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I am confused on what you are asking. Are you trying to ask where to go for classes? If so: all classes are online right now due to covid. Kaiser patients have to go through a “weight loss boot camp” that includes ten weeks of classes on how to eat, what the procedures look like, etc. it also depends on region. Some Kaiser members don’t have to do classes at all, others go for shorter time periods, some longer... it really depends on the region you are in.

I started my weight loss journey of August 1, 2019 it has been a year I was losing weight for a while now all of a sudden I stopped I don't if it is because I stopped the slim fast at breakfast and lunch metancil 3 times a day with a 8 oz glass water 3 teaspoons of metancil I went from a big plate and a big bowl to a small bowl and I cut my portions I may have 3 snacks day any suggestions let me know The pictures of me now with a blue shirt the one silky black white was a year ago Sent from my moto e6 using BariatricPal mobile app

I was diagnosed with PCOS/Endometriosis before surgery. I’m only 2 months post op and have not yet noticed any relief as far as pain/symptoms go. I actually had a large cyst rupture 2 weeks ago. But, my Gynecologist is still optimistic that further weight loss might turn things around. His opinion is that it’s too early to determine if a weight change will help. But I did notice small positive results. First time in YEARS I didn’t break out in hormonal acne. My face always bloomed around that time of month and my skin is smooth and looks amazing. Ditching sugar, eating Whole Foods and limiting carbs to 20-30 a day I think is also helping. Sugar can make symptoms worse and I learned that on my own, nobody ever told me. I would of switched my diet years ago if I knew. Hopefully at my year mark I’ll be able to know if the surgery helped.

Over the years on these forums, it's not something that we see a lot of, though it does pop up occasionally (as it does in the non-WLS "normal" population.) What procedure did you have? It is something of a predisposition with the RNY pouch style of procedures, as the pyloric valve has been taken out of the main flow and the stomach access has been moved downstream of the bile ducts, but from what I have seen it is more common amongst patients who have had the procedure for non-WLS reasons (gastroperesis or gastric cancer typically) and the surgeons keep the limbs short to minimize weight loss; usually if the limbs are of typical weight loss length it doesn't present a problem. The mini bypass has historically been associated with bile reflux problems, though there are claims that they have developed techniques to minimize it for that as well.

Thanks for all your info people! Talked to my surgeon today who was one of the first who started the loop DS or SIPS and he recommended that procedure for best insulin stability long term and weight loss.. and he just uses the same procedure code as for regular DS so it's no problem. Anyone in NYC also had modified DS or SIPS/SADI-S done by him.? Sent from my SM-N986U using BariatricPal mobile app

I set my initial weight goals based upon the gross assumption that all my loss would be fat, and needed to get to a healthy body composition, and then reworked that as I got closer and got better figures on what was actually happening (hey, we engineers do that all the time, making assumptions to get us in the ball park, and then circling around to get a closer solution as more information is gathered.) As it turned out, I lost about 10 lb of lean mass in the process and adjusted the scale weight goal accordingly; the body composition goals remained the same (for me, a mid-teens fat percentage, which is on the leaner side of normal for men, depending upon whose chart one uses.)

Full disclosure: I am one of those people who didn't listen to my Dietitian's advice to up my cals to 1000-1200 at 3 months (and told her so). I always showed her my food logs anyway and she always responded with a version of "you should really eat more". I do realize though that this is just not a safe/healthy/good-habit-promoting strategy. And I cannot in good conscience recommend disregarding medical advice outright without discussion with them. Actually, I think there SHOULD be a warning for a 600 cal a day diet, both mental AND physical. Living on so little cals for an extended period of time WILL have its repercussions. I also want to say that a FOREVER diet of 600 cals a day is certainly a slow walk to an early death. Even if its not forever, and say a couple years, that just can't be good to both your body and your mind. I did a sub-750 cal a day for 7 months. I knew it wasn't forever. In terms of weight loss, yay. In terms of the mental aspect, I *think* I came out pretty unscathed (except maybe for this self-diagnosed food fetish I developed, as well as the unnatural fear of carbs I had immediately after stopping trying to lose weight...of which I am pretty much over now). I don't believe I would have been able to do sub-750 daily beyond a year mark (or not even) safely (mentally & physically). Could anyone? P.S. I'm 2+ years post now and my cal level is about 1800, more if I exercise more (of which again I'm not listening to my dietitian cuz she said I shouldn't go over 1500).

