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I second seeing a weight loss surgeon. I would ask ahead of time for them to send you the release to sign so the dr will have the images during your appt

You're probably right about the need to search for patterns when there aren't any! The only scientific explanation I can think of is the amount I've lost this time, and the amount I lost 7 years ago to get to this same weight, is basically the same, and about 20% of my total body weight. I know I've read that 20% tends to be where the body starts really fighting weight loss, and even if the surgery makes it possible to overcome those mechanisms and lose more, it may be that the short term effect is a brief stall while it all gets sorted out internally. So it's probably just coincidence, maybe based on having lost about the same number of pounds as last time.

I haven't ever noticed this and I can't think of a scientific reason for it! What I will say is as humans we are hard-wired to look for patterns and then read into those something significant. I suspect you've just hit a stall. We all do, many times, on our weight loss journeys. If you can just relax into it and wait for it to break and then resume losing I think you'll be good. My experience with WLS is that my body chose a new set weight and I just got there with a bit of effort and sticking to the rules. Totally agree that with previous diets my set weight might have been very different but those haven't intruded *at all* into my life post sleeve.

Ask to see their medical degree, after all your medical doctor says you are right where you should be and since he/she's medically trained their diagnosis has more weight - perhaps if they disagree they should debate them about (my - you) your healthy weight...and ask them if they'd like the doctors number!?

So I'm considering getting the gastric sleeve surgery. I'm almost 40 years old and weight almost 440 pounds and have a BMI of 67 and ive tried literally everything to lose weight and nothing has worked. I've never lost more than 20-30 pounds at a time.Bariatric surgery is really the last option for me. So I'm in a bariatric program right now and we've decided that the gastric sleeve would be the safest operation for me. The problem my team including my surgeon is trying to address? I'm schizophrenic and Bipolar and take Antipsychotics. I've maybe gained 100 lbs over the course of trying meds since 2011 to find the right medicine combination. Right now I'm taking Latuda and Seroquel for antipsychotics. My GP has stated over and over again that Latuda might not be the greatest medicine for me to be on because it requires me to consume 350 calories in order for it to work properly. But reallym the medication does wonders with me. When/if I get bariatric surgery that's going to be a challenge for my bariatric team finding a meal or snack that I can fit those calories in. Not to mention my surgeon has mentioned that it will be an extra challenge for him to try to work around my anti psychotics. He didn't say it was impossible but he did call it a great challenge. I guess why I'm posting here is to ask is, is the gastric sleeve an option for me? Or should I consider the switch instead? My bariatric team pretty much flat out said that the bypass would be too risky of a surgery to do with me and they don't do the lap band anymore and my bmi is too risky for the lap band anyway. But before I go and permanently change my stomach I'd like to know what my options are. My team hasn't really been forthcoming and just seem to want to do the surgery as soon as possible. But, I'd like it to be a success as well. Especially when the sleeve is a permanent change to my body.

Day 1 post op. Im home. Had cream of wheat. Coffee. So far so good. Whomever recommended the weighted heat-pad, biggest thank you! No narcotics- gabapentin, tylenol, flexeril work well to control pain. I recommend buying liquid adult tylenol. They gave me pills and it hurt alot…i asked for liquid tylenol after that. You can find adult liquid tylenol at amazon if you cannot find in store

I've had this happen! My body seems to have some set points it is familiar with and I have noticed myself stalling at them or at least holding there for a week or two. My first stall post-op lasted 6 weeks and was at around the same weight I got to when I took Saxenda. I hope your stall is gone and over WAY before then!! It is interesting that your body picked that spot to stall at. I really wonder if the body has a variety of set points within it as opposed to just one. The way I understand it is that stalls mean our body has reached the point that we've lost enough it needs to reassure itself we aren't starving to death. So it stops weight loss, recalibrates, and assesses things before moving forward. It makes sense to me that for some of us this may happen at previous points of stalling or previous weights we stayed at for a while...

