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Hey everyone, I'm noticing I'm starting to feel REALLY hungry since I had my GB removed Friday. It's a painful hunger too. Before I could go hours not realizing that I haven't eaten. Now it seems that I feel this empty stomach feeling every 2-3 hours. Is this normal?? Please tell me this goes away.

you won't always have to sip. I can't remember how long I did that (I'm 9+ years out), but maybe a few weeks (?). At any rate, it's not forever.

It's been just over 3 years since I had my RNY (12/31/19). I am so glad I made the decision to do this. It's not easy and there are challenges, but I feel so much better in my own skin. Stats: 5'10; 44 years old Starting Weight: 336 Surgery weight: 292 Lowest weight: 155 Current weight: 172 Wins in 2022: Last year I really wanted to focus on strength and stamina. I set a bucket list goal of climbing Kilimanjaro (I did it in June!) and spent the first half of the year getting in shape for that. That included regular hikes, but also yoga and strength training classes to build muscle and flexibility. I also did a lot of time on the treadmill at incline (I hate the treadmill - but it served it's purpose). In the second half of the year I wanted to keep growing strength, stamina and flexibility but in a way I enjoy so I started HIIT classes. They are a great workout, give me cardio and strength in one which is a huge win. I also still do yoga once a week and try to hike when I can. At the end of the year I am the strongest and healthiest I can ever recall being. I also did a TON of traveling in 2022 which was great for my mental health. I got to see Equador, the Galapagos, Costa Rice, Tanzania, Zanzibar, Alaska, Victoria CA, Little Cayman, and other places in the US West. It's been amazing. Goals for 2023: In addition to continuing to grow on my physical fitness gains from 2022, this year I need to work on my relationship with food. In general I eat much healthier than I did pre-surgery (I was a total carb addict and rarely ate protein or vegetables), however I still struggle with emotional eating and moderation for trigger foods. I am very consciously NOT dieting. There will be times I eat pasta or sweets but I don't want to eat because I'm bored or <insert any emotion here>. I also want to be aware of the scale, I really want to stay between my low weight and where I am now, but not ruled by it. I'm not sure exactly what this will look like, but will figure it it. I also start a new job in a couple of weeks. I'm super excited about the role and the challenge it will present. It will mean a lot less time to travel, but I'm ready to take on something new. My goal (aside from doing well at the job) is to find a way to balance work and life in a more sustainable way that I have in the past. I hope all of you have an amazing 2023 and good luck in your journey's! Lori

Liquid diets or liver shrinking diets before surgery are very common. Different surgeons will want patients to follow specific diets (like all liquid) prior to their surgery usually for about two weeks though can be for longer or shorter. The aim is for you to lose a little more weight before surgery, thus making it safer, and to shrink your liver so the operating field is more visible and your tummy and digestive system easier to access. Different patients will fe given different plans to follow based on their weight, current health status, surgery, etc. Some are given weight loss goals to reach like you, others not. For example, I was put in Keto and not given a specific weight loss goal just had to lose some. I lost 4.5kg (9.9lbs) in just over two weeks. Just follow the diet plan you’ve been given & you’ll be fine.All the best.

I think he might have meant it was the fastest he'd seen a WLS patient's stomach empty, but he still shouldn't have said anything. That's why we're supposed to eat every 3 hours, that way we're able to get the protein, fiber, and nutrients we need without overeating or binging on junk. I think 2 hours is within normal ranges for us, although I would try, if you can, to eat every 3 hours and not every 2. And eat protein first, then fiber, then starches like veggies, then carbs and healthy fats.

I was one of those "model patient" presenters at my clinic for the three years before COVID! I loved doing that! I had a partner - a VSG patient (I was RNY). I'd had a stricture at four weeks out - she never had any complications. I'm hoping we didn't sound too "vanilla" - but neither one of us had any issues (other than my stricture - which is a mild issue and very easily fixed). We were both super happy with our surgeries and both lost a ton of weight (she lost 100 lbs, I lost over 200). Although I think people found us entertaining (we were quite a pair!) and most groups asked us lots of questions. We always told the groups about the three-week stall (since it happens to almost everyone, and very few clinics mention it to their patients, so people freak out when it happens to them). Also told them about how we ate a month out, a few months out, a year out (our clinic's plan wasn't low-carb, like many of them are - it was balanced - although even given that, the typical eating YOUR presenter does sounds carb-heavy even to me). We mentioned how we typically eat when we're at a restaurant. Talked about the extra skin (my partner even lifted her shirt to show them her extra skin). Also talked about our experience with hair loss (since extra skin and hair loss are huge concerns among pre-ops). Also talked about constipation (we both have chronic constipation) and how we deal with it. And how we dress to "hide" all the extra skin (although I've since had mine removed). We always mentioned how most people lose their interest in food and hunger for several months after surgery, and how they should milk that for everything it's worth since it's way easier to lose weight when you don't give a flip about food. Basically stuff they likely would not have picked up during the classes they had with dietitian and the health psychologist. when I went through the classes in 2015, the presenter was kind of underwhelming, like yours. I'm sure he would have answered some of the questions we addressed when we were presenters, but he didn't, and the "students" wouldn't necessarily know enough at that point to even know what to ask. Shelli and I decide early on to talk about the issues they SHOULD ask about, but wouldn't know to. P.S. now I'm sitting her wishing I was still doing that - it was great fun! But COVID hit, so everything went online, and they didn't have the "model patient" class. Since everything is in person again, they may have some people doing it, but the two of us are pretty far out now (nine years), so they may have gotten people who had their surgeries just a year or two ago.