Not sure whether you will see this before you go into surgery tomorrow, but good luck! As quianmij said, you are very fortunate to have each other for support during the recovery process. The first few weeks are really tough, both emotionally and physically, and you may have some regrets about having done the surgery. You will also inevitably have periods when your weight loss stalls, which is normal. This board was invaluable for me to hear what other people had been through so I knew what to expect. It was so inspiring to see how much people had lost after a year or so--and nearly all of them say their only regret was not having surgery sooner (myself included). Throughout the process, just follow the program set by your doctor and nutritionist and you will do well, in spite of occasional setbacks. You won't be hungry for months, so take advantage of that time to maximize your weight loss--because your hunger will return. Try not to compare your progress to others, because everyone's journey is different. Listen to your bodies and go easy on yourself after surgery. You will have very little energy and will want to sleep a lot--and that's okay! See you on the other side in a few days!

Yep--completely agree! (I find myself agreeing with so many things Catwoman says.) I wasn't hungry at all for months, which was wonderful. I started "wanting" to eat again at about the six-month mark. Even after nearly two years, I'm still not sure whether it's head hunger or real hunger I'm feeling. However, it doesn't take much food at all to make that feeling go away--and I keep lots of low carb, low fat snacks on hand for those occasions. One confession: I NEVER ate as slowly as I was supposed to--not at the beginning, and not now. I definitely try to eat more slowly than prior to surgery and to chew everything carefully (and I succeed 95% of the time), but I honestly can't imagine how people can spend an hour eating the tiny portions of food we are allowed in the early phase of weight loss.

In California it covers RNY and VSG without issue as long as you do the 6 month monitored weight loss. It's difficult to get it to cover the DS, and Loop DS (but my Loop DS got approved). I haven't heard anything about MGB though so I don't know if it's covered here. Personally, I think it'd probably be like the DS and Loop DS and be a pain in the rear end to get them to approve it, but I'm sure some people have gotten lucky.

I agree, 8lbs since surgery is around 1/2 lb per day. That is pretty good weight loss. There will be stalls (3 week stall) and times where the weight just falls off. Just stick with the plan that you have been given and the weight should continue to come off.

I am always interested in the comments on expected calorie intake. I am of the opinion this is a marathon and not a sprint. I am just over 3 weeks post op and I am changing my weighing to once a month, with even a small loss being a win. My dietician and surgeon both said eating is now for nutrition and not hunger. They have given me guidelines that I stick with. If in doubt, have another check in with your dietician to get advice and let them know your concerns.

