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for me: (1) continuing to track my food intake (via MFP) and weighing myself daily...and making adjustments when a moving weight trend shows up in either direction i dont really want. also, (2) regular exercise (which morphed into a love for exercise) and (3) striving to maintain an angst-free existence: understanding that i am not perfect, that nothing is forever, that i believe i can and will adapt, accept OR change, whatever the circumstances. i am 6 years post op next week and have maintained below goal weight this entire time, following my own advice above. i know that my M.O. is not for everyone...but i also know that each one of us can figure out what works for us (and what doesn't) and act accordingly, if we choose to.

Oh, I forgot to mention for breast cancer if someone is considering reconstruction afterwards, which I am, the cosmetic surgeon said there is no rush for his part. They are going to put in expanders during my mastectomy and they can stay in a pretty long time safely. This means that I can wait until I reach my goal weight to do the cosmetic part. The way it works. Is they put in the expanders in and they are like deflated balloons that are sewn to the chest wall and slowly inflate them a little bit at a time each week until you find a size that suits your body. But if I’m still actively losing, that may be too big so they can also deflate it if I want to until I find a size that is comfortable for me and my body is settled and then schedule the surgery. Since that’s just the cosmetic part, the cancer will already be gone. Well, I know that when I lost weight with the sleeve, I had bounced back weight. So I think I’m going to stick with the expanders for a while and just make sure that my body doesn’t change before I commit to something in a surgery. They did say that if you gain a significant or lose a significant amount of weight and the implant shifts or whatever that they will do surgery again, but of course that’s costly and painful and I’m already just about sick of doctors so I’m sure by then I won’t want to do that. Anyways, that is an option someone else may want to consider as well. Some doctors tried to push doing both parts of the surgery in one, skipping the expanders and just putting the implants in right away, but my doctor did not recommend that for my situation.

We also call the rice paper ones Summer Rolls. It’s actually pretty confusing here when you say Spring Rolls because some people assume the ones that popped in your mind and others think of the rice paper ones. But to further confuse you, egg rolls and fried spring rolls are two differnt things here 🤣 I love them too, though. I just tried them for the first time post SADI with chicken, avocado and julienned veggies (I used cucumber, carrots, red pepper and red cabbage but you can just clean out your fridge). The recipe included a super simple peanut sauce that I love. It’s quite salty but I like salt anyways and you don’t use as much of the sauce that was. It calls for 2tbsp soy sauce and one tbsp peanut butter just mixed. I used fresh ground peanuts so it was better for me. My husband didn’t want to try them or I would make the sauce with reduced sodium soy sauce but easier for me because I like it the other way better. Anyways I get about three servings out of that sauce recipe because it is salty so it goes a long way. actually whipped it up to have on some leftover chicken breast last night because I didn’t feel like doing anything fancy. I also learned for anyone who hasn’t made them it’s best to prepare the bowl of fillings but only roll up what you plan to eat. They didn’t do well on the fridge. The next day they stuck to the bottom of the container and broke apart and the second day the wraps got hard and I had to remove them and eat just the filling.

Honestly, I am feeling amazing! I have hit a little bit of a slow down on weight loss being 2.5 months post op, but I am now hammering the exercise and still losing inches off my body. When I say a slow down, I mean I've gone from losing 4-5 lbs per week to around 2lbs per week. An example of the exercise, I never imagined i'd have felt comfortable on a treadmill pre-op, and I am about to go onto week 3 of the 9 week couch to 5k program on the treadmill at the gym! How are you doing this week?

