Search the Community

Questions are always good. Coffee was no for my surgeon for several months but green or herbal teas were fine from straight after surgery. Wasn’t an issue for me as I only drink green tea anyway. I hardly drink alcohol at all anymore & I used to drink a large glass or two every night. Now I only have a glass about once a month at most. I had a gin & tonic at about 2 months post surgery. Took literally hours to drink it. I’ve lost a lot of my taste for it & it’s also not worth the calories now. And yes alcohol can be an issue with addiction transfer. Stalling happens to us all. It can be frustrating when suddenly you notice the scale isn’t moving at all. The first occurs at around week 3+/- & can persist for 1-3 weeks. Ride it out. Stick to your plan. It will pass & your weight will start to drop again. I looked at it as my body taking a breath from all the changes - surgery, reduced calorie intake, change of diet, weight loss, etc. It’s likely you’ll experience a couple of stalls on your weight loss journey. If dining out while on your vacation, you’ll find you’ll only be able to eat appetiser size meals - mains are just too big. Some places may be happy for you to share meals with your family. Soups are also a good option when eating out. Oh, and pack a coat for your holiday. You become really sensitive to cold as you lose weight... even in high summer you’ll be freezing. Good luck with your surgery.

Congrats on your surgery. I struggled with water too after being a good water drinker pre surgery. I was a gulper, easily downing a large glass in one go so to only being able to sip was a challenge. I found it easier to sip on hot tea - soothing too. Some people set an alarm to remind themselves to sip regularly. Try scrambled eggs instead of a boiled egg. Make them using more milk than you would normally so they’re sloppier. I ate a lot of scrambled eggs during my weight loss.

At not quite 12 months, it may be a little early out to worry that you’ll become underweight unless your weight is continuing to drop at the rate it did during your weight loss stage. It does take some time to work out the right balance of calories in & energy out to stabilise. What does your primary care doctor say? Did you have a goal weight & if so when did you reach it? I did struggle to maintain. Some of us do continue to lose. I lost a further 11kgs over 12 months. It was a challenge to slow my loss. I was losing at 3kgs a month when I reached goal. It took a couple of months to slow it to about 1kg a month, then 500g. I was constantly increasing my calories. My surgical team & doctor were concerned about the continued loss & I was regularly told to put on weight from when I was about 54kg. I was already eating all day long - 3 meals & 5 snacks! The only way I could eat more was to take longer (an hour +) to eat a larger portioned meal. My weight seems to have stabilised now. I’ve been wavering between 48 & 49kg for about 2 months now & I’ve reduced my snacks. At my January appointment, my surgical team was happy I was stable & there was no talk of having to put on weight. Whoo hoo! Oh, yeah. We all seem to go through that looking gruesome stage but it does improve. You have to give your body time to adjust & your remaining fat to reposition itself. I agree with @ms.sss’s suggestion of adding enriched drinks like Ensure & Sustagen. You can sip on them all day if you enjoy them. Personally I never enjoyed protein powders or supplements (disgusting & grainy). My dietician suggested adding powdered milk to enrich my milk. I found it too sweet but I do add a heaped dessertspoon to a cup of milk when I make chia pudding. Maybe find a nutritionalist/dietician to advise on how you can add to your diet to increase your calories in a healthy way.

I had my surgery in March last year. I know my BMI is at a good number but I am worried about continued weight loss. All my labs look good. I feel like I'd eat more if I could taste correctly. Not sure why the tip of tongue feels like I've rubbed oragel on it