I know this is not really going to get answers but maybe someone might have some insight. I have lifelong chronic illness and disability. A challenge is being sensitive to medications and side effects and having allergic reactions (my list of antibiotics I am allergic to is growing) It started with Umbilical area pain that radiated upward to the right shoulder blade area like spasms. Admittedly I am also dealing with diverticulitis issues, bleeding and pain I'm not sure the source as well as Interstitial cystitis. My gastric bypass surgery inadvertently revealed a form of neurological dysphagia I have difficulty drinking thin liquids. landing in hospital with aspiration pneumonia a day after I got home, I found out that was why. started before surgery but I didnt know why I was having difficulty drinking water. normally i could chug it no issues. For a while I had trouble with eating which turned out to be stricture. I had history of ulcers prior to my gastric bypass surgery. and they found it afterward as well. I had dilations. and eating got a bit easier I just had to be careful what types of foods I ate. But then some weeks back it got really bad I found myself feeling sick just taking nibbles of my lunch. I always meal plan daily and prepare portion control sizes so I know how much calories and protein I am getting and what my portion is so its never too much for my pouch. But Id get partway through nibbling slowly and at times depending what Im eating Id just have to stop. and then feel the need to throw up but cant at times heaving but only a thick mucus comes up. I saw my general practitioner and had a CT scan and bloodwork. I also made some appointments. She told me to see my Bariatric surgeon. I had to wait until just recently to have a Endoscopy. I am just frustrated. because the CT scan showed Hepatic Steatosis. My one liver level is high it was not high when I was losing weight. Only when it was stable already. I did not have fatty liver prior to surgery. But they want to assume I did and that no one told me. But that's something they check for because its a co-morbidity! Also my gallbladder was checked at the time it had to be removed due to chronic inflammation. People have gastric bypass to get rid of fatty liver ... I have only read of maybe a rare case of liver disease post surgery. Anyway. back in June I had a enteroscopy to check the remnant portion of stomach and dilation. no mention of ulcer then. I have trouble with proton pump inhibitors not working and they just seem to deplete my vitamin levels too much. plus trigger my migraines. Ive had ulcers go away without the PPI and gotten ulcers while on them so they just dont seem effective. Then there is carafate. one side effect is constipation and with diverticulitis I cant afford that especially since the CT also showed inflammation and narrowing of my colon ... and I am trying to get iron and even the supposed non constipating kind in my whole foods based multivitamin is throwing my system off. so I had the Endoscopy this month and it showed Jejunal ulcer so the doctor just prescribes proton pump inhibitor and carafate (my insurance decided to not pay for carafate) but what other options are there besides these? and what could be causing the ulcers if Im not taking motrin or similar meds even though I do need them. Ulcer at the junction between the pouch and small intestine can happen in the first months post op and common treatment is PPI and carafate but not nearly two years out. Hard to believe April will be two years ... my gut keeps telling me its issue with my remnant stomach. perhaps even with the staples used. but I dont know how to get answers. I have seen when these things dont work doctors do a surgical revision of some kind. my surgeon is great but yet he seems to address it as it too simply and its not that simple anymore. Also I cant figure out the fatty liver aka hepatic statosis and the high ALT (liver enzymes) they assumed it was high before but no not really. Also I had blood transfusions in June and the levels went down due to the transfusion but then went back up again. so one would assume if it had to do with the weight loss the levels would have stayed down. I cant sort out what move to take next. I kind of sat on this post a while and didnt post it. I still hesitate. I know its probably not something anyone can answer. I am just getting frustrated. I am also retaining fluid in my abdomen along with a lot of pain.

I am just under two weeks post gastric sleeve. I am 20 pounds down from January 1, when I started the pre-op diet. However, most of the weight I’ve lost was pre-op. I’ve lost maybe 7-8 pounds in the two weeks since the surgery. Is this normal? I need to stop weighing myself every day. I’m following the diet, but I just had an idea that I should have been losing more by now. I have heard mixed things. Probably shouldn’t be comparing. Any thoughts/input would be helpful. Trying to stay as motivated as possible. Thanks!!

Lolololol...if I had *it* I would for sure be wearing booty shorts, but alas, between the pale skin, varicose veins, and saggy inner thighs, I will do everyone a favor and take a hard pass 🤣🤣🤣 thanks for the compliment, @ms.sss! I can’t tell when I look at pics, and the weight loss is soooo slow lately. I want PS now, but know it will be better if I wait a minute. Body dysmorphia is really bad lately, and all I see is the flaws🙄🙄

I had local consults and wasn’t thrilled with any of their results. Also, the cost was insane. My quotes in Seattle ranged from $30,000-$40,000. I paid $16,100 in Miami so even with travel costs I came out way ahead. I found a great doc there that I loved, and had lots of experience working with weight loss patients.

I lost roughly 120 lbs. I took measurements, and the widest part of my right thigh measured at 29" two weeks before surgery. After the loss, they measure at 17". As a whole, my things look ok-ish (to ME), but the upper, inner part near the crotch was pretty saggy/flappy. I had a tummy tuck last year and the upper, FRONT part of my thighs smoothed out quite a bit, but the upper, INNER part is still pretty "un-firm"-looking. I don 't think any amount of exercise will rectify this. Only a thigh lift I think as its all basically skin and not fat. I don't hate them THAT much to warrant a thigh lift, but if I ever get a butt lift it will probably give it some help. P.S. I used to run almost every day (sometimes twice a day). Now, though, I run much less, BUT I either run, walk or hike every day. Better than nothing. P.P.S. regardless of the state of my thighs, I still wear short dresses/skirts, city shorts (but NOT fitted short-short shorts because they accentuate the flappiness of my inner thighs), and bikinis. So its all good. P.P.P.S. Im 2+ years out, 1.5+ years from plastics

Gonna add one more thing: during weight loss phase, I noticed that a good nights sleep helped. I'm a borderline insomniac (self-diagnosed, lol) and on average, I tended to lose at a slightly faster rate on the weeks that I averaged more nighttime sleep hours (yeah, I tracked my sleep too).

