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Hello All, I am very new to the group and have not had my surgery yet but am scheduled for June 13th and I am excited to start losing weight exponentially even though I already have while on weight loss meds and starting a gym regimen while in the pre-op stages. My question for you all is if anyone traveled abroad within their first year post op? I am planning on going to Peru in Dec-Jan for two weeks and while I realize I will still have minimal portion sizes I feel I can make it work due to the wide variety of delicious/nutritious foods in the region that dont necessarily have to be carb-loaded. If anyone has experience with traveling to South America/Peru specifically your input would be much appreciated! I am hopeful that by that time I will be able to swim, walk and overall be active around touristy areas with ease but please let me know if there is anything else I should be aware of or try to pack before my travels to ensure I meet all of my nutritional needs.

We’ve all been where you are now. Loss of hunger & appetite is a benefit of the surgery (though there are some who don’t lose their’s) but it can be confusing & difficult to work with it. Aim for three ‘meals’ a day and eat what you can. Don’t force yourself to eat more even if that means you don’t eat all your portion. You’ll get used to leftovers in your fridge you’ll finish at your next meal or the next day. I only drank two ‘meals’ a day during liquids. I diluted everything and just sipped, sipped, sipped until it was finished - usually a couple of hours hence the two meals. Probably the most challenging part is understanding the difference between real hunger & head hunger especially as many of us were driven by our heads when it came to eating not real hunger. Head hunger isn’t affected by the surgery so it can be a real struggle to manage as it seems almost stronger. Generally, if you’re craving a specific food, flavour or texture that’s head hunger (a craving). If you’re hungry out of boredom, emotions (like stress & worries after the surgery), habit (always snacked by watching tv or after dinner, etc.) that’s also head hunger. If head hunger is making itself known try distracting yourself: read, craft, do a puzzle, ring a friend, go for a walk, sip water, a cup of tea, or similar. It takes about 8 weeks for you to be healed after the surgery and this includes your nerves which carry the messages to tell you you’re hungry, had enough or are full. So for a while those messages may not get through or may get through differently and the signals may be different. Like some sneeze, or their nose runs when they’ve eaten enough. Believe me, when your hunger does come back you’ll wish for the days you didn’t have it. All the best. PS - Yes they pump you full of lots of fluids so the scales can show an increase after surgery. You’ll pee it out over a few days.

im proud of your loss too! I see you all over the forum and loosely have followed your progress! Super proud of you!

Long story short - had gastric bypass in July of 2019. Highest weight 400. Current weight 167 to 173. I still feel some restriction to this day. Meals are small and I don't eat high fat, high sugar food. 2 yrs ago, I started having right sided pain. It felt like ovarian pain so saw OB & had 2 ultrasounds nothing showed up there. Pain worsened & had gall bladder removed 1.5 yrs ago. Adjusted diet again to deal with gal bladder being gone and things seemed ok. A few months after the right sided pain returned. About 4 mos ago, pain got so bad at times I'd be in a ball on my bed considering going to ER (which I HATE doing). Went back to primary got CT scan. Nothing found. findings. Then he referred me for colonoscopy & upper GI. I thought finally 'this was it, we've ruled out most other things'. I also had seen blood in my stools and it was old blood, like coffee grounds so I thought ok, not hemorrhoids? Just got back home from colonoscopy & upper GI. Good news is no polyps or other concerning things. Bad news is main finding was on bypass "Patient's surgical anastomosis noted to be widely dilated, raising possibility of Dumping Syndrome as a cause". OK, we know what dumping is. Thought it was post surgery when we ate food (i.e. sugar, high fat) that processed too fast, etc. & you had dumping. Is the type of dumping they mention different from post surgery dumping? They recommend I see revision specialist. Has anyone else had revision NOT due to 1st bariatric surgery not being successful but for a "medical reason" like this (other than GERD, heartburn). I'm not even sure insurance will pay, but I have 2 yrs worth of history on this. Even it if does pay, I dread what this means - more hair loss? If I do this, will I need another in 5 yrs?. I also still feel restriction kick in although yes, nothing like 1st 2 years My highest weight right now hovers at 173. I hoped I'd get to 150 but closest I've come is 167-168. Is revision another 'nuclear detonation option'? ANYONE have a revision specialist in the North Texas area they can recommend so I can at least get a consultation (north texas = Fort Worth, Dallas, Arlington, Keller, Bedford, Euless, Hurst and Denton) I've also wondered if there is a chance of some straggler/stone from gallbladder surgery 1.5 yrs ago that should be considered? Any input would be appreciated. This is causing issues on my job as the pain hits out of nowhere (not X amount of time before OR after a meal, that I have been able to discern. Thank you!

