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Happy Father’s Day from BariatricPal! Today is the day when we take some time to appreciate our fathers or any father figures in our lives even more than usual. We at BariatricPal hope you have some special time scheduled with your family to appreciate each other. We also hope you’re using this as another chance to re-energize your WLS success efforts, since there’s a good chance that part of the reason why you’re in this journey is because of your family. If you are indeed looking for a little inspiration, we hope to give it to you! Here’s what you’ll find in this newsletter. Showing Gratitude with Health dinner Dad’s Way: Easy Peasy and Healthy Starting a Healthy Father’s Day Tradition If that’s not enough to keep you motivated, there’s plenty more help over on the BariatricPal Forums. Don’t forget to logon and join the fun – after you’ve said “Thanks” and “I love you” to Dad, of course! Here’s to weight loss surgery and what it can do to strengthen your family! Sincerely, Alex Brecher Founder, BariatricPal Showing Gratitude with Health A Healthy You Is A Better You Holidays like Father’s Day may make you think a little more about others. You might think about what you can do to be a better parent, or how you can show your parents how much you appreciate them. In all that generosity, you might forget about your own health, or feel guilty about focusing on yourself once in a while. After all, the pre-op prep and post-op recovery from weight loss surgery already demands a lot of time and energy that you aren’t spending on your family. But, the weeks, months, and years following weight loss surgery are just as important. To succeed long term, you need to take care of yourself. And that’s not selfish. All of your loved ones benefit when you are energetic, happy, and healthy. You can be more involved in family activities, and save money on healthcare costs. The effort you put into your own health is not just for you. It’s for your family, too. Share the Health Your healthy behaviors don’t happen in a vacuum. They happen in the middle of real life, and that’s great. You can be an excellent role model for your children and spouse just by sticking to your commitments and intentions. You can also actively involve them in a healthy lifestyle. You don’t need to be overbearing about. It can be as simple as inviting them to walk with you to the post office, letting them choose between carrot sticks and bell pepper strips when you pack lunches, and taking fun outings like hiking as a family. As health becomes the norm, your whole family can win. Dinner Dad’s Way: Easy Peasy and Healthy It may be a stereotype, but we’ll play along: not all dads are the best cooks. You may remember the occasional day in your childhood when Dad was responsible for looking after you and your siblings for the evening. What did you have for dinner? eggs? Cereal? Chinese takeout? Maybe you’re a father who’s guilty of this same behavior! Hey, whatever works to keep the kids happy and fed, right? Well, we have a better option. Keep the kids happy while getting a weight loss meal for yourself with no extra effort. Sound good? Here’s the scoop. Cereal for Dinner – a Classic “Dad” Dinner If cereal is your go-to, take a look at The BariatricPal Store’s cereal choices with about 15 grams of Protein and only about 120 calories per serving. We’re not talking about tasteless “health” cereals here. We’re talking about old favorites like cocoa flavored pops and honey nut circles. Yum! Add cow or soy milk for extra protein, or serve it with almond milk for a low-cal cereal “dinner.” If you want to be a super-dad, offer your kids fresh fruit or treats like raisins, coconut, nuts, or even chocolate chips so they feel special on their evening home with Dad. Cooking 101: Eggs If there’s one thing a guy knows how to cook, it’s probably eggs. But if you don’t know how to cook eggs, or you didn’t stock up on fresh eggs, or you just don’t want to try to get your college cooking skills back by experimenting on your children, you have another choice: BariatricPal instant Protein Omelets. You can grab them from your pantry and get them ready in minutes. Each bacon and cheese or vegetable omelet packet has 15 grams of protein and 100 calories. You can eat yours straight, but your children may want a little more oomph from Dad. Get your creative juices flowing and give them an omelet to remember! If your children like vegetables, make them a colorful, crunchy omelet with diced bell peppers, tomatoes, broccoli florets, or any other veggie they love. You can eat the veggie omelet on its own, and serve it on toast for your kids. Top it with cheese, avocado slices, or salsa to make it a dinner to remember. Chinese Takeout Minus the Weight Gain Weigh the options. With Chinese takeout, you need to go get your food or wait up to an hour to be delivered. Then, you have way too many calories and carbs from fried rice, egg rolls, chow mein, and breaded sweet and sour chicken. The alternative? Grab a box of Spicy Chicken Oriental from your pantry and serve the family in minutes. The meal has 240 calories and 14 grams of protein – that’s quite a bargain for delicious chicken and rice! If you’re feeling super ambitious, start with Protein Fettuccine and Asian Inspired Pasta Sauce, and let your imagine take over. Toss in diced chicken or shrimp and bok choy and other vegetables, and serve up some healthy chow mein to make your children proud. Starting a Healthy Father’s Day Tradition If there’s one thing that makes a healthy lifestyle easier, it’s habit. You’re way more likely to get to the gym if you don’t stop to think about it. You’re way more likely to keep the junk food out of your grocery cart if you automatically steer past the aisles with packaged snack foods and frozen desserts. And packing a healthy lunch is way easier if you just know what’s going to go into it each day. So why not add another healthy behavior to your arsenal on this Father’s Day? You can kill two birds with one stone by spending some quality Dad time while you work on a new healthy tradition. It can be something for you and Dad, for you and your kids, or maybe for all three generations to look forward to every year. Here are a few ideas: - Healthy barbecue with chicken breast, veggie or turkey burgers, - An early morning fishing trip followed by feasting on your protein catch and a summer fruit salad to die for. - A trip to the beach or a local park for some volleyball, swimming, soccer, or a treasure hunt (if you have young ones around!). - A healthy gift exchange, with great gifts like a gift card to The BariatricPal Store, a set of partner training sessions for you and Dad with a personal trainer, or a sampler of grab and go protein Snacks like protein bars, salmon jerky, and peanuts. Whatever healthy tradition you start, you can rest easy knowing that’s one more day out of the year that you’ll be solidifying your healthy lifestyle while building those family ties. And when all is said and done, that’s what weight loss surgery is all about, right? Thanks for reading the newsletter and supporting BariatricPal. Have a wonderful, safe, and healthy Father’s Day, and keep letting us know how your weight loss surgery journey is going. Let this be a summer to be proud of! · Unsubscribe from all BariatricPal E-Mail.