Hi. I'm having some huge issues with my weight and could really do with some help and advice please. In December 2018 I had a gastric bypass and on the day of the surgery I was 24 stone (336 lb). Over the next year I got down to 15 stone ( 210lb). All my friends and family was concerned I wasn't eating enough and said I looked ill due to the rapid weight loss so I started eating a it more. Fro. 2019 to 2023 my portion sized grow and I was no longer eating the correct foods resulting in me being 21 stone (294lb). I'm currently on the path to getting my health back on track but I don't seem to be losing weight. Im one of them people that will eat the same meals every days and this is my current meals all eaten on a bariactric plate. Breakfast = 2 hard boiled eggs. Lunch = hath a steamed chicken breast, 2 steamed mushrooms, 4 seafood sticks, 2 slices of onion cooked in the air fryer, hath a Peper cooked in the air fryer and 40grams of mozzarella. Dinner= hath a steamed chicken breast, 2 steamed mushrooms, 4 seafood sticks, 2 slices of onion cooked in the air fryer, hath a Peper cooked in the air fryer and 40grams of mozzarella. I'm also walking on average 6 miles (9.6km). In the past 6 months of eating like this my weight has hardly changed, 1 week might be 1lb loss then next week will be 1.5lb gain then 2lb loss ect. Over 6 moths my weight has only gone down 7lb and I don't know what's going on and I'm starting to get very depressed and I seem to be eating well and being active but the weight scales don't reflect that. Am I missing something that's preventing me from losing weight? Thank you

BlondePatriotinCDA- I have been tracking my food and beverages until yesterday I was eating 500-600 calories a day for the last year waking up at night is the only way I am able to increase my intake. My symptoms aside from low calorie intake was severe hair loss, extreme fatigue like I could only be awake for a few hours at a time. I have epilepsy with medication I typically have 1 seizure a month, suddenly I was having severe a week. My mood also changed I am usually a very happy bubble person and my thoughts and emotions started going to a very dark place. I lost the ability to think clearly, could not even watch a 30 min show without losing g focus. I was snapping at everyone and I had a general unwell feeling and I started to get back pain and upper stomach pain. Then my blood pressure dropped low.

I’m drawing a line under last week and moving swiftly on! Emotions were all over the place, pains were getting to unbearable levels and eating sensibly went by the by. 2.5lbs up on my lowest (it could have been so much worse 😮) Just putting it down to experience and carrying on. My clothing is fitting better and I’ve managed to wear a ring that I’ve not been able to get on my finger for quite some time so the NSV are continuing, which are all positives. Hope everyone has a great start to their week 🙂 Onwards and Downwards!

Yeah nobody can control the snow except God. I'm not worried about the snow. It usually does snow in early November here in upstate NY but lately over the past 3 years or so it hasn't started snowing until Janurary. Hoping this year is another repeat of that. Time will tell. They gave me a whole booklet that my surgeon gave to me when he explained the various different surgeries to me and a bunch of other people about 7-8 months ago. It has everything that I need to know in it like what I'm supposed to be doing 2 weeks before my surgery 2 weeks afterwards ... everything. I just haven't had much time to give it a good going over its been a busy 7-8 months. They always ask me at the end of my appointments if I have any questions and I think I have some for my surgeon that I'll probably be asking him the day of my surgery so if I have any I can always ask. Most of my questions are medical questions though that I think only my surgeon can answer because I'm curious how my mental illness is going to affect my surgery and my weight loss journey after my surgery. It's definitely going to be more of a struggle than usual. Do all of your hunger pains and cravings usually go away with the surgery? Or do you still have to worry about the urge to eat?

Thank you for this post. It meant a lot to me. My bypass is scheduled for Aug 12, and I am on day three of my two-week liver cleanse. Your post just added to my excitement. Thanks again.

@MrsFitz the body scan etc is not included free, there is a €150 charge for the administration/set up and then it is €85 every two weeks hence I only signed up for a six month agreement, to see if it is worth it longer term. That said it does include about 8 or 10 personal training sessions in the six months as well as general gym access. That main course sounds lovely, I love steak and pepper sauce though I tried it in July and it did not stay down, think the sauce I had was too creamy.

Yes, I'm 60 and had my gastric sleeve surgery last week. Currently in the full liquid phase. Looking for support in my area while preparing to return to work in a couple weeks.