I just had my first appointment with the surgeon. It went really well, and I’m glad I took the first step. We are leaning toward Gastric Bypass as the procedure for me. It’s a 3 month process to surgery with his office, 3 visits with him, 3 visits with dietician, plus clearance by Cardiology, Pulmonology and sleep medicine. My next visit with him and the dietician will be in about a month and he’s sending out the referrals to the offices for the clearances and working on prior authorization with insurance.

I just had my first appointment with the surgeon. It went really well, and I’m glad I took the first step. We are leaning toward Gastric Bypass as the procedure for me. It’s a 3 month process to surgery with his office, 3 visits with him, 3 visits with dietician, plus clearance by Cardiology, Pulmonology and sleep medicine. My next visit with him and the dietician will be in about a month and he’s sending out the referrals to the offices for the clearances and working on prior authorization with insurance.

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

@Mspretty86 I think if I lost more weight I would look frail and I want to look strong and fit. Once I get my boobies in 6 weeks I am going to be feelin' myself HAHAH!!! 😂 Thank you!! We are all winning!! I was strolling on Youtube and this guy who is a personal trainer, Trent Harrison, posted a video how we cannot always live our life in a calorie deficit, that being hungry is normal and a good thing! He has realistic foods that we can buy from a ton of places with high protein and low carb/cal. I have been really trying to dig deep- last couple of weeks I have been binging/grazing and just unmotivated for some reason, like I would still do my workouts but kept looking at the time because I wasnt feelin it or just doing an "easier" workout to say I worked out, but I snapped outta of it and back at it! Now I am feeling like myself! Try out her channel, tomorrow I am doing her glutes and I know I will be feelin it tomorrow whoowee! I used to follow Sydney Cummings- dont get me wrong she is good, but I needed something that pushed me harder and this chick does that. Lemme know what you think!!

Welcome and congratulations on choosing your health and yourself as important. As well as pictures, measure yourself with a tape measure, all over. I checked thigh and knee and upper arm girth. I even had my son take photos of my butt with me bending over lol. Really, really, there will be days and months of stalls later on and those before measurements to compare your results will help keep your momentum in choosing self care. You may find yourself in this journey so much stronger in setting healthy boundaries for yourself instead of constantly sacrificing yourself non-stop. Your expectations for your family members will grow and you may be strongly encouraging them to be more independent. You won’t be eating for entertainment nor will you be slaving for kids and spouse and parents. Get a hobby for yourself. Do something for you that you find passion about. Make a bucket list and start fulfilling it.