HI everyone! I started my journey in May of 2016 when I went to my family doctor frustrated with my lymphedema issues in my lower ;egs and chronic back pain. I had been to the lymphedema clinic off and on over the past 6 years and was still doing leg compression machine twice daily. In between treatments, my legs swelled bad and hurt to walk. He basically said nothing more could be done. He asked if I had thought about weight loss surgery. I had never really studying up on it and didn't know much about it. He brought in his critical care case manager nurse to talk further about it. After our talk, I agreed for her to schedule me an appointment with the weight loss clinic in nearby town. Couple weeks later I went to the information meeting and had my referral already with me for the program. I was a bit overwhelmed at first but knew this was only way I would feel better. June 2016 I went to my first class and knew this was the plan for me. Meet with the surgeon and he suggested the sleeve for me considering other health issues I had. I was glad for that one from my research. I joined the health club where the weight loss clinic was at to walk the lazy river and get into arthritis exercise classes. I was overwhelming the first couple nutrition classes but I knew I had to follow this or it would be a waste of time. I started watching my 600 lb Life TV show. I was weighing 436 which was my highest weight and was miserable and hated looking at myself in the mirror. Started exercising and eating healthy and charting everything. I lost 9 lbs the first week from cutting out soda, and tons of junk food and not eating fast foods and exercising in the pool. In the 14 week nutrition classes, and following months prior to surgery, I lost 70 lbs. I was approved in January 2017 for surgery and got my date for the operation. I was upset at first that I had to wait 6 months, but now I am so glad. I was able to lose more weight and was mentally prepared for the surgery. Was able to get things prepared at home also. Surgery day came and I was not scared. Actually very eager for my new life to start. Surgery went well and was not in a lot of pain. That day was foggy and still don't remember much. Did develop minor complication but not from surgery itself. I was borderline anemic prior to surgery and was having issues with my blood count being too low. I was in hospital for 6 days as I had to get 5 blood transfusions . It was rough first month adjusting but soon weight starting coming off and feeling better. I was able to get off all asthma meds (3), blood pressure, water pills, depression meds, arthritis meds and pain pills. All I am taking is an allergy med and anxiety med for restless legs. My lymphedema issues are gone, less back and knee pain. First year I lost 105 lbs. Now approaching my 2 year anniversary, I have lost a total of 225 lbs and going in for knee replacement surgery next month. I have had no weight gain since the first month of surgery. I have gone from size 30-32 clothes to a 16/18. Few problems I have encounter were all my own issues in pushing the limits on eating and they were very minor things and didn't last very long. I am so glad I had this operation as I was headed for life in a wheelchair and probably nursing home as my legs were not getting better and chronic ulcers on them. After rehabbing from knee surgery, I will be able to continue losing the additional 25 lbs I want to reach my final goal and toning up that I haven't been able to do because of bad knees. Exercising is just lots of walking and swimming. I have had great support team at the weight loss clinic and family doctor and don't think I could have accomplished all without them. and family and friends support. Pictures of me at my heaviest and then recent one from Easter this year.