Week 3 Post Op Sw: 155kg / 341 lbs Stats to date: - 11.6kg / 25.5 lbs I hit 3 full weeks post op yesterday and met with my surgeon + nutritionist So far so good, nut is happy with the progress i’ve made and have given the ok to move to solid food no restrictions. We looked at my hydration levels, all are good thank god because this particular subject is one of my biggest worries ! She gave me some ideas to up my protein but told me it’s quite normal to not be getting protein in yet and that month 2 is generally when you can build on that. We talked a lot about actually going up in food quantities. She told me that i should be eating 150g meals from month 1-3 then around 200 g from 3-6 months and ending up at 300g meals (standard portion size) from 6-12 months. She explained how to start adding quantity : adding one more spoonful per week. She and my surgeon are both pretty against weighing food they want me to start eyeballing as they both say the goal is to be able to live a normal life and be able to visually know one’s serving. Not sure how i feel about that and the whole upping the quantities thing is scary right now … we’ll see. My surgeon is completely happy and has provided my estimated weightloss curve. He estimates per his calculations a loss of around 60kg in 12 months - fingers crossed. He also gave me the ok to got back to work earlier than he had anticipated - but with a warning that i need to take particular care in having my daily vitamins because work means being more active and more fatigue. He did however not clear me for any physical activity on top of work. I work in an airport so i walk a LOT daily and he doesn’t want me to add more activity on top of my above average daily steps. I’ll be back in his office at month 3 now so early july ! I am officially stalled and have been for around 5 days so far weight wise which is expected and i’ve decided to just put the scale away and check back one week from now. I have survived my first ever restaurant with my boyfriend - and it went great ! I ate very slowly and was able to adapt my portion and my meal (steamed salmon and 1 baby potato) Incidentally we had a little conversation about his exclamations of « is that all you’re having are you sure, are you really sure » and i realised it’s strange for him to be seeing me eating so little and he has this kind of guilt about going all out and eating big portions. It made me feel ssooo good to get back into « normal » life, even at work i packed a snack box of individually portioned snacks (16g cheese slices, 30g watermelon, 30g strawberries and then a lunch of tuna salad and 3 crackers). It was so much easier than i thought to actually get into a real life normal routine - i love it !

I had gastric bypass in July of 2019. Highest weight was 400 before losing a bit on my own. Current weight varies from 167 to 173. I still feel some restriction to this day. My meals are usually small although I know we can all 'eat around' the restriction by eating smaller, but continuous meals and this was a slippery slope I fought back against. About 2 yrs ago, I started having right sided pain. It felt like the pain I used to feel when I ovulated so I assumed it was ovarian. Saw OB & had 2 ultrasounds and they couldn't even see right ovary (and the left was fine. Since they couldn't 'see' the right one, they said that was good since there was no obvious signs of..I don't know tumors, growths? The pain continued to worsen & I finally had gall bladder taken out 1.5 yrs ago. I adjusted diet again to deal with gal bladder being gone and things seemed ok. A few months after that the right sided pain returned. About 4 mos ago, the pain got so bad at times I'd be in a ball on my bed considering going to ER (which I HATE doing). Went back to primary got CT scan. CT came up with no findings. Then he referred me to GI doctor for colonoscopy & upper GI. I thought finally 'this was it, we've ruled out most other things'. I also had seen blood in my stools and it was old blood, like coffee grounds so I thought ok, not hemorrhoids? Just got back home from colonoscopy & upper GI. I thought doing prep was bad yrs ago, but much harder having had bypass surgery. Good news is no polyps or other concerning things. Bad news is main finding was on bypass "Patient's surgical anastomosis noted to be widely dilated, raising possibility of Dumping Syndrome as a cause". OK, most know what dumping is. I thought it was post surgery when we ate food (i.e. sugar, high fat) that processed too fast, etc. and you had dumping. Is the type of dumping they are alluding to different from our post surgery dumping? They recommended I see gastric bypass revision specialist. Has anyone else had revision NOT due to 1st bariatric surgery not being successful but for a "medical reason" like this (other than GERD, heartburn). I'm not even sure insurance will pay, but I have 2 yrs worth of history on this pain. Even it if does pay, I dread what this means for me - more hair loss? If I do this, will I need another revision in 5 yrs again at which point I'll be getting up there in age. I also still feel restriction kick in although yes, nothing like 1st 2 years My highest right now hovers at 173. I hoped I'd get to 150 but closest I've come is 167-168. Is revision another 'nuclear detonation option'? I've also wondered with the CT scan, etc. is there any chance of some straggler/stone from my gallbladder surgery 1.5 yrs ago that should be considered? Should I post this in the revision group instead? I read through some and was unsure. Are we allowed to cross-post? Any input would be appreciated. This is causing issues on my job as the pain hits out of nowhere (not X amount of time before OR after a meal, that I have been able to discern. Thank you!