Late posting today as I’ve been to the gym this morning and thoroughly enjoyed myself 🥳 Hubby is off work this week so he came with me. We like going together as we both wander off to do our own things but touch base occasionally. Unfortunately there were couple of teens who enjoyed pointing and laughing but it didn’t stop me and it just made them look like a pair of dickheads, especially when others glared at them. I don’t know if they expected me to pass out within a couple of minutes of beginning my workout but I did over an hour so sucks to be you, kids…I did have a chat with a member of staff as to when the quieter times are (without teens as there were quite a few and they have no absolutely no gym manners) and he said before 3pm when the schools go back. Thankfully that’s this week so we will be back Wednesday afternoon to have another go 🙂 Of course it will be interesting to see what state I will be in tomorrow but I didn’t hammer it, just familiarised myself with everything again. I did have a protein shake when I got back home plus a hot bath with some Epsom salts in the hope of counteracting the worst of the aches and pains. Looking forward to trying some free weights to get some hardcore toning going on! Couldn’t today as the free weights area was busy. Went out for lunch yesterday and kept it relatively healthy. Gains from the past week or so have pretty much gone, which is good. I’d thrown on a pair of leggings and a t-shirt earlier in the week and hubby commented on the fact that the weight was coming off my legs and backside. I think his exact words were “you’re losing weight off your legs and arse love”. Such a way with words, what can I say?? Clothing does continue to improve fit-wise, so I'm happy with that. Granddaughters first day of school on Weds and her 5th birthday on Thursday so there will be cake this coming weekend when we’re there for her party. I can’t believe she’s almost 5 - time really does fly! Surgeons appointment coming up on Friday - eek! I think I’m as prepared as I will ever be for it. I’ve got over the initial shock re the speed of it and I’m now just looking forward to it. My mini food processor thingy has been delivered and I’ve downloaded a couple of additional Bariatric recipe books for my Kindle (all freebies, thankfully) I’m trying not to think too deeply about the puréed phase as none of it sounds appealing but I know it’s something that has to be gone through! 6 weeks isn’t too long in the grand scheme of things. Have a super week everyone 😉 Onwards and Downwards!

some people experience hormone-related depression for a few weeks after weight loss surgery, but weight loss surgery would not have caused bipolar disorder.

My discharge paperwork says you can resume sec at 1 week post op. It sounds like my surgeon’s recommendations are not the norm.

Sleevetobypass2023- Yes they did the sleeve at a surgical center (very common in Florida) they have private staff to keep you over night but at 10:15pm when it was time for me to walk again I was dizzy and my BP was low so they called my husband and told to drive me to the hospital that my surgeon text him the info for. By the time I arrived at the hospital I had already loss 2000cc of blood and looked 9 months pregnant. As far as the surgeon he said he is sorry, these things happen and there is nothing he can do. He won’t even help have the hospital correct the billing codes. BCBS told me they don’t cover any WLS or complications from it but they paid to remove my lap and 3 years ago.

Yes. 5-6 Protein shakes and clear liquids. Sugar free jello, sugar free popsicles and low sodium broth(which is disgusting). That is it! I think it is ridiculous. I am trying my best, but it is not easy. I would love to have just a bite of anything!! They said I could have 1 bite of protein, but I know I won't be able to stop at 1 bite. Especially after not eating food for a week now.

Hi everyone 🩷 I’m considering having revision surgery and have an appointment with my doctor next week. I’d love to hear some of your experiences with revision surgery, the process and road to your actual surgery date, post op experience - anything you’re willing to share ☺️… soo lay it on me ! The good, the great, the bad, and the ugly! I lost about a 100 lbs and kept it off for about 4 years but since having a baby 2 years ago I’ve really been struggling with my weight again. TIA 🩷

@SleeveToBypass2023 pretty much covered what you need to change so I won’t repeat that. I will add though that I got to a simlar point a little later than you when I was discouraged I didn’t reach the goal I secretly had in my mind for myself. I had stopped losing and stalled about 18 pounds shy of it for about three months then I started letting bad habits slip in and I started to gain and honestly I never stopped gaining. 3.5 years later here I am pending revision. I was also embarrassed to see my dr or even post on here and that only made things worse. I could’ve nipped it on the budd before I got to this point like you still can. Go back to your team and explain your struggles. See what they have to offer you to help get you back on track. Maybe even talk to a therapist to try to work out why you feel this way. It sounds like you really have only been off track for a little bit and you’re still early enough out that it’s not too late to turn this around. You just have to start taking steps.

I am still basically stalled too. I fluctuate up and down the same pound over and over again but everyone keeps saying “you’ve lost more weight, haven’t you?” Ummm, no. It must just be shifting around. I know how discouraging it can be for the scale to not move especially after the quick initial weight loss right after surgery. I try to tell myself it’s a good thing because my skin seems to be bouncing right back and if I was losing too quickly it wouldn’t and then I would have the added problem of loose skin everywhere. I have about 25lbs left to lose so if we have a year to lose our weight I have 9 months to lose that weight. If you look at it that way it’s more bearable. Hang in there