Im on Effexor and Wellbutrin. I have taken Celexa and Prozac and had weight gain. No weight gain on my current regimen.

Hi Cam... thanks so much. I really appreciate all the info. I remember the pain well and if i get it all over again than it was ment to be and i'll try and be big and brave. I dont want to be fat anymore ( oops!! must be getting close to that time of the month as im getting teary writting this). Doesnt help when my 6yo daughter just found the underwear hidden away that i wore on my wedding day in 1994... she just walked out with them on and they nearly fit her. The whole Bra doesnt even fit over one of my boobs now. Just shows that a 40kg weight gain over the past 12 years = HUGE!!! :-(

I also had to go to obgyn with my obgyn I have to have clean pap and also be on birth control pill (surgeon doesn't like depo shot cause of weight gain I guess) good thing I started the pills couple months ago. But had to get my annual pap anyways so it works out for me in the long run. Congrats on getting everything squared away! GL to you on your journey :-)

I noticed on Aetna's policy topic about bariatric surgery that it says "no net weight gain". What exactly does that mean? I am going to a nutritionist and I have been twice. I gained 3 pounds. Not sure if it was water weight or what but it was 3 lbs higher than my first visit. I am concerned because the scale at the surgeon's office had a completely different reading also. Can anyone provide some clarity on this subject?

Funny that this is the first post I found while searching lap band info. I suffer from sleep apnea and apparently have my entire life without knowing. The more weight I gained, the worse it had gotten. I had a stroke in March of 2007. It took the neurologist 8 months and 80+ lbs until he sent me for a sleep study, last resort to find out what was going on. I am only 38, which they found to be unusual for a stroke. Anyway, the sleep apnea made me feel absolutely horrible but I never realized I had it. (During sleep study one I quit breathing 158 times per hour) - Once diagnosed and put on a CPAP I feel incredible, except for the weight I have gained along the way. I met with my Ob/Gyn this morning and he made me an appointment with a local surgeon who is well respected and does thousands of lap band and gastric bypass surgeries..........I have never been heavy until the stroke. The undiagnosed sleep apnea, medications, inactivity for a lengthy period and my eating habits for several months after the stroke (dysphagia) lead to an incredible weight gain. I am NEW to this board (so hello to everyone) and am looking to have the Lap Band procedure done. I am such a chicken but know that I need help getting the weight off.

I’m glad I saw this post. I’m feeling really depressed over my weight gain. I’m 3 years out from surgery and up 20 lbs and 2 dress sizes. I keep obsessing about what people are thinking also, when I know I should not care.

TRUE! Anyone with bariatric surgery should have serial growth scans to be sure their baby is growing well, and beyond that just eat healthy. As long as your baby is growing well, no worries! No weight gain needed! Bariatric surgery patients also should have the Vitamin levels checked due to problems with absorption. Even with lap band and sleeve procedures. Hope this helps!

