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Hi, everyone. I had a sleeve to mini bypass conversion in 2024. It’s been fine except I often have loose stools and need to run to the toilet. Recently I noticed a weird bulge in my abdomen a couple inches to the left of my belly button. I’m not able to see my doctor, as I’ve just started a job and am doing a three month shift in a remote location. There is no pain and sometimes the bulge is not there. It sort of comes and goes. Has anyone been through something similar? Thank you.

Are you just doing the treadmill at the gym? If not you may want to double check with your team. I am not cleared for ten gym till 6 weeks. 8 weeks for anything with weights. I am absolutely thrilled for you that you are feeling so good. I Just don’t want you to hurt yourself because of something you didn’t know.

Thank you, you have lost 52lbs in 2 weeks? Pre and post diet? Still on liquids?

My bariatric team and GP both suggested it when I hit a three month stall and was becoming discouraged and angry. I was prescribed Ozempic and it broke my stall the first week! I've lost 10lbs in one month so my stall is over. I stuck to my "diet" plan the entire time so some might just say it was nothing more than my stall finally ending, who knows? I receive the compounded version with B12 and its $120.00 a month without using my insurance (I didn't want to go through the hassle of pre authorization). So, its a possible option for you. I've had no side effects as of yet, I'm starting on my second month with a higher dose so I can't speak on the head cadence beat of the drum to EAT yet, perhaps its diminished a bit and my hunger has quieted. Your best bet is talk to your doctor they'll know what's best for you and it can't hurt to ask. I hope this helps. Good luck!

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 am sure your appointment will go well and you will be all set for 15th. I was the same, with no pre-op diet to follow so I just made sure to enjoy my last few pre-op meals, meeting friends and having drinks in the few weeks lead up and weaning myself off coffee. Of course you will lose weight and you just have to take the time to work on the new you (inside and out) so that you will have the strength and mindset not to get back to where you are now and what lead you to need the surgery. We all hope not to have regain but even a few kg/lbs back on is ok too but try not to focus on a negative like that as positive mindset going forward is the best way to be. Your body will be readjusting and has to find its own level. Over the course of your journey there will be weight losses, gains and stalls and we are all here for you to vent, ask questions etc. 🍀

Okay, so as I see it, you have three potential issues with coffee. The first is caffeine, which is the main reason some (not all) doctors say not to drink it. It's a mild diuretic, and if you are struggling at all with hitting your fluid targets, you want to avoid anything that will make it worse. If, on the other hand, you easily can surpass 64oz water in a day, you're probably good to go. I never had issues hitting my fluid targets. The second issue is acidity. It's possible the coffee may upset your stomach (but if you are already drinking decaf without an issue, you're probably fine here too). I had to stop drinking coffee except for a few times a month well before I ever had surgery because the coffee was making me sick, so I switched to tea. And I started drinking regular tea at around 4 months because decaf was just sad. The third issue is all the stuff people love to put in coffee and forget has calories. That's just something to be mindful of, because if you mix up a large coffee with tons of real sugar, sugary syrups, and cream, you can easily consume hundreds of calories without even thinking about it. This happened to a friend who had VSG and didn't use sugar but would add a ton of cream to a very large thermal cup of coffee. He honestly thought he was just adding "a splash" of cream. Like, dude, that's 400 calories you just put in that coffee. And it's liquid, so it just goes right down without filling you up at all.

Yea. The mind is pretty powerful and it is possible to swap disordered eating patterns. Going from emotional overeating or binging to under-eating. Talking to someone about your fears and guilt is a great idea. But from a non professional two chicken wings is definitely not a lot and your food choices sound great to me. The one thing you have to realize is you’re not going to eat your 2 ounce or half a cup portions forever. eventually you will land somewhere close to a normal serving size. Everyone is a bit different, but you will get back to a new normal at some point it just looks like a lot of food after eating so little for a while. Will you get to follow up with anyone at 3 months? I actually asked to meet with my nurse practitioner more often than they require just because of my anxiety. I always have too many questions to email or call and ask, but they normally require it at three months because they do labs to check your vitamins. If so, you could ask them what to expect in terms of portion size. What you should be aiming for over the next how many of months until you see them again. Do you find that you do not crave your sweets as much after the surgery? Before I had my sleeve, I was actually a salty snacker, and after the sleeve I started craving sweets, which I think may partially have to do with why it wasn’t so successful for me. so far since my Sadie, I do not crave sweets, so I think it reverted back to where I am a salty snacker again. Well, I mean right now my snacks are not something that I actually feel like I need because I’m not hungry but something that’s necessary to reach my protein goal.

