatoes mostly. Perhaps a sandwich if I'm out.

I would ask her what specifically does she think will improve if you lose weight but I am pretty confident she wouldn’t be able to come up With one thing. . She sounds like one of those people that does cookie cutter medicine and it’s better ypu find that out now then when you have an issue that is outside of the box because we are all unique And she obviously doesn’t see you that way.

Isn’t it bloody frustrating @NickelChipwhen you cannot get a consensus on what you actually weigh due to the scales being all over the place??? My own scales at home is trying my patience this week as the weight keeps bouncing around for no reason 🙄I’ve changed the battery but it’s still faffing about. I guess I will have to look for some new ones at some point but will wait to see if any appear in the sales. Any holiday clothes shopping will honestly be a last minute thing. One thing - smaller clothes mean lighter cases 😉 @SleeveToBypass2023i wish I could be as honest with my hubby re my weight. I still don’t know how he can be in any way attracted to me. I hate seeing myself naked and it’s my body. It really does affect the ‘intimacy’ side of our relationship, especially when you’ve lost your self-confidence too. I will tell him when I hit target etc, just not yet. @NeonRaven8919Yes, NHS too! I hope mine is just as quick. Apparently my trust has a fair few cancellations when it comes to WLS so 🤞🤞🤞Is there ever a good time of the year for WLS? The dietitian said that the colder months seem to lend themselves to more choices come the puréed stage post-op and I do tend to agree…you can’t purée a salad can you??

All we have to do is stick to the plan and we should be just fine. Hiding the scale is actually a really good idea. I have already gone through this once so I already know that my weight can fluctuate by a few pounds even from morning to night so I know to expect it, yet i stepped on the scale yesterday and it went up a pound and it caused me a bit of anxiety. I was like I ate low calories, did all my fluids and actually exercised more than i have in years, how is this possible?! My husband was like one pound, this happens, remember. So thankful to have him as my voice of reason.

pro tip: for those JUST entering maintenance, you *may* want to hold off off on resizing your "important" rings...as you will most likely go through an "upswing" in the weight/size department. you also may not, but who knows??? my engagement/wedding rings where a size 6 and 7 respectively. when i hit my lowest weight, i was below the lowest of the ring measurement paraphernalia i had....so i actually dont know what size i was. at around 3-4 years post op, i was a 4....today, (almost 6 yr pi) i am aaaaaalmost a 5. i still haven't had my engagement/wedding rings resized, but mostly out of laziness...but i figure someday i will. anyway....long story short: maybe wait a year at most to do the deed and resize the important rings. unless u dont care about having to likely resize them again later, go for it! i myself am going to look into those resize bead things.... 😊

Hi everyone!! okay so I’ve always been “heavier” haven’t met the BMI standards since jr high maybe a year in high school. My hips & thighs were always me in size 9 jeans. Well I had health issues that required surgeries. Which left me disabled. And my weight was stuck at 180 due to it, my weight jumped some to 210. I am currently on Rybelsus 7mg and my current weight is 189. So im almost to the weight that I’ve been stuck at for years. Yesterday I had a consultation, intake to the Bariatric program. I was told that I would be receiving a Gastric Sleeve with robotics, which would give me one night hospital stay and a weight loss of 60-80 pounds. I’ll be having the testing done soon as well as meet with the psychiatrist and dietitian. I see him again 9-11-24 So I can home a nervous wreck! I am afraid of having general anesthesia again. I have had it a few times without and with complications. Honestly being a mom IS the only real reason so my anxiety. The what if I pass. I researched ALOT and seen the procedure is a safe one. That calmed me nerves and I was in a good space, until an hour ago. I started thinking about how I absolutely LOVE food and how only being able to eat maybe half a happy meal. I read gum, soda etc are not allowed after surgery as well. According to my P.C.P. I am healthy just obese. Years ago I struggled with hypertension, diabetes and gallstones. Those issues were resolved but I have a consult about my fatty liver in Nov. anyways. I was wondering has anyone else gone through this? I don’t care if I get down to my healthy bmi weight or not. I am fine if I can get to 160. What I am saying is am I having the “regret” even though I haven’t even had surgery yet. A little FYI.. I am Intermittent Fasting & My disability makes me unable to jump, run or go one long walks. I can’t do some exercises so modifications help but are not as effective I believe. So I AM excepting, eating healthier already.

OK so I have no experience with this because I have no interest at all in skin removal. WLS was, for me, all about the health benefits and way less about the aesthetic benefits but I totally get people who want both (and OMG see the photos on the before and after threads for detail and inspiration)! From what I have gleaned in my 2.5 years here people's weight loss is in the single pounds category after skin removal surgery. Unless you started off in the 60s or 70s of BMI? The point isn't the added pounds of loss but more the making their bodies feel more comfortable to them. I am also a huge believer in the concept of a new 'set weight' after surgery. Our bodies just seem to decide where to settle. Pushing beyond that is tricky. I would have been happy 15 or 20lbs above where I am at the minute. I didn't particularly push myself to get beyond that. But it feels like my set weight was decided by my body. I know that sounds strange. You talk about feeling happy at your current weight plus or minus the weight you might be after removal of skin and whether losing a few pounds more might cause sag that you would have to address at a later point. Honestly I don't really understand that but I guess others will be along soon who might. It might be worth discussing in detail with your surgeon what your desired end point is. Congratulations on your loss, it's amazing.

Welcome! I am also a newbie and pre-op! I have my surgery booked for May this year and I am so excited! I have probably gained weight, but I really am reluctant to weigh myself as I know it will push me into a negative mindset. At the moment I am feeling very out-of-body knowing that I'll be having surgery, and come late this year I probably won't even recognise myself! How are you finding things at the moment?