Makes sense to me...I LUV compliments; Hubby on the otherhand is extremely sensitive about his weight gain / having the Lapband / and now losing weight. This woman is the same person that told us what did we do to get fat over a yr ago....So I felt the compulsion to B*&^H slap her, but I let my tongue do the wagging:tongue2: BTW - Her husband has screwed just about every single woman in our social circle (which I'm SURE she's aware of)...reason I pegged her about her marriage...heee heee

Done! I have hair loss, unexplained weight gain, and muscle weakness. Ready to find out if I have it or not!!! Don't want to drink that barium though!!! Yuck! Thursday is the day of the catscan! If it means that I can finish my weight loss and get my hair back I'll pretend that barium is a Sonic shake!! Chalk flavored of course!!

a 10-20 lb rebound weight gain after hitting your lowest weight is EXTREMELY common. It's just your body settling in to its new set point. That gain is not inevitable, but it seems to happen to the vast majority of us during year 2/3. if you don't like it, you can always eat less and lose it, but if your body wants to weigh around 148 lbs, then it'll be a lifelong struggle to keep it at 125. Is it worth the struggle? That's a question only you can answer. For some yes, for others, no. I finally gave up the ghost. It just wasn't worth it to me, and I'm at a healthy weight, so...??? I am also 5'6". Our normal BMI weight range goes up to 154 lbs, so at 148 lbs, you're within the normal range. You're fine where you are. Your surgeon will almost certainly agree with that.

I used IVF w/ICSI for my twins (prior to sleeve) and did a frozen embryo transfer to get pregnant this last time with my daughter. I gave birth four weeks ago and I'd say that while my pregnancy wasn't more enjoyable now that I'm smaller, the recovery was fantastic compared to past pregnancies. I developed gestational diabetes with my twin pregnancy that did not resolve afterward until I had my VSG. This time around my blood sugar was better than a non-pregnant lady so that was no concern. I was a big gainer with past pregnancies - 97 pounds with my first single, more than 80 pounds with my twins - but only gained 32 pounds with this pregnancy. Within a week I'd lost 18 pounds and now at 29 days out from delivery I only have 9 pounds left to be back at my pre-pregnancy weight and I'm already in my size small and 5/6 clothes again (though I admit they aren't the form-fitting ones yet). If you're diligent about your habits you will remain in control. I was able to eat quite a bit more during pregnancy than I am postpartum, but I still eat very little. Max, about a cup of food in a meal and that's if half the meal is soft enough to slide. I wasn't as strict as I could have been while pregnant but I kept weighing daily like I was in maintenance to stay on top of things and I kept trying to eat right at least 80% of the time. It seems to have worked, even though I really wanted to gain less than 32 pounds. In fairness, though, I think that being on progesterone shots for nearly two months is partly to blame for my weight gain. I put on nearly half of it before five months and then slowly gained the rest through the last months of pregnancy. I am pumping (and still diligently attempting to get this child to nurse) and have had absolutely no problems with supply or getting enough nutrition for the baby. She's gaining very nicely and has already outgrown her newborn clothes. You'll do fine, and in my opinion waiting is the best thing you can do. I feel that it would have been near impossible for me to eat enough to stay healthy if I'd gotten pregnant sooner because I never had a large capacity post op. I also didn't have my lab numbers in a good place until more than a year out. The longer those good habits are ingrained, the less chance you have of falling back and getting sloppy or using pregnancy as an excuse to do all those things you know you shouldn't be doing. Good luck, and many ladies here have increased fertility post op, so perhaps you'll find your PCOS isn't as much an issue this time around as before. ~Cheri

hi! im 4 years out too! (50 yrs old, female, 5'2", moderately active and weighed 119.2 this morning) i stopped basing my diet on macros a couple years ago, i mostly rely on calorie monitoring (i still track everything out of habit). Based on my data, i've been averaging about 60g protein a day, of course there are some days i have like 20 and other days when i have 150...but on average its about 60. I haven't noticed any significant relation to weight gain/loss with my protein intake. Nor any relation with fats or carbs for that matter. (carbs do seem to have an affect on my appearance, but that's another story). the only thing that affects my weight is number of calories consumed over time, and to a lesser degree, activity levels. so its been an ongoing tweaking process to balance the two. A couple years ago i was an exercise fiend, and was taking in 2500+ calories. Now i'm a 2-3 day a week casual exerciser and average about 1800. im sure if i didn't reduce my intake when my activity levels went down, i'd be 20-30 lbs heavier than i am today. For those keeping score, i've (so far) maintained below goal weight since i reached it at 7 mnths post op. FULL DISCLOSURE: i am in good health (as my most recent labs can attest), and i have no diagnosed medical issues that would affect my metabolism. @SpartanMaker summed up the science surrounding protein well enough that i dont need to add anything more, but i do want to highlight the point they raised about the fact that the body can only metabolize x amount of protein (the amount varies slightly from person to person), and that any excess protein will be stored for energy (i.e., fat if you dont use it up). So i wonder, did your team give you a scientific or medical reason as to why they object to your protein level intake? Also, did they offer an opinion as to how you would replace those protein calories to stay at 1500 over all? (more fat? more carbs?) While i would not recommend NOT listening to your team, i do advocate the asking of questions to get an understanding of the reasoning behind a recommendation so you can make an informed decision for yourself. Good Luck! ❤️