I drink it slowly & only have one glass so the bubbles aren’t as great an issue plus the bubbles are smaller & more refined in good champagne. It does mean I can’t open a bottle to drink at home myself. I don’t mind as I’m not drawn as much to alcohol as I once was but I do know what you mean by having a nice supply of bottles. Never know when you have to go somewhere or if someone pops in. I introduced my girlfriends to the joy of real champagne some years ago and now there’s never ordinary sparkling for us anymore. I say quality over quantity now. Don’t know about using a swizzle as part of the joy of champagne is the bubbles. What are your favourites champagnes? My go to is Mumm but I enjoy Veuve in summer don’t mind a Moet or Bolly and have three bottles of Dom in my fridge I’m saving (not sure what for though).

I had to start to keep a list of what I wanted to discuss with my GP & what scripts I needed on my phone because I always forgot something. Love the notes app. Took three appointments to remember to ask for a referral to a dermatologist until I started writing a list. Ugh! Damn menopause mind tricks & general aging. 😁

Bums sounds cooler 🤭. I'm 2 weeks out and the constipation is definitely in the way. I'm not miserable with bloat or pain, just needing relief b/c these "partial" BM's mean nothing. Today my provider told me it could last about 6 mos and encouraged me to take stool softener everyday.

Absolutely. I had the sleeve four years ago and now the revision and you definitely want to make sure that you’re in a good place with your mental health because it takes just as much mental energy as it does physical to deal with all the changes you will be going through. It’s like a whole new lifestyle post surgery if you’re doing it right. They are really great changes, but it is still alot in short time. Be honest and trust their judgment- they have done this a lot of times and they just want to make sure that you’re in the right headspace when they do it so that you can be most successful immediately post surgery to keep you safe but also long term so that you will be successful in your weight loss. One thing I did too was to ask my team if it would be okay for me to just check in with them a little more often than they typically require. They agreed to that and it has made the process a lot less stressful this time. I just get super anxious about everything and medical stuff is even worse so stuff like this creates a million questions and it’s hard when you call the front desk and they don’t know about your mental health for them to not be annoyed when you call a bunch of times. This time I just go in and have a chat with the NP about all my concerns and she reassures me everything is fine and I’m on my way. Also, you will want to let your prescribing Dr know about your surgery at some point if you haven’t already. They will want to check in with you a couple of times post op because sometimes with the absorption changes in the body your medication doses may need to be adjusted a bit. And keep posting on here. There are so many people who have been through anything you may have a question or fear about or if you just want to vent about a stall. People are so wonderful here and eager to help. Staying active on here and the in person support groups has really helped me. Im excited for you. It’s a pretty incredible journey and you will get there soon enough.

My surgery was supposed to be July 10/24. I spent hours waiting at the hospital only to be told that there was an emergency in the OR and my surgery had to be cancelled. Super bummed about it. I was told I may have to wait until beginning of September now. I get it, these things happen but i just spent 3 weeks on a liquid diet and rearrached my whole life to do this. 😞

I had a BMI of 35 but I had a sleeve. I also didn’t have any co morbidities - I knew they were likely ahead of me though. So I’m going to respond more generally using am I glad I had weight loss surgery not a specific surgery. Simply yes, I am. The bulk of must weight came on with menopause and nothing I did shifted it. Or if it did it would be back in a very short period of time. I reached a point where I couldn’t stand it any longer and made an appointment with my doctor for a referral. I was in surgery less than 6 weeks later (benefits of living in Australia with private health). Do I have any issues post surgery? Yes but they’re minor really and I had a quirky tummy before so no real change. I struggle a bit with the foamies but no dumping. I had reflux before but it was managed with dietary choices. Still have it though I take a PPI every day now vs a handful of times a year before & the symptoms are different now. (Best is I don’t get the hideous hiccups I used to get just the regular ones now.) One of the benefits of having surgery is you simply cannot eat the same volume of food. Of course if you are determined you can eat around some of your changed digestive system. But take the time in the initial months after surgery where its benefits are strongest, to learn about things like portion size, nutritional values, etc. and start adopting new behaviours. Reflect on your relationship with food and why you ate and start making changes there too. Seek the help & support of your dietician and a therapist as needed. Many seem to be concerned they won’t lose all the weight they’d like to starting at a lower BMI. I lost all of mine and more. It is important to remember that not everyone loses all the weight they’d like. The surgery (regardless of which you have), changes your body set point that is the weight your body is happy at which often is not the weight you think you’ll be happy at. With bypass it is always best to have a conversation with the doctor who prescribes your meds as bypass does interfere with the absorption of these. It may mean you need to swap some of your meds as @SleeveToBypass2023 mentioned. All the best.