Alright guys, 6 months is upon us!! This pic is from the morning of my 6 month post op visit. I weighed in at 232 in office. That is 88 lbs since my highest weight, 75 lbs since surgery! Weirdly, I am smaller now that I was last time I was at this weight. The surgeon found this funny and said the way our bodies lose weight can be really entertaining. LOL I startled myself the other day because I pulled out my smallest clothes (the smallest I have ever been as an adult was 195) and my size 16 jeans fit, zip easily, and are huge in the waist!! That means my smallest size, a 14, will probably fit now snugly, or comfortably in another month. How insane is that?? How can I fit into clothes I had to be 30 lbs lighter to wear last time?? Magic, that's how. 😂 The surgeon estimates I'll be at around 200 lbs by my year mark, though he said if I don't get quite to 200 to not stress it. We each lose weight at our own pace and with my common channel length I can expect to lose weight (albeit much slower) through the second year and possibly into the 3rd year, though at that point it'll be 1 lb here and there. This is the upside of the duodenal switch, it is a long, slow burn. Most stabilize around 18 months to 2 years, but there are always outliers. I feel pretty great! I had a hiatal hernia repair in mid April after I starting having issues choking on my food and pills not going down (I even ended up in the ER with it, which was awful, they don't get bariatric patients at all!!). I gained 15 lbs overnight and it took 2 weeks to get it off, so that on top of my stall for most of March really slowed my weight loss down. But that's okay, I'm reminding myself I have faith that it will come off in its own time. But man, it is hard to remember that when the scale goes up!! In other news, my GP and bariatric surgeon both think I have POTS. I've had issues with it on and off since having a bad case of Epstein Barr Virus (mono) that put me in the hospital a few years ago. It seems every time my body gets stressed it reverts back to having symptoms and it seems it counts any surgery as a major stressor (understandably). She referred me to a specialist and my appointment is October 24th, 2025. Uhuh, 2025, not a typo. He's booking 1 1/2 years out. There are only 2 doctors in the state that specialize in it. So I'm not a happy camper... Meanwhile we are trying a low dose of a beta blocker to see if it helps with the dizziness when I change positions, the racing heart rate when standing/exerting myself, and the exercise intolerance... And doing the lifestyle things like compression leggings, increasing salt and fluid intake, etc... It seems that a lot of Long Covid patients end up having POTS too. Have you looked into this @SomeBigGuy ?? How are you doing? How is everyone else doing??

Hi Vanessa! Is there something particular that has made you sad, or is this the weight loss blues (which are totally valid BTW)? I find empty theaters so soothing. I just wish they'd turn the movie down a little. I keep meaning to try going to see one with earplugs in, I hear that helps sensitive ears. 60 lbs that quick is amazing! My weight loss has been slower, but we all have our different paces... Have you struggled with depression before surgery? Sometimes surgery and the weight loss journey can trigger it. You are not alone. Thank you for posting and letting us know what you need. I will just say that if you were on medication for depression before surgery, you might want to touch base with your provider. Our surgeries can sometimes change the way we absorb our medications. I had to change mine around because I wasn't absorbing them properly and was slowly going through withdrawals, which was NOT fun! Thankfully all is well now, I knew to watch for that issue and we caught it quickly!

I had several stalls - but they all eventually broke and I kept going until I hit goal (actually, about 10 lbs under) 20 months later. When I tried to lose weight on my own, I'd lose at most about 50 lbs before I'd hit a brick wall and my weight would eventually start heading back up. WLS was the only thing that allowed me to break through those brick walls and lose all of my excess weight (100% of it - although I've gained about 20 lbs of it back over the years). I think it's just a coincidence that you're having a stall at your former "brick wall". Just keep plugging away at it. It does get harder the closer you get to goal, though. Those last 20 or 30 lbs were a bear to get off (and It could be that my new, post op "set point" IS where I am now - but this is way, way lower than any pre-WLS set points).