I'm a 40DDD. I hope I don't lose much in the breast department. Before my weight gain I think I was a 36 C\D cup. I'm not certain since I never measured before. My family is well endowed for the most part so maybe mine is genetically okay.

I live in sports bras but unfortunately as the sisters have gotten bigger (from weight gain) a lot of sports bras don't provide enough support. I guess the manufacturers don't expect "big girls" to be playing sports. Anyways, the one good thing is that any one sports bra usually functions through a range of sizes so as my boobs shrink after surgery (hopefully) I won't have to buy new bras for each size. Once I'm stabilized I'm really hoping to fit into something pretty instead of functional!

Lol, catching fire on the table...haven't heard that one! Yes, there are risks. There are risks with anything as we all know...driving to work, getting a tooth pulled, etc. But as you said, having faith that all will go well and having confidence in your surgeon will help put the odds in your favor, or at least that's what I believe. I could be wrong on this so maybe someone who has lost 50 lbs could come by and help with this, but 50 lbs doesn't seem like enough weight to cause you to have loose skin. I know it depends on how you carry it, and your age also...but I wouldn't think that would be an issue for you. I guess there are people on here that have uneven areas of weight loss and get lipo to even everything out. I've only lost 36 lbs and already notice that I will eventually need a breast lift /augmentation, but I was contemplating that 5 years ago when I was much lighter. The weight gain and now loss has just made it worse. Good luck to you! I came off my blood pressure meds a week after surgery!

My understanding is that it's somehow hormonal (and I'm assuming ghrelin is the hormone). At least that's what my favorite Dr Weiner says. He says while everybody assumes pouches and sleeves get stretched out and cause weight gain, studies show after the honeymoon period at around 18 months and then a year or two out, hormonal changes that happen naturally over time cause us to become hungrier and somehow allow a little more volume to be eaten. Though he didn't say WHY it happens. Anyway, he said there have been studies proving those are the causes of weight regain, not stretching (and obviously diet). I'll have to see how good my Google - fu is and see if I can find some of those studies to answer why it may happen.

I would like for people to share their experience w/lapbanding time lines. From the decision "I am going to get lap banding" until the actual day of surgery how long did it take. I really appreciate everyones stories because I feel like the 6 month "supervised diet" is just a stall tactic for my insurance. I have 20 years of diets and massive weight gain to show. Thanks:drool:

A lot of people won't ask as they are afraid that you are ill and they want to respect your privacy. If they ask I tell so they won't think I'm sick if they are friends of mine, the others I tell them I'm watching what I'm eating. My sister who had this surgery 9 years ago and has gained back some of her weight is very unsupportive. She also admitted she ate what she wanted and told me that you are supposed to eat a special way, but she wanted to eat what she wanted. I am hoping that I can be an example for my good friend who has experienced weight gain due to knees and knee surgery. She has problems with walking. I've been down this road before with the lap band and found most folks to be supportive if they are your friends. My husband and son are and that is all I really care about.