First of all, can I just tell you that you're beautiful!!! I don't mean anything awkward or inappropriate with that, but I just felt like I wanted to tell you that you are a very beautiful woman To answer your questions: 1. What was the best part of surgery for you? Getting off blood pressure, diabetes, cholesterol, and anti-inflammatory meds, losing the weight, and gaining mobility back 2. What was the worst part of surgery for you? I had several complications from the sleeve and had to have a revision a year later 3. Did you have any complications (minor or major) during or after your surgery? not during the surgery but about 7-8 months later, complications started showing up. 4 endoscopies, 1 colonoscopy, and massive amounts of PPIs later, had to have the revision 4. How has adjusting to your new life been for you? it's been hard sometimes, but overall, so worth it and rewarding and a huge blessing 5. How long did it take you to feel comfortable eating food? If you stick to the plan, it's a gradual process. By 6-8 weeks, I was nervous but ready to eat food and just made sure to go slow. 6. Is there anything you can’t eat anymore that you used to enjoy? pasta, rice, potatoes, bread (a year or 2 out, some can eat it in small amounts every once in a while, but I'm so sensitive to carbs that I stay far away...but there's alternatives that allow me to not feel like I'm deprived so it's completely ok) 7. What was your recovery like? Any vomiting or dumping syndrome? dumping really only happens with the bypass, not the sleeve. Never had vomiting and very little nausea (in the beginning). Once I had my revision to bypass, I had dumping twice and learned my lesson lol I follow the rules and I'm careful, so I haven't had it again. 8. How long did it take you to feel semi-normal after surgery? about 4 weeks after the sleeve, about a week to 10 days after the revision to bypass (much easier surgery to recover from, for some reason) 9. Did you experience higher energy level post surgery? not right away. I was beyond exhausted the first 2 weeks. Weeks 3 and 4 it started to get better. By week 6, I felt normal, and by 3 months out I had lost a good amount of weight and my energy levels really started to pick up. 10. Did surgery affect your mental health? not in any kind of negative way until I started having the complications. Once I had the revision, every complication went away and I've been beyond happy and thrilled. The only real issue I have now is body dysmorphia sometimes. I have moments where I look in the mirror and still see 421 pound me and not 195 pound me. I'll look in my closet and think someone stole my clothes and replaced them with someone else's (I use to be a size 30/5X and now I'm a size 14/XL). 11. Do you regret it? Would you recommend it? I absolutely do not regret it. The only thing I would go back and change is I would just have the bypass to begin with and skip the sleeve altogether. Now, there are a lot of people really happy with the sleeve. They have zero regrets. I was one of them, until I wasn't. Many of us sleevers have to get a revision to bypass for one reason or another, but just as many, if not more, have the sleeve and never have any issues and love it.

Thanks! I'm definitely focusing on protein! I'm going to see how it goes until my follow up appointment in two weeks and discuss with the doctor.

hmmm...you could always try it, and, if it doesn't work for you say, after 3-4 weeks, then just go back to what DOES work? or, if it's causing you too much angst, and your current M.O. is not causing you any issues (which sounds like it isn't), why fix what ain't broke? there is no one-size fits all prescription...find out what works for you and go with that. good luck! ❤️

How’s everyone in the July group doing so far? I think I’m 16 days out as of today. My surgery went well and recovery has been quite swift. I’m cleared to swim and do non vigorous exercises. Yay! I loved to swim laps prior to surgery, so I’m pretty thrilled to be back at the pool. It feels so good to move and my mobility has already gotten better! I feel pretty good overall. I have weird days where I’m honestly just angry. Some of that is frustration with eating 1/4 cup meals of food. I just need to work through that and acknowledge my feelings. My journaling pen has also been getting a workout. I’m also a little frustrated with how much physical hunger I feel as well. I’m learning to deal with it and find other things to occupy my time instead of eating or thinking about eating/cooking/etc. I wanted to note here that I spent a lot of time worrying before the surgery about the outcome, or “what if I feel like crap?” Well, the reality is that I felt like crap for about 3-4 days because of gas and fluid. But, then it was over and I felt ok pretty quick. Don’t waste your time dwelling on that stuff. Get your fluids, your walks and your protein. I recommend Unjury chicken soup protein if you’re having problems getting your shakes down. Do what you’re supposed to do and in time you’ll thank yourself for taking care of yourself. Sometimes what gets me through the negative thoughts is that these first few weeks are temporary and meant to retrain your stomach and your brain to make healthy choices. The weeks after surgery WILL pass quickly and you will come out the other side AND BE OK. Use the time to put some healthy routines in your pocket involving self-care, exercise, hydration, walking and protein. I’m excited to see where this journey will take me.

Oh I hear you. I had gone almost a year with no period and one week shy of being classed menopausal it reappeared and now has been every two weeks. I now recognise it the day before as I suddenly want to, and can, eat more, but still small by previous standards. It is a pain in the ass as I can't trust a schedule anymore and I had to go out and buy all new period underwear (old ones were thrown out as I thought I had no use for them anymore and they were now massive). Now for travelling next month I have to be prepared for what may come! I think my system is shot after all my surgery complications.