Oh that is absolutely normal and actually still a great loss streak! The weight loss path is not a straight path down. It will slow and even stall as your body is adjusting. Weight training can add to it, but honestly your body will adjust throughout. And yes the smaller you get, the slower it gets. I lost about 30lbs in the first month and a half (including the pre-op diet) and yet it's taken me nearly 4 months to lose 12lbs. You are still early on since surgery and have done fantastic. We started about the same weight. We are in this for life so keep doing what you're doing and let everything else speak for itself - the way you feel, take pictures and measurements. The scale is just one factor.

I had gastric bypass in July of 2019. Highest weight was 400 before losing a bit on my own. Current weight varies from 167 to 173. I still feel some restriction to this day. My meals are usually small although I know we can all 'eat around' the restriction by eating smaller, but continuous meals and this was a slippery slope I fought back against. About 2 yrs ago, I started experiencing right sided pain. It felt like the pain I used to feel when I ovulated so I assumed it was ovarian (post menopausal). Saw OB & had 2 ultrasounds and they couldn't even see my right ovary (like, where did it go?) and the left was fine. Since they couldn't 'see' the right one, they said that was good since there was no obvious signs of..I don't know tumors, growths? The pain continued to worsen & I finally had gall bladder taken out about 1.5 yrs ago. I adjusted diet again to deal with gal bladder being gone and things seemed to go ok. A ew months after that the right sided pain returned. About 4 mos ago, the pain got so bad at times I'd be in a ball on my bed considering going to the ER (which I HATE doing). Went back to primary and he sent me for CT scan. CT came up with no findings. Then he referred me to GI doctor for colonoscopy and upper GI. I thought finally 'this was it, we've ruled out most other things'. I also had seen blood in my stools and it was old blood, like coffee grounds so I thought ok, not hemorrhoids? Just got back home from colonoscopy & upper GI. I thought doing the prep was bad 10 yrs ago, but it is much harder having had bypass surgery. Good news is they found no polyps or other concerning things. Bad news is I was stunned their main finding was regarding my bypass "Patient's surgical anastomosis was noted to be widely dilated, raising the possibility of Dumping Syndrome as a cause for her complaints". OK, most know what dumping is. I thought it was post surgery when we ate food (i.e. sugar, high fat) that processed too fast or was too much for us to handle. They recommended I see a gastric bypass revision specialist. My question is, has anyone else had a revision NOT due to their 1st bariatric surgery not being successful but for a "medical reason" like this (other than GERD, heartburn). I'm not even sure insurance will pay, but I have 2 yrs worth of history on this pain. Even it if does pay, I dread what this means for me - even more hair loss? If I do this, will I need another revision in 5 yrs again at which point I'll be getting up there in age. I've also wondered with the CT scan, etc. is there any chance of some straggler/stone from my gallbladder surgery 1.5 yrs ago that should be considered? Should I post this in the revision group instead? I read through some and was unsure. Are we allowed to cross-post? Any input would be appreciated. This is causing issues on my job as the pain hits out of nowhere (not X amount of time before OR after a meal, that I have been able to discern. Thank you!