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

Hey! I think the important thing to remember here is that everyone is different, and at 6 weeks you are still quite early on post-op and your body is likely still healing The weight loss will happen for the first 18 months according to my surgeon, regardless of the rate of losing, so just know you are on the right track, and a loss of 10kg is absolutely amazing! Celebrate your wins, be kind to yourself, you are doing great

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.

Thanks for posting! I just bought the gastric sleeve cookbook! I have my 2 week appt with the nutritionist on Friday and I cannot wait to start the purée stage! I am so tired of surviving on protein shakes!

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.

I thought I replied to this earlier from my phone but don't see it here. So if you see it somewhere else, tell me! LOL! Thank you for the info! I will keep that in mind. Probably when these four levels are done and the last one is easy for me I'll start going to the gym again, even alone. LOL! I had been going alone. Just gets boring and I stopped. But we don't talk or even work out near each other when we go together. I just like it. He does too. Ah well. It's ok for now. I have a goal of losing more weight by my follow up appointment, one year from surgery. Dec 2 and it's already scheduled. They said I should be around 166 but my own goal is 154. One lb less than I've ever been since Jr High. LOL! Excited to get there this year! So once more weight is off of me, I really want to begin sculpting my body as much as it'll let me. I KNOW weights are the key. And I'll really need to do a challenging level and push myself but maybe that will be easier when I'm not as heavy. Things are easier when I am lighter. Pretty shoes don't hurt me feet too. Lots to look forward to! LOL! And I should be happy to lift weights every other day for an hour, compared to carrying them with me 24/7 for 48 years. :::sigh::: Thankful for all the great advice and info I have read here. I hope you all are enjoying your Monday. Mine went well and I'm home now. I also have decided I am going to hit 10k steps 5 days a week. Right now I have 7829 just from work. So it will be easy to do on work days. But I am going to rest some on weekends. Well, try to! I get our groceries and meal prep then clean the whole kitchen and fridge on Sunday and clean house and run errands on Saturdays (last few I've worked at a client's home because they are on vacation and had some special projects needing done.) But most weekends I am off so if I'm not doing an open house, etc then I'm still busy with our home and life. Walking 10k steps a day did a world of good for me when I lost weight all those others times. I feel sure the extra weight won't come back this time because I had surgery. Sooo glad I did it. I have severe osteoarthritis in my low back on the right side and degenerative disc disease in my neck and low back and often sciatica down my right leg so some days I'm in pain worse than other days. (Ha ha, my friends and I joke. The older we get the more we share what's ailing us every day. LOL!) But overall I am ok! I have many friends with diabetes and I worry for them. I'm lucky I don't. I don't even have pre-diabetes and I stay grateful for that. My dad had it. When he passed at age 73 he had had both legs amputated and had had congestive heart failure for 25 years as well as diabetes. He went many years not addressing his diet at all. He wanted to do what he wanted to do. Bless his heart. We have learned what not to do, at least. My brother is a carnivore and is doing well. Labs are great. His weight stays managed. Everyone must do what works for them. We miss Dad and wish he was still here. He taught us many positive things in life too. But we are trying hard not to go through what he did at the end. My husband had pre-diabetes, but has made it much better with diet and exercise. I am super excited to get to my first main goal weight of 154. Then I'd really love to work to get into a healthy BMI to hopefully have smooth sailing into my 60s, 70s, and beyond. My bariatric doc said lower end is 115 lbs for my height and high end is 125. I feel that the less weight that's on me, the more years I have left to live and enjoy my family and friends. Certainly worth putting in the work! 💗