I'm going on 12 weeks post-op and for the past 2 weeks, I have been stalled. I know this is common, if frustrating. But what interests me is where I stalled. About 7 years ago, I had my most successful attempt at weight loss through nutrition counseling. I started at 251 lbs and I lost fairly rapidly and steadily for 6 months through calorie restriction and daily walking, reaching a low-point of 203.8 lbs. And then I stalled. I never got below 203.8. In fact, I steadily gained about 10 lbs over the next several months and then maintained that higher weight for maybe a year, and then gained more. When I started the surgical program last summer, I was right back at 251 lbs. Perhaps coincidentally, 203 lbs is a number I remember being fairly consistent for me in my mid to late 20s. When I weighed myself, not having dieted at all and just living my life, I was usually between 202 and 205 for several years. My question is, did anyone else stall when you reached a certain weight where you had either struggled to get lower in the past or where your body had been very comfortable for a long time at one point? I'm curious if this could be some sort of built-in set-point where my body is trying to settle itself just because it remembers being comfortable here for some reason. Like after the shock of the last several weeks it's saying "Oh, thank God, I recognize this street. I think I'll live here." I know the surgery is still doing its job and I will hopefully see this stall break soon. It's early days. But I'm just fascinated by how this particular number seems important to my body in some way. Did anyone else have a similar experience?

Ugh. I’m defeated. I’m 3 years post op and have been sick for the last 7 or 8 months. Vomiting constantly, nauseous all the time, dropped down to 92 pounds. I got up to 96 or 98 before I finally broke down and called my surgeon. My husband had been on me to call and I just didn’t want to be a bother to anyone and felt awful about myself. I looked terrible. Nothing but bones. Long story short , they got me in the next day and had bloodwork scheduled for the next day and an endoscopy scheduled for the day after that. I had a major stricture at the opening of the small intestine. They were surprised that fluids were even making it through, it was so bad. I’ve had it stretched 3 times and have been put on TPN. It was 18 hours a day and they’ve backed it down to 14 and upped my calories to 1294. I’m up to 111 pounds as of yesterday but am still getting sick on anything that isn’t mush. I feel like a complete failure and so stupid for not calling and getting help sooner. Like, this whole bout of tpn could have been avoided had I not been so stubborn. The surgeon wants me to gain at least 20 pounds. has anyone else been through anything similar and If so were you on tpn and for how long?

the first few months can be a challenge (although fortunately, most of us lose our sense of hunger for the first few months, which makes it easier), but after that, not really. At least not food-wise. By six months out I was cleared to eat anything my stomach could tolerate, which for me is pretty much everything. I eat a lot less than I used to (obviously), but no one would guess I had bariatric surgery at this point. They'd probably assume I'm just a light eater, like lots of my women friends who've never been obese. When I go out, I'll sometimes order just an appetizer or a salad, or if I get an entree, I'll eat half of it and take the rest home to have for lunch the following day. A lot of my friends do the same. I worried about this too since I'm a food lover as well, but other than cutting my portion size and just enjoying things like desserts occasionally, I really don't notice a huge difference. I do try to prioritize protein and vegetables since I need the nutrients (we all do) and my stomach is small, but I don't deny myself anything. Although there are some things like rice and pasta that tend to sit in my stomach like a brick. I still eat those occasionally, but not a lot of them at one sitting. P.S. your comment about being afraid you won't enjoy food. I enjoy it a lot - too much! (I've been in maintenance for years and it can be a struggle to keep from gaining weight). For the first few months after surgery, though, most of us lose our sense of hunger for up to a year (my hunger came back at five months out). Many of us also do lose some interest in food, too (and that comes back too!). But even though it's weird at first, enjoy it while it lasts and take full advantage of it. To be honest, I found it very liberating. It was so easy to lose weight when I was never hungry and didn't give a flip about food for the first time in my life! once I got over the weirdness of it, I LOVED it and wished I was one of the very lucky few whose hunger never came back (but again, it does come back for the vast majority of us)