Hi, We have a severe shortage of primary care physicians, Ive checked and yes there are a lot in GTA but Im north. I also was sent and paid by ohip to get the surgery done down in Rochester NY because the wait here back then was way too long. So OHIP covered my medical cost for follow up but now travel expenses, hotel overnight etc. I did do the 5 year trek to Rochester but because by then there was a catch up with patients having WLS in the GTA, no one was willing to take me on because they were only seeing their clients that had surgery in Ontario. I did, through a contact get in for a consult with one WLS dr. but he said because my weight loss is maintained, and ohip doesn't cover follow up with him I needed to see a GI. finally convinced one walk in dr. to refer me to a GI because of my symptoms, colonscopy found a spot of undeferentiated colitis, mildly increased lymphocytes, and a precancerous polyp was removed with other polyps. He ended up closing practise or moving and a few years later again GI symptoms, another walk in dr referred me to another GI who assumed my total abdominal swelling was 'probably ibs' said everyone gets all uptight about precancerous polyps but they aren't a big deal, and he was willing to do an oral scope and did but not a colonoscopy. I said my issue isn't up top its in my abdomen. but he refused. my pouch is still its original size, staples look good and no esophagitis. I asked him to refer me to a dr I had a connection through another acquaintance but then he said oh sure Ill refer you I know him we went to medical school together, the second GI replied he doesn't give second opinions. The online dr is shocked at how I seem to have fallen through the cracks at best ... that's the reason he was willing to take me on... he said that the medical system is great when it works and when it doesn't its very difficult to get help. Im very very grateful I came across him in November. Maybe I will find answers in unlikely places as I did with him (a shot in the dark that worked great, finally), I was hoping this forum may be another unlikely place to find more answers or some possible directions to pursue. No I don't have any coverage through private insurance, nor through odsp as Im on cpp disability and they provide no medical coverage (odsp does but im ineligible because I qualified for cpp). I appreciate those suggestions, they are great. Sadly It just doesn't work the same when living outside the GTA area.

1. Stalling is normal and inevitable. It will happen at Week 3 or 4 for sure and then sporadically throughout your weight loss. It's the time when your body is adjusting. 2. Not all surgeons agree about coffee. Mine didn't limit me/restrict me. Plus I drink decaf. 3. Alcohol probably within 8 weeks post-op.

Do you know how many cals on average you are eating daily? What's your activity level like? If you are consuming less than your TDEE, you'll lose weight. How long ago did you have surgery? If it was within the last year or so, generally, it takes a bit more of a concentrated effort to get calories in. Further out it gets easier. If none of the above applies to you, you may want to get your thyroid checked. An overactive thyroid can lead to unintentional weight loss. Left untreated, it can cause issues with your heart, bones, muscles, fertility, etc.... P.S. Your current weight is still considered to be in the "Healthy" range for your height. ❤️

Hi yes in 2017 I had to have 8 iron infusions in one year. I was at a seizure threshold level. My iron is low normal now again but ferritin is bottoming out even on supplements prescribed by online walk in dr. so is my vitamin d. also prescribed by the walk in dr who has temporarily taken me on until I find someone. there is no one anywhere near my area accepting patients as a NP or primary care physician. Ive looked into that site. Also the GI's outside of the GTA where I am are at a loss and just cut me loose when I did see one a few years ago and when I asked for a second opinion from another GI he refused and said he doesn't give second opinions. I finally found this ohip covered online walk in dr. who took me on. things are finally starting to move as far as seeing specialists and tests, but Im worried about the time its taken to find him and also get in to specialists who can and are willing to take on complex cases as Im finding a lot of drs just don't want to. One ER nurse just two years ago when I explained my diagnosis, said "Ya you are the type of patient every doctor hates to see walk in the door".... Its been a brutal struggle.