Listen, I believe you honestly believe you mean well and are somehow helping. I honestly believe you believe that. Unfortunately, your efforts are proving instead to be high handed at best. I'm dumb, I'am not spreading misinformation. I'm not accusing you of spreading anything. I just think you're mistaken. I'm not attacking you character, or am I even finding anything wrong with you personally. My point is proven by the market place, the information provided in my program and countless others. The information from many bariatric dietitians, and surgeons that have information all over the the internet with rare exception. Patients are told you will need to take bariatric vitamins for the rest of your life. We are not told for the first year. But for the rest of our lives, we are pointed to or even given free samples of the ASMBS approved levels, and the vast majority of the brands closely mimic each other. They even say they are IAW ASMBS guidelines. That is what they say. Some formulations for example only offer 45 MG iron. most offer way more B16 then is stated is needed. Celebrate is one of few brands that even has a sheet specifically for SG patients. I literally have put them in a spreadsheet and compared them. So unfortunately, what you say isn't true. Patients are by and large in most programs to take one of the standard formulations. For example again with iron of the ten brands surveyed, including the most popular brands 40% sold only the 45 mg iron formulation. Even the ones that sell 18mg version most of their products have only 45mg. There is no study that I've found that says men or non-mensurating women w/o other issues need more than 18mg of iron. yet most of the products have 45mg. It's worse when you look vitamin B12 which most studies say should be 500 mcg for SG patients as the upper limit, but most exceed 500mcgI only found 2 that didn't. Again, this isn't my opinion it's based on data from the marketplace from the vitamin companies themselves. This isn't misinformation. You can look it up. Again, I'm not accusing you of anything I'm telling you where I'm getting my data, it's right there as plain as day. SG patients when told to take these vitamins are being over supplemented for some of micros. SAGES is clear, multiple studies are clear about the levels of iron needed, and B13. The upper limit of iron in men or non-mensurating women is 45mg. Yet most formulations start at the upper limit despite the dangers of taking too much iron. None of this is my opinion. You dismissing me by saying you do you or accusing me of spreading misinformation or disinformation, is simply not good. You telling me I' wrong by calling the other types of bypass, by pass. You saying that some programs don't still say RYGB is malabsorptive is just wrong. Patients are provided inconsistent, overly simplified information. There is also a terrible follow up rate after a few years. ASMBS has talks about that, I watched one on YouTube last night. Again, I appreciate that you responded. But the attacks and dismissiveness are not acceptable behavior. Not on this forum or anywhere to me. We can disagree on concepts, but don't accuse me of being nefarious, do not accuse me of spreading misinformation or disinformation, dismissing as being confused. Unlike a boat load of patients I've spent countless hour, days, weeks, months, of hours reading peer reviewed studies, watching lectures talking with multiple dietitians, reading the program materials from multiple programs. The variation between programs is startling and disturbing. The lack of consistency regarding follow-up is basically alarming. SAGES in terms of 2024 manual actually calls a lot of this out. Lastly, here's a presentation from UK NHS showing multiple variations of surgical interventions. The "History of bariatric surgery" presentation from St James University has illustrations of about 14 of them. Since per ASMBS SG the most popular surgery performed, it is startling that the vast majority of vitamins exceed what's recommended for SG patients. Again, not opinion you can look up most of the manufacturers websites.

My questions were: How long are we looking at for the actual surgery time and time in recovery before getting to the actual room? How long is the recovery and what can I expect during it? How long will I be in the hospital and how soon after the surgery will I be up and walking? Should I use a stomach binder the first 2 weeks to help with the pain after the surgery? What is the recommended time for each stage of eating post surgery, how many calories and carbs should I be getting in, and what are my fluid and protein goals at each stage? When will I be getting follow up blood work (I personally had it at 2 months, 6 months, and 1 year post op)? Is there a list of acceptable exercises to do at each stage of healing until I get my final complete clearance, and at what stage will I get that? What pain meds will I be given and how long will I be able/expected to take them? What, specifically, is dumping and what has been known to trigger it and how do we get through it if it happens? What hormonal changes are to be expected as the weight drops off, especially during the first 3 months? Please tell me EVERYTHING you can about stalls, in as much detail as possible. What medications are affected by the malabsorption that comes with bypass (typically it's extended release, but there could be others). That's all I can remember that I asked, but I hope this at least gives you a good start!!!