If you’re on a GLP-1 drug wondering why you’re also considering surgery? Yes, some do combine the two but why not wait & see how effective the medication is & how you feel & then decide about the surgery. Don’t feel undeserving of the surgery if you decide to go down that path. For your health you are deserving & that is hugely more important than a number on the scales. Do you feel undeserving being on the medication? It’s helping you lose weight too. I’m 5 years out, tomorrow actually, with my sleeve. I enjoyed food before and I still do. I eat with family & friends at their homes, restaurants, events, etc. I just look at food differently & make more careful & better choices. You said since being on the GLP-1 med you don’t really want fast food any more. For a lot of us, the surgery does that too. And it gives us the time to examine our relationship with food - this is the most important benefit. There’s food I don’t even think about eating now. Just the thought of eating some foods makes me feel ill. Some foods simply don’t appeal. And yes, there are some foods I choose not to eat. Would never have believed it was possible before surgery but here I am. I don’t even crave any foods now. Mind blown! Keep us updated on your progress & what you decide to do in regards to surgery. Will say, if you are having doubts about the surgery, don’t do it. You have to be mentally & emotionally ready before embarking on it. It may be that you’re just not ready now & that’s okay. All the best. PS - I didn’t exercise at all when I was losing & do very little now (some at home stretching & resistance band things). Wouldn’t burn 30 calories LOL! Lost all my weight & more & have maintained that weight.

WarrenInEC, I saw the bariatric revision surgeon. He doesn't think it is dumping and said that the upper and lower GI done would not have taken an image of the inside of my pouch so there could potentially be an internal hernia. He suggested possible laparoscopic investigatory surgery in a couple of weeks. He said a revision to tighten the opening wouldn't necessarily force me to lose more weight, which is perplexing to me but I'm not looking at it as a solution to lose weight, I just thought that would come with the "package". I'm assuming the reason I still feel restriction when I eat is simply because of the 'pouch' then. I thought I understood all of this 5 years ago when I had the surgery, but I obviously did not comprehend everything. Well, we'll see what the next few weeks brings... I assume you had a revision then as that is a big difference in the opening size..lol. If so, what was it like?

Hi Debby! Please can I ask what the purpose of the detox is? I know people do these for various reasons. If you have regained some weight after your bypass (if so, how much?) and you're wanting to kick start further loss then I agree with the others above - eat your protein first, veg second and fruit/carbs last. If you have another (health?) reason for a detox then it might be OK to follow what sounds like a very restrictive plan. I'd be worried about your protein intake with what you're proposing though.

I just realized that I sounded like I was rambling and not making sense but I can’t figure out how to edit it. Your reply actually calmed me down some!! I am on GLP-1 pills and have been on getting on a healthy self journey for a few months now. I am surprisingly not wanting any fast food at all besides the pepperoni on cheese sauce pretzel crust pizza from little Cesars 😂 i started a “you don’t need that or only eat very little” thing with my almost immediately after starting that journey. Mind over matter. So far it has helped me because mannnnn lol Not doing that has made dieting fail. A part of me knows that this surgery will help me be thinner which would make me healthier. Losing the weight will solve some issues but I feel undeserving since others have a higher SW. and being 160 felt okay (that’s only 30 lbs down from CW) even if I was still overweight/obese

So, I'm almost 3 months out from having my RNY gastric bypass. The surgery itself is very safe, but the first few months after can be rough. You don't eat a lot, and you may feel sick and probably exhausted, too. But by 3 months, your tummy is pretty well healed and you've learned to chew thoroughly, slow down, and take small bites. You may have identified a few trigger foods that you really have no desire to eat again (hello, scrambled eggs). At my appointment last week I was cleared to basically eat any type of food I wanted. I was warned a very tough steak or woody/fibrous vegetable and fruit (asparagus stems, pineapple), could still cause issues, but as long as you're reasonable about choices, it's fine. I'm thrilled to be allowed to have raw veg again. And I enjoy food. I just enjoy it on plates the size of a saucer instead of a big dinner plate, and I find I don't want more than a bite or two of unhealthy stuff. Except ice cream, which is why I don't keep that in the house! At restaurants, I either take home enough for 2-3 more meals, or I order an appetizer. And I skip the bread, pasta, and other fillers. It'll be a long time before I feel like I can handle a slice of pizza, for sure. But that's okay. My family ordered a pizza the other day and it smelled delicious, but I literally did not want it. Not even a taste. I never thought that would happen to me because I adore pizza, and it made me glad because saying no to it was no big deal. I can tell you that as a slow loser, I will probably never end up "thin" from this surgery. But it's made a huge difference for me already. The day I left the hospital, I was already off blood pressure meds, which I had been taking for a decade. My joints don't hurt anymore. My inflammation is down. I can walk longer and faster. I feel better. And I like the way I look more now too. I'm already able to buy some clothing that isn't specifically from the "plus" department, and I look forward to that being the norm. I'm 50 and I haven't been this low in weight since I was 29. But, it is an adjustment. It's a challenge. And if you love food, you will probably have to do a lot of mental work about that. Like, why are you eating? Are you hungry, or is it a self-soothing mechanism. And if the latter, is there a better way to deal with your emotions when you physically can't reach for food? I ask myself this a lot. My brother had VSG 15 years ago. If you didn't know him back then, you would think today he's an average weight guy (not skinny) with a slightly smaller than average appetite. We were at a wedding when I was still pre-surgery and he out ate me at dinner. So the "half a happy meal" thing is short term. Only you probably won't want to eat those after surgery because they might not sound appetizing anymore.