This has also been my biggest struggle. I was going to the gym fairly regularly before surgery, but it's been a struggle since being cleared. For me, it's just prioritizing that time for myself. It's been getting better this week, I've gone twice, walked a lot last night, and I plan on going today!

Finally starting to feel “normal” again with food prep and meals after being in a funk the past few months. Went to a conference a couple weeks ago and this was the lunch. The salmon was good. The rice and soup? Not so much. And I didn’t even grab dessert. 😂

not american, so no thanksgiving pics to share, but here are some thingsn i've prepared/eaten the last week or so (NOTE: i'm currently in an effort to gain weight - the horrors! lol - so my food choices may be a little off-the-bariatirc-norm...) 1) bbq pork and seasoned rice one-pot-rice-cooker-meal. my portion: 266 cals...ate almost all of it 2) homemade chilli topped with cilantro and feta cheese, home focaccia and sliced avocado sprinkled with sumac: 599 calories for whats shown. ate everything except the foccacia (too chewy for me!!...mr ate it instead) 3) more of my homemade chili, some cheddar cheese, more cilantro, and some Tostido's Hint of Lime Tortilla chips (my fave!!!) 276 cals...ate it all! 4) homemade guacamole with the above mentioned focaccia that i slow toasted to make crisps with cheddar & cilantro & sour cream: 370 cals...ate all except 2 the focaccia crisps. 5) homemade crispy pork belly...omg THE. BEST. CRISPY. PORK. BELLY. EV-AH!!! this pic is of the entire slab. i had roughly 1/2 cup volume of it. ate it all!! 250 calories! 6) junky snacks: - 2 walkers mini shortbread cookies + 1 chocolate : 123 calories - 2 walkers mini shortbread cookies + 3 sour keys candies 103 calories yep, ate all it ta-da!

there aren't any calories in Coke Zero, so it shouldn't make you gain weight, but carbonated beverages can irritate some people's stomachs (which is why surgeons don't allow them the first few weeks or months post op - and some surgeons "ban" them for life). I drank Diet Coke occasionally before surgery, but then didn't have any for at least three years post-op. I tried one once while I was at an airport and after a sip or two, I dumped it out. It tasted like chemicals (which basically, it is...). After all that time away from it, it tasted awful. So that was that - haven't had one since. I do drink flavored carbonated water a few times a week now. I still can't drink things that are highly carbonated because after nine years out, carbonation can still irritate my stomach. I can handle mildly carbonated drinks, though. But then again, if faced with a beverage that's too carbonated for me, I just let it sit there for a while until it flattens out enough for my stomach to tolerate it.

not sad at all! I started walking too girl! When I first got this surgery I committed to walking for 30min 5days a week during my lunch break. I did that for 6 weeks, till I started introducing weights with work out videos with Sydney Cummings, So I did my walks during lunch then came home and did my 30min weight work out, After two weeks I knew I needed to go to the gym where I had more options with weights. The top picture is my first day at the gym and then the bottom is this week. Just consistency and tbh I didn't think I would achieve what I did. I really thought in my heart of hearts I would bottom out around 190 and just be "chunky fit" and I was/am okay with that. Start slowwwwww, its not a race and with consistency you will be shocked with your success!!

not american, so no thanksgiving pics to share, but here are some thingsn i've prepared/eaten the last week or so (NOTE: i'm currently in an effort to gain weight - the horrors! lol - so my food choices may be a little off-the-bariatirc-norm...) 1) bbq pork and seasoned rice one-pot-rice-cooker-meal. my portion: 266 cals...ate almost all of it 2) homemade chilli topped with cilantro and feta cheese, home focaccia and sliced avocado sprinkled with sumac: 599 calories for whats shown. ate everything except the foccacia (too chewy for me!!...mr ate it instead) 3) more of my homemade chili, some cheddar cheese, more cilantro, and some Tostido's Hint of Lime Tortilla chips (my fave!!!) 276 cals...ate it all! 4) homemade guacamole with the above mentioned focaccia that i slow toasted to make crisps with cheddar & cilantro & sour cream: 370 cals...ate all except 2 the focaccia crisps. 5) homemade crispy pork belly...omg THE. BEST. CRISPY. PORK. BELLY. EV-AH!!! this pic is of the entire slab. i had roughly 1/2 cup volume of it. ate it all!! 250 calories! 6) junky snacks: - 2 walkers mini shortbread cookies + 1 chocolate : 123 calories - 2 walkers mini shortbread cookies + 3 sour keys candies 103 calories yep, ate all it ta-da!