Full disclosure: I haven’t had surgery yet. I am cleared to go and just waiting for them to open up elective surgeries. I am 38 and my dr first asked me about weight loss surgery YEARS ago. I didn’t have any problems except for one genetic quirk and that had been around since high school. I have stayed relatively the same size since high school. in my opinion: I wish I had done it a long time ago. I started having issues in 2016. my ankles were in pain. They gave me a leg brace. It is a PAIN to wear. It’s very uncomfortable. Then my knees started hurting..... then my back because I couldn’t walk correctly. In the space of only a couple years I went from being okay to not being able to walk at all. X rays indicated massive osteoarthritis which just snuck on me and would not be an issue at a lower weight. I am now finally getting it done (I’m 38 but my dr first mentioned it when I was 28). It seems crazy to me now that I waited so long. The drs were all telling me that my weight would cause problems, but I figured I wasn’t there yet. All those problems really snowballed fast for me and I could have saved myself a lot of pain in the long run if I had just trusted them and done it when I had the insurance before. another issue for me has been insurance: I got laid off as a result of declining health issues and then was stuck without any medical care because we couldn’t afford premiums. I couldn’t get rehired because my health was terrible. It was a vicious cycle. I’ve been trying to get rehired as a teacher since 2016 when my issues first popped up and I was laid off.....and it has been a very hurtful ongoing joke that I get pulled in for interviews and they ALWAYS choose the “skinny girl” with zero experience when I have over 20 years of experience in education. In 2020 my husband got laid off as well due to covid. We were able to get on Medicaid and my dr suggested I get it done ASAP. So now I’m waiting for them to open up surgeries. the benefit far outweighs any discomfort you would feel and please don’t be me and let it go until it’s “too late”. I will have issues with my joints for the rest of my life thanks to waiting until my weight was a problem.

I have the same problem. My boobs have gotten bigger with weight loss. I was a 44H and now I'm a 40 who the hell knows but it's massive. I've always had massive boobs at every weight I've been.

I didn't start for a few months. Just be sure to use a protein drink as your creamer. Do not use the heavily flavored sugar free creamers. - It will stall your weight loss.

I’m curious how your thighs looked after surgery? I’ve always had big thighs and I’m lm looking forward to wearing short skirts this summer... wondering how everyone’s thighs looked after losing 100 pounds??

You're doing great! I actually weighed more at my 1-week followup appointment than I did the day of surgery. As @WishMeSmaller said, it's because they pumped you full of IV fluids while you were in the hospital. Your body is recovering from a major surgery, and I know it's easier said than done, but it's too soon to be looking at your weight loss right now. Your priorities should be getting your fluids and protein, and if you stick with your surgeon's plan, you WILL see results. The number on the scale is virtually meaningless right now, so please don't stress about it.

Sorry to hear you had so many issues right off the bat. I also had a RNY and gallbladder removal at the same time but I had mine Dec 17th so I am barely ahead of you. I have had no issues with the gallbladder removal. What specifically are you looking for answers on? The affect of also having no gallbladder on diet down the road, affect on weight loss, etc?

One person I know who spectacularly failed their surgery insisted before surgery that they were going to eat the same just “smaller portions”. And it worked for 3.5 months. That’s all the time they lost weight, because after that point the “small portions” of the same food that got them obese were enough to stall weight loss. He never made it out of the obese range. For anyone reading this thread stressing out about which surgery to pick, I really hope you get one takeaway. The sleeve and the bypass are both great surgeries that give you an opportunity for success. If you go into it thinking what really matters is your choice of surgery above all, and aren’t making conscious choices to examine what and how you are currently eating that got you into this mess, you’ll likely fail the surgery. Pick whichever surgery works for your specific circumstances (history of heartburn, medications, etc) and commit.