I totally agree that it has given me my life back in many ways. and with my aunt 600+ pounds and died early in her mid 60s of stroke and was in a nursing home at 60 after her first stroke. Im very grateful to still be here and have life. Id just like to improve my health significantly so that at 47 with two younger kids (7 and 8 ) and parenting totally solo on my own during covid, I want to be here as long as I can and live a healthy and full life. Hi you asked for a bit more details so here it goes.... possibly related yes, possibly no... just seeking possible ways to become stronger, healthier and live my best life with my kiddos. Im not saying anything against wls surgery at all... its given me so much for quite some time... im just concerned and looking for possible solutions as I think most would if a snow ball multi system deterioration is happening and no specialists have answers and the gastric bypass specialists won't see me. I am sending out a question to see what might fit to help improve my health, that's all. thank you to all for understanding and reading this. Without weight loss surgery I wouldn't probably have been able to have my kids (I was told previously I would never have kids at the weight I was at and with the health issues I was having at the time related to my weight... so no I definitely do not regret it... but I would love to have my health back and improve my and my kids quality of life to an even greater extent. Thanks again! Im 47 female I weigh 180 pounds and at 167 my bones were sticking out and I was receiving a lot of concern as people assumed I was down to 130 on my almost 5'8 frame that's always been very muscular until I gained all the weight in my 20s. Up until then I was very athletic, voted most athletic female at my 1500 student high school, won all possible awards with sports and leadership and invited to try out for the Ontario Provincial Women's soccer team. Im saying that as most BMI charts would have and did conclude I was overweight even while playing for rep soccer, basketball and volleyball teams etc. so the the BMI for me has never been a good indicator of health or fitness. These are my struggles Third Degree Complete Heart Block and flat lined for recorded 22 seconds on a halter monitor. Some may argue it could have been a vasal vagel response (although they usually tap out at 10 seconds)... and if in this line of thought were true, part of the vagus nerve is severed during gastric bypass reux en y surgery, most often not the part that can affect the heart yet any slight injury can occur during surgery especially to nerves. If my vagus nerve was nicked by mistake in the wrong spot, even without surgeons awareness, It could cause a vasal vagel response and shut off my heart temporarily (as its a nerve conduction issue). I developed this complete heart block in 2015 but had symptoms starting in the fall 2009/winter 2010 that could point to the start of the glitches with my hearts electrical circuits. I also developed super ventricular tachacardia (SVT) that did not pre-exist surgery. No arrhythmias did. But I also have heart conduction issues in my family... so it could be genetics or a surgical complication unrecognized during surgery. I have always had stellar bone density. I was tested pre-surgery and they were shocked that someone at my weight (450+) had such strong bones. In 2014/15 I started having back issues and did my bone density test and I was diagnosed mild degenerative disc disease in L4-S1. Three years later its now moderate to severe with a leaking disc, slipped vertebra, and a vacuum affect pulling my spine over to the right. I also now have it in my thoracic and cervical spine all at the mild stage right now. My calcium levels are normal. This may be the cause or one of the causes of widespread ligament/muscle inflammation surrounding my entire spine. Because of no nsaids to reduce the inflammation and because its such deep tissue the anti inflammatory topical creams don't help so much. I have also developed more than 1% bone density loss in my right hip and was told on my report that the Ontario Government recommends bone density repeat testing in one year. I did have a GP at that time but she refused to refer me saying that's not a big enough risk as it is compared to the exposure of the scan. I disagreed but was blocked. Im still in search of a GP (family dr but rural/more northern communities are all in short supply of family drs. People are driving two hours and keeping their family drs when they move because finding one is next to impossible. My hip now is so painful that I cannot lie on it at night. Yes it could be bursitis or it could be due to bone mass loss. This started in my early 40s and has been worsening rapidly. (I had WLS at 36). My teeth also have started to physically crack and crumble, the dentist thinks its somehow related to malabsorption although my tested levels of calcium are normal. I don't know... They aren't sure with the deterioration of my spine if that is causing nerve damage and peripheral neuropathy in my lower extremities as the CT isn't clear enough to see and the referring neurologist who was involved at that time said that all Toronto Hospitals she contacted said no to an MRI until my legs start to give out, as Im too high risk of another complete heart block. Ive also had a lot of cardiac ablation surgery for the SVT and that even in people without previous heart blocks increases the chances of severe heart blocks and death with one spot ablated, I had 7. Yes the heart blocks could be hereditary, yes the svt could be hereditary, the bone density no. The possible way to diagnose this and other neurological issues (which could be ms or my spine deteriorating is possible) cannot now be done due to my heart history that may or may not be related to a vagus nerve injury sustained during surgery and I can't get help to remedy this until its so severe I can no longer do activities of daily living, maintain independence because of risk of falling and loose my lower ability to function. To find other answers to shore up my spine (bones) and make them stronger is imperative to have a good quality of life and function well as a mom of younger kids on my own. I also have since developed very low blood pressure as well now which was never an issue that has now started to have episodic high spikes. This makes medications difficult too low or too high Im in trouble. I had my pacemaker put in in 2015 and another this past October 2020. I have a lot of gas showing to fill and expand my non functioning stomach and I asked the GI when I had one in 2018 why my stomach is so full of air/gas when no opening from the top is there, it only drains downward. I suspect possible infiltration of SIBO somehow or another gas producing organism but he just shrugged and didn't pursue it. My abdomen has now started to severely distend to the point that I look 9mths pregnant, its hard to breathe, and its hard as steel as my 8 year old would tell you and he says its usually mushy lol with all my extra skin. this occurs after I eat especially although its always tender and slightly hard and swollen... just worsens when I eat, not sure if its connected to my cycle and digestive tract, if my stomach that's been severed has issues now that its not functional (just drains gastric bile/stomach acid) and this abnormal non use of my stomach specifically has reacted over time to this, how bacteria migrated upwards while gastric acid flows down and out. I just don't know... possibly totally unrelated for sure... these are just some of the issues... Im just looking to see if any one in this specific community has any similar issues and if they resolved, how.