I APOLOGIZE!! It got long but I wanted to add some background. and the regret comes from nervousness that I won’t enjoy food. And no desire to be really thin but being disabled mean getting/ keeping weight off will be difficult according to the bariatric surgeon I am 5’2. Majority of my weight is my thighs. I do have a belly, apron belly.

Hi everyone!! okay so I’ve always been “heavier” haven’t met the BMI standards since jr high maybe a year in high school. My hips & thighs were always me in size 9 jeans. Well I had health issues that required surgeries. Which left me disabled. And my weight was stuck at 180 due to it, my weight jumped some to 210. I am currently on Rybelsus 7mg and my current weight is 189. So im almost to the weight that I’ve been stuck at for years. Yesterday I had a consultation, intake to the Bariatric program. I was told that I would be receiving a Gastric Sleeve with robotics, which would give me one night hospital stay and a weight loss of 60-80 pounds. I’ll be having the testing done soon as well as meet with the psychiatrist and dietitian. I see him again 9-11-24 So I can home a nervous wreck! I am afraid of having general anesthesia again. I have had it a few times without and with complications. Honestly being a mom IS the only real reason so my anxiety. The what if I pass. I researched ALOT and seen the procedure is a safe one. That calmed me nerves and I was in a good space, until an hour ago. I started thinking about how I absolutely LOVE food and how only being able to eat maybe half a happy meal. I read gum, soda etc are not allowed after surgery as well. According to my P.C.P. I am healthy just obese. Years ago I struggled with hypertension, diabetes and gallstones. Those issues were resolved but I have a consult about my fatty liver in Nov. anyways. I was wondering has anyone else gone through this? I don’t care if I get down to my healthy bmi weight or not. I am fine if I can get to 160. What I am saying is am I having the “regret” even though I haven’t even had surgery yet. A little FYI.. I am Intermittent Fasting & My disability makes me unable to jump, run or go one long walks. I can’t do some exercises so modifications help but are not as effective I believe. So I AM excepting, eating healthier already.

If you’re eating the set amount of calories set by your team you will loose. Vsg will limit your food intake = less calories . You mention all the weight . In all honesty it’s mind over matter.The stomach has ghrelin wich singles hunger. This is removed and does come back. This new stomach lets you basically retrain your brain to eat. It’s up to you to keep calories set by your nutritionist.

I use the MyFitnessPal site and phone app to track my foods and exercise - it is free so maybe start with that and see how you go with it before paying for a fancy watch. To use the site though you do have to know the measurement or weight of the food you are eating so if you don't already have a decent kitchen scales maybe invest in one. I got a small one on Amazon that has a little container on it which is great for measuring oats etc..

I'm guessing whoever did you scan isn't a bariatric surgeon, so they might call any weight loss surgery an RNY (?). Not sure. If what you got is a sleeve, and it was confirmed by other MRI's and scans, then I'm guessing that's why that person put "RNY" on your summary. He or she just isn't familiar with the various WLSs.

Agreed. "Detox diets" are pretty pointless since the body has its own mechanisms for detoxing itself. I personally would go back to when you first started full solids after your surgery if you're concerned about weight gain and fell into not eating as healthy. After bariatric surgery you should never give up protein. Just my two cents! Good luck!