No! No! No! Besides why would you? Let’s be honest. We enjoy eating. The smell, the textures, the flavours, the look and sometimes the sound of food ( like the crunch of an apple) is appealing & gives us pleasure. We celebrate with food. We share food with loved ones. We give thanks with food. Why would you sacrifice that to drink a protein shake for every meal? Yes, you may be prescribed shakes in your pre surgical diet and you will be prescribed them for usually 2 weeks after surgery. The pre surgery shakes are to increase your weight loss to improve your surgical success odds & to shrink your liver so the surgeon can see the surgical field more easily. Post surgery it’s to support your healing & not strain your digestive system (remember all those sutures & stables holding it together). Short term reliance on shakes. The goals of the surgery include you changing your relationship with food and establishing a healthy, nutritionally dense, sustainable way of eating. Drinking shakes for any extended period of time is simply not sustainable. It’s not nutritionally sound, only gives more power to cravings, creates new bad relationships with food and will highly likely result in weight regain & poor health. Key word here is supplement. If you are struggling to get your protein in via the real food you eat, sure a protein shake can be beneficial as a supplement to your earring. Same with any vitamin or supplement. If your body is lacking in specific vitamin or minerals, sure take a supplement but they should never be what you totally rely on to get the nutrients your body needs to function unless you have a specific medical condition that means you can not eat real, solid food. I never touched another shake after I began purées (start of week 3). My goal was always to get all the nutrients I needed through real food. And I do. I don’t even take vitamins now (except in winter when I have a dip in my vitamin D - I feel the cold so hibernate in winter & rug up if I have to go out so little sunlight for me then). Ask your nutritionalist, surgeon & GP. I bet they agree with all of us.

Haha! Mine would change sizes I thought I was going insane! My doctor said it's fine and it's just healing on the inside. I haven't noticed it much the last week or so. Also Hello everyone! I had my surgery august 6th. Looking forward to talking to people with a similar start date!

That’s probably not a bad thing to have a bit of a break in between your first and second session. It feels pretty incredible when you’re done, doesn’t it? I started with walking and then I added yoga twice a week and today was my first cardio/ strength class. I thought I was in trouble when the teacher says so are you guys warmed up yet and I was already tired. Thankfully we didn’t do too much more cardio before we changed to the strength stuff. My legs are tired but I’m not limping or anything. It’s great when you find a workout that pushes you some but not so bad that you hurt yourself. I never thought I would ever enjoy exercise like I do now. I just feel so incredible when I am done. I love it.

So I called this afternoon and they got the results back apparently she didn't find anything too concerning and they're not delaying the surgery. I will know more on my followup on the 30th when the nurse goes over it with me but for now I'm being told that everything she found was totally normal and not concerning. I'm guessing that she just addressed concerns that I didn't know enough about the surgery and that they should go over everything again. I'm assuming. I'll know more in 3 weeks. But I feel so much better now because I was worried that they'd delay my surgery. Now let's hope it doesn't snow in upstate ny in November this year lol

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.

I only work out 2 days per week now because I work on my feet as a medical assistant 5 days per week, but I think I'll back off those for a bit and see if that helps at all. I hadn't even thought about that, to be honest, because I was working out 5-6 days per week and had to cut back to 2, so I figured that was already a huge drop. But being on my feet all day moving and working with patients is probably enough right now.

It's been 6 weeks since I got my surgery date and started on my 12 week milk diet as set out by the doctor. But, I've made it 6 weeks. I really didn't think I would be able to. I've had cheat days and felt bad, but then shook myself off and got back on track. I'm already bored with shakes and soup and I still have another 6 weeks of the pre-op diet and then more of the same for the first month past surgery. This has been difficult and I need to remind myself it will all be worth it. And then the always hungry part of my brain/soul/subconscious tells me to give up because I won't be able to eat "normally" ever again and I should just eat a donut. So I'm trying to have a sense of humour about it.

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! 💗

I don’t know if you are still interested or searching but I just had my sleeve done a week ago in Tijuana at LIMARP and they were amazingly wonderful! I’m happy to provide more info if still interested.

I am 6/ almost 7 weeks out from sleeve surgery so I have started upping my working out some; mostly intervals of walking and jogging. I know I still need to be mindful of what I’m doing and not go too crazy with running or weights. Other than feeling low energy during a workout or a little light headed after, I haven’t had any issues. So my question is: if any of you have had issues with working out, what did you feel in your body and what exercises were you doing that caused it? I want to make sure I’m not pushing too hard. Also, I’m jonesing to take a bath. When did you guys feel comfortable taking a bath or going swimming with your incisions?

You are doing great. My doc said as ling as its going in the right direction there is no right amount. I am also losing about 1kg a week and it feels slooooow. But I also measured everything when I started and realized I have lost 2 inches ! So when the weight is slow there is another motivator! Slow and steady….