My stats were close to yours...i have a lil pooch but not much saggy skin. My weight loss was slow and i took care of myself. I also work out everyday. I didnt have many complications. Really not being hungry was a thing for quite a while...and having to force myself to eat. I also had a short bout with finding foods that worked for me. She still has her days where she is hard to figure out! But its much more predictable!

I have heard around year 7 from a fellow gastric bypass patient when I first had the surgery as she went for her follow up (it was in the States - Ontario doesn't follow up past 5 years) that the hormones that make you hungry that can be dampened by cutting the vagus nerve near the stomach somehow (Im not a dr, or biologist) start to rev up more than they have since surgery and this can be a period of readjusting to a hunger level that most of us may not have had for several years which makes loosing that last bit and keeping it off a bit more challenging. I think going right back to the basics post surgery and doing a food journal (as painful as that is after awhile lol) could be extremely helpful to find many answers. be sure to include how much water your drinking each day and is it at least 30 minutes after eating, are we all being conscious of taking time to still really chew everything? I think if I found my initial binder of what to do and not to do that may help me again as a fresh reminder, not sure if this may be helpful? It might be for me, thanks for asking this great question! Im interested to see the responses for myself and my own health and weight loss of the last 15/20 pounds, again....

Hi guys, so here goes... if you are wondering why, if you are thinking this is far reaching this far out from gastric bypass reux en y surgery than this whole message might be of interest to you... if not ... no worries... just responding and hopefully clarifying as best as I can. Not sure what you mean by my question being far reaching, can you let me know what you mean, Im honestly just looking for anyone who might have experienced some health challenges that they are curious if there surgery could have been impacted, worsened or created by the surgery. Im not looking to blame my health on weight loss surgery nor am I saying its a good or bad choice for anyone, that's a personal decision for sure. Im just looking for possible answers in several places (other than bariatric as well) to find answers so I can live my healthiest life that all and if someone else has had complicated health issues or is several years post op and health in many areas has weirdly changed in not so positive ways, what they may be and did they find a specialist or find a solution/decrease in symptoms or cure and what that is. I know its a needle in the hay stack but I am also doing due diligence post surgery as I did presurgery to look for all possible ways to make the most healthy choices for my life. I started to have one thing after another happen starting in roughly 2014 and increasing to the point of 5-6 years later involve multiple systems of my body. The follow up here in Ontario with a gastric surgeon specialist or any gi for that matter, nutritionist, specialized nurse practitioner etc. is not covered by OHIP (our medical coverage in Ontario) past 5 years. I did get a consultation at about year 7/8 when things started to accumulate as far as symptoms, diagnosis's, and medications, specialists etc. But he was just please I kept my weight off and did a general food diary check, supplement check that I was using and just said Im not sure, all these things aren't directly related to gastric bypass and all the best as he said we only follow up for 5 years as a way of gathering data, research, and statistics, once the 5 years are up, its up to your GP (general practitioner) to follow you. In Ontario we have a severe shortage of GPs and mine retired and soon after I moved out of the area and cannot find a gp to even do regular blood work and keep an eye on all the health stuff, let alone gastric bypass related regular check ups, that just now up to walk in clinics that I wait to see whoever and check my own levels online if they will do the test and as they remind me I need a gp and when I ask where would I find one, they go silent. Am I saying its related not necessarily yes and not necessarily no, all I know is our gut is our second brain and controls so many functions in all systems throughout our bodies, even often telling the brain to release or decrease certain hormones, proteins, chemicals throughout our body to attain a delicate balance of homeostasis. So I don't think its a huge leap to say the gut controls a very substantial amount of systems in our body directly and indirectly and when manipulated may effect what seems to be a totally unrelated system. Am I saying this is coincidental or due to life stressors maybe, maybe not... I just don't know and I don't think even most or any gastric surgeons know yet either because to be honest I don't know if that's included in their 5 year max research and stats before your on your own. I know its probably for most gastric surgeons, in there best interest to say no, it can't be connected to gastric surgery and be blown off for many reasons that don't need discussion as far as Im concerned. could it be the accumulation of the perfect storm of gastric bypass surgery, chronic unforeseen life stressors AND heredity, age, all of the above yes I think so.... Im trying my best to seek for answers and do what I can in the area of management of my life stressors, self care, living a healthy life style according to my surgery requirements and and what's best for me, could it be bodily changes just due to aging + all the factors that make aging a more challenging journey than it needs to be, could it be hereditary or just coincidence... I think yes to all of that. Yet if I am willing to seek answers in all areas of my life that could be having an impact on my life, I feel that not seeking answers in this area would be irresponsible to my health and sticking my head in the sand... I think its all important and contributing factors for me. Im just looking to see if others have some commonalities that may give me clues as to what may be part of a complication directly or indirectly related to the surgery or supplement brands/types/ways of administration to provide best deliverance of vital minerals and nutrients. Im sure everyone researched very deeply into surgery just like I did. Does it not make sense than for me to ve researching deeply into possible connections that may be simply modified that could have an amazing cascading positive affect on my health in many areas, may be to something very simple and overlooked by me or specialists yes... because I want to live fully, be healthy, enjoy my life... so searching for every possible way to improve my health is vital... I am worth it. Hope that makes it a little more clear as to my question and why I am seeking some answers here. Even if slim... fit me, every possible help from anyone, is much appreciated as a community of people who have been through this process. We are here because of a common bond, common fears, questions, concerns and victories. I am just coming from a different point in my jouney than most on here... yet I have hope by seeking I will find answers and even though Im post surgery by quite sometime I can also add value to this community of things that have been absolutely changed my life in so many great ways, yet also valued enough to ask the questions... I want answers and my health complications in some or many areas has been somehow caused or contributed to my complex health struggles in any way than that's important information for not just me, for all of us... is it not?