I know when I signed up for my surgery I had all sorts of high hopes this was the be all-end all and my life was going to be what I finally wanted it to be. Well as many of you know that's not what happened to me. For those of you who are not familiar with my story, I'll give you the brief overview. I was only half commited to my post-op lifestyle, I had expected my surgery to do a lot more than it actually did. I really believed I had found my "Magic-Bullet" and I would be on the road to losing weight and getting fit. Well I did the first year, very little effort on my part and I lost sixty pounds. After the first year everything came to a screeching halt, no weight loss or weight gain in a year, not bad uhh? After two years of staying the exact same I finally had to have the "Heart to Heart" with myself. Are you happy with who are now? "NO!" If you don't lose another pound will you be happy? "NO!" Are you willing to commit to a completely new "LIFESTYLE"? "YES" What are you going to do to make it happen? "Adjust my eating and exercise" I'm sure you have "Played this game"! What kind of talk did you have with yourself? Did anything change after you had the talk? I'm asking you to be very honest with "YOU" not anyone else. I can honestly say I have had that talk with myself on more than one occasion, but this time something stuck. Maybe it's because I'm in my forties now and have really embraced the gift I've received. Here are some other things that I've learned that have helped me to stay on track: · Get plenty of rest. · Eat slowly and chew my food thoroughly. · Eat until I'm satisfiedl, not "Thanksgiving full". · Find an exercise program I really enjoy · Drink more Water. · List all of the things for which I am grateful. So, here's my challenge to you: Try these suggestions for 1 month and notice how differently you feel, physically as well as emotionally. If you find that you feel better, and are experiencing some new sensations in your body and attitude, then consider extending this experiment for another month. This time, add one or two things that would introduce a small degree of change to your life. This last one is key: introducing too much change too fast just sets you up for failure, so keep it simple. I like the KISS acronym: Keep It Simple, Silly. I would love to hear your feedback. How are you feeling about the changes you are experiencing?

I'm mortified this morning. I have really and truly been following all the rules and not only did I hit a plateau, I've gained three pounds in two weeks. I ecxercise 45 minutes a day and I'm eating less than 1,000 calories a day. I do have hashimotos disease, but I take thyroid medicine for that and my t3 and t4 is normal! I'm calling the doctor today. This is insane! And the story of my life and how I got here in the first place. I track every morsel I eat in my fitness pal and I track my exercise as well. I'm dying........... Any suggestions are welcome! I had my surgery on 8 oct 12 and had lost 30 pounds total, pre and post weight loss, now 28 pounds, obviously...... This is awful!

I agree with Folly. There are many reasons people don't report in. Moving, weight gain, AND weight loss. When you've lost your weight and kept it off, why bother returning to the doc with no complaints. That's another more positive reason than just weight gain. Also co pays, forgetting, and procrastination are more reasons. Keep your glass half full is my attitude!

Hi I had my surgery in the San Francisco Bay Area. Lol! most people here learn really quick not to talk to me about bougies I have very strong opinions on making them a factor in a "successful" surgery outcome. They do not do the work at losing the weight, you do A too small a bougie (32f) MAY increase complications (leaks, strictures) . The most common used is 32-40 F The bougie sizes are used as a guide for the doctor when removing your stomach. As far as getting a "bigger" or "smaller" sleeve the difference between the ALL bougies sizes are really very small.. Your doctor will know what is right for you! Everyone's stomachs are different some are small, some are long so even two people using the same size bougie can have different capacities after.. And as far as "getting one as small as you can" If your stomach is made to small there is a greater chance of long term problems. Wow as far as wishing I had done anything different? Not really.. I wish I would learn to love exercise and did it more... The hardest part of this journey will be you head. It takes a lot of work to get your head straight. Most of us didn't eat and get fat because we had extreme out of control REAL hunger. So head hunger is a major factor and should be dealt with in the early stages (first six months) because if not dealt with and relying solely on the sleeve can = weight gain down the line. We have to think long term not just the first year.

So, I have seen a lot of people getting the revision from sleeve to bypass due to GERD and I have seen people getting the sleeve to bypass revision due to weight gain years after the original surgery. I am not experiencing either of these issues. I had my surgery in the middle of 2021. I was around 300 pounds then. It is now more than a year later. I have only lost around 70 pounds. I am still losing, but very slowly. I feel like due to my starting weight, I should have lost more than that in this time period. I am not ungrateful for the weight I have lost so far, but I want to lose much more and I am feeling a bit stagnant. I want to truly get down to a normal weight. I feel like it will take me forever to do that with the sleeve, so I want to get the gastric bypass. I feel like getting a revision to bypass would jumpstart the weight loss for me again. But I am wondering if I would even be able to get approved for a revision in my position, since I am not suffering from any other medical conditions and I haven't actually regained any of my weight. Is there anyone else in my position who has gotten a revision from sleeve to bypass so soon after the original surgery with no other medical conditions, just because they felt like they didn't lose enough weight with the original surgery?