Started shedding at 3 months. Continued until about month 6-7. 2+ years out now and its all back and the same length as the surrounding almost-shoulder length hair. Sometimes I think it looks even thicker than it was pre-op, but that may just be wishful thinking, LOL. I took Biotin for like 2 weeks until I read it really does nothing for the cause of my specific hair loss, so stopped. Read @GreenTealael's post above RE: Telogen Effluvium

Fortunately, I lost very little hair. It started at about six months out and lasted maybe three months - and it does grow back. Some people say that biotin helps, but most will say it didn't do anything. I don't think most (any?) of those products do. The others are right - once you're in that cycle, there's really nothing that'll stop it. It'll grow back, though.

I've suffered from fine/thinning hair since my children were born and have taken hair, skin, and nail supplements for many years. WLS did NOT help the situation. My hair loss started around 3 months and didn't stop for at least another 3 months. I recommend you look up and read about telogen effluvium. My advice: As others have said above, the supplements are likely worthless at this point. If you're already shedding, starting supplements after the fact won't make a big difference. *I took them long before surgery and still got it. The hair you're currently losing was in production at the time of your surgery (see telogen effluvium hair cycle). Meet your nutritional goals set by your doctor. At this point, it won't stop it, but it might help it slow down and help you recover faster/grow your hair back/etc. Consider healthy scalp treatments like massage, oil treatments (castor oil and others) Get plenty of rest and manage stress (stress only makes it worse) Take it from someone who has spent $100s (if not $1000s) of dollars on "supplements," "natural cures," special shampoos, and all sorts of snake oil on hair loss. The best thing you can do is not stress and get your nutrition in. Today, my regime looks like this: I still take a daily Hair, Skin, Nails formula (mine also has a lot of other vitamins/minerals, so I justify it like that) Here's the one I take I introduced a collagen supplement (good for hair and hails) I do not wash my hair daily. I usually wash about every other day and if I can stretch it to a 3rd day without looking like an oily mess, I do. I got a scalp massager Here's the one I purchased on Amazon I sleep on a silk pillowcase (it is recommended to reduce breakage) (besides, they say it's also good for the skin and preventing wrinkles) Before I wash, I do a deep scalp massage with follicle-stimulating oils like castor oil or red pimiento or some similar oil meant to moisturize the scalp and strengthen hair follicles. Every time I wash, I use a different shampoo (I change between 3 favorites) to prevent any build-up that would weigh my hair down or lead to breakage. I recently started washing my hair with cool/cold water. I cannot believe the difference! My hair immediately felt fuller and was definitely shinier, stronger! If you can tolerate it, I strongly recommend this one.

My gastroenterologist (who diagnosed my GERD/Gastritis/Esophagitis) wants me to get to normal BMI. For me that's 145, so that's my goal. My surgeon never really discussed a weight loss goal since my surgery was for GI issues, not weight loss. But I know when I has the gastric sleeve done, my surgeon told me his goal is always for better health for his patients. So he never discussed weight goals, rather things like getting off blood pressure meds, lowering my glucose levels, getting off a by pap machine etc. I did all of that, and he was happy.

I'm six months post op and have a CRAZY amount of hair (my hairstylist says at least double psi than a normal person). She thinks I could stand to lose a little hair! I have been taking biotin and using collagen peptide protein in my coffee each day to get an extra boost of protein, as well as the collagen benefits for my hair, skin and nails. I don't know if it's helping, but it's certainly not hurting! Good luck!

226 now down to 160. I'm losing hair by the handful and had to chop off 4 inches yesterday due to it p Looking so thin! I'm taking biotin daily but dr said low B12 and iron can cause hair loss too so I've upped that too. I haven't been to the gym yet as it's been closed and my surgeon recommended waiting until 6m after surgery to start working out. Since I'm 5pds away from his goal weight for me he's advised against cardio now and to only do strengthening exercises but still wait until 6 month's post surgery. Sent from my SM-G973W using BariatricPal mobile app

My surgeon never really gave me a goal, only spoke in terms of average weight loss rate for the surgery I had, I didn't really have a goal, I just wanted to healthy and that is achievable (for me) at a weight that is higher than 25 bmi. Years ago when I did WW, I came to the conclusion I didn't want to be fighting with my body everyday to achieve some magical number that was probably unachievable, that I would prefer to reach a goal that was more reasonable to manage without struggling and worrying everyday about every single calorie. I am happily in maintenance right now and managing really well, sure I could still lose more weight but at what cost? Do what works for you and is best for you physically and mentally, that may be at the lower end of the healthy weight range, it may be the higher range, it may be over the higher range, as long as it isn't a constant struggle to maintain all is good and you've found your sweet spot!

Yes, most people experience significant hair loss, but it starts growing back within a couple of months. That's when the real fun begins, because the new growth is much shorter than whatever hair didn't fall out, so it looks like a mess with all the short hairs sticking out. I have fine hair to begin with, so my hair loss was quite noticeable. It looked like I was going bald and trying to cover it up with a bad combover. It's growing back now, and it looks terrible because of all the short hairs, but it no longer looks like I'm balding. Some people say biotin helps and others say it does nothing. Protein and iron can also affect hair growth.

My surgery(sleeve) was 09/30, HW 443, SW 380, CW 303, started losing hair like crazy a couple of weeks ago even taken 10k mcg of biotin daily. My back pain has gotten worse and feel like I have less energy than before. Oh but I do make sure to do my squats, sitting on a pillow doesn’t help much. Haha.

The shock of the surgery & weight loss to your body & the reduced caloric intake accelerates your natural hair loss cycle. My surgeon told me my body had better things to do with the nutrients I was consuming than grow hair - blunt but true. It will pass. How much hair you will lose & how long it will last is different person to person. But you should expect about 3 months +/-. Mine stopped when I was in maintenance so after about 4 months. I lost quite a lot but it’s just about all back now. Don’t waste your time taking supposed hair growth supplements because they won’t stop the loss cause it’s a natural process. Some people say it stopped their loss, but it was probably when the loss would have stopped without taking the supplement. The only thing they may do is make any new growth stronger. Can’t help your existing hair cause it’s already dead. A lot of us cut their hair at this stage so the loss wasn’t as noticeable & the new growth wouldn’t take as long to get to the same length. Your new hair is already growing back. It’s just growing at it’s normal rate & not at the accelerated loss rate. Best thing to do is make sure you’re meeting your protein goals & accept it’s happening. You could make it worse if you stress about it. Temporarily losing some hair is a pretty minor price to pay to the amazing achievement of losing weight. Good luck.

Tell the truth. The head work on the weight loss journey is really important. You might get an immediate go ahead or they may offer strategies to support you. Your honesty will only help you be more successful on your journey. The process is different in Australia, the psych evaluation is not mandatory but at the discretion of your surgeon’s recommendation. My surgeon said I didn’t have to go but sent a friend to one session. Another friend had two pre surgery sessions & continued to go after her surgery. Good luck.

I'm 3 months post op and I'm losing my hair, like A LOT! Prior to surgery the dr. had told me it was going to happen, I just didn't realize it was going to be this bad... Does you hair grow back to like it was pre op? How long does this hair loss phase last? Anything other than Biotin that could help me? Sent from my SM-G950U using BariatricPal mobile app