Hi Me again! So I am noticing that I am losing 1.5-2lbs a week last couple of weeks, I had surgery 1/24 for Gastric Sleeve so I am 14 weeks post op. I have lost a lot of weight fast in the beginning so I am assuming that's why its slowing down? I am incorporating a lot of exercise now including weights so maybe that's why too? I am trying to get into the mind set that I am focusing on how I feel and not so much what the scale says. Just want to make sure this is normal? Weight when I entered the bariatric program: 297lbs Surgery Day Weight: 266lbs CW: 205lbs GW: 170lbs

I think a lot of us fall into numbers - we are bound to at least at some point. Unfortunately I don't ever think there is a doctor/scientific answer to really calculate it. It's almost the same as why we all have so many different programs - not only our bodies are different, but every doctor has a different take in their "expert opinion". I just had my 1 year post-op visit on Monday, and my surgeon definitely counts my weight loss total from the date I had my consult visit January 2023. I have always kept 2 running totals from before my pre-op diet to the day of surgery weight. Personally I feel like all pounds count and it's an accomplishment to see those numbers go down both before and after the surgery.

I agree with @ms.sss. Stop the vitamins & go to see your doctor. Ask to look into why you may be anaemic. Is it an absorption issue, do you have some internal bleeding/blood loss, etc. In the past, I’ve always bought the non constipating iron. Can’t recall what makes them different though. The link below gives some information about other drug & vitamin interactions you may find interesting. Also advice to avoid caffeine - reduces iron absorption by up to 60%. https://www.health.qld.gov.au/__data/assets/pdf_file/0036/931698/c-lifeblood-iron.pdf Hope you can get some help soon.

nah, i get it, i'm a numbers gal myself, and i LIVE for tracking and data and spreadsheets! ok,so if i were to respond to this specific statement then, my surgeon made his calculations with my weight when i first got accepted into the program...which was 2+ YEARS BEFORE my actual surgery (long story, but i backed out twice before i finally went through it). granted, for ME, it didn't really make a difference because i was the same weight on my acceptance date in 2016, as i was 2 weeks prior to my surgery date in 2018. but im sure many others could not say the same if they were to use the same barometer. long story short, "excess weight" is arbitrary, and the calculations are different depending on who you ask. your best measure of success and progress in the endeavour of weight loss is yourself. is your weight loss graph trending down? yes? then YAY! again, you are doing great...but you don't need me (or anyone else) to validate that, you can see it yourself in your numbers and hard work ❤️ .

like others have said, skin itself does not weigh alot. the stories you have heard about people losing 20-30-40 lbs after plastics, are either (A) folks who lost HUNDREDS of pounds, or (B) folks who had subcutanous fat under their skin, which was removed during plastics.). Most people fall under group B. plastics is more about visual aesthetics (or comfort/life quality) vs actual weight loss on the scale. My surgeon told me the "material" he removed from me weighed a grand total of 400g (less than 1 lb)....not at all significant on the scale, but VERY significant in the mirror. getting a dexa scan is a good idea if you want to know what your physiological make up is. you could use the results of this scan to discuss with your surgeon what they anticipate your end result would be. unfortunately there is no way to know for sure what your results will be until you actually go thru it. good luck! ❤️

hiya! 1-2 lbs loss per week is NOT a slow loser at all. its actually quite common/average. you are doing great

When you look at calculators for post-surgery weight loss (I used this one -- https://mexicobariatriccenter.com/bariatric-surgery-weight-loss-timeline-calculator/), they are giving you a median view of what you can reasonably expect. Of course there are outliers (I'm one -- I am about 25 pounds lighter than what the calculator says I should be), but it is designed to give you reasonable expectations. I also struggle with what number to use for how much I have lost. From my absolute highest recorded weight: 285 pounds From right before my pre-surgery diet began: 270 pounds From the morning of my surgery: 240 pounds

So after my revelation yesterday, I had my weekly therapy session. I have been going to therapy for almost a year now, mainly to help with my PTSD, and now moreso to address some of my trauma when it comes to my weight, and how that effects my emotional eating. I brought up my thoughts to my therapist, and she agreed that it is self-perception, not how my loved ones are seeing me. I'll be the first to admit, that I don't particularly like being emotional in front of other people, and in the entire year I have been attending therapy, I have only cried in front of my therapist 2-3 times. I found it quite hard to hold back the tears during this session (though that didn't stop me) - I realised that I have only really scratched the surface of the trauma I have from past relationships, and how that has completely tattered my self-image. More than anything, I realise that now more than ever, I need to address this as I approach the beginning of my weight loss journey. It is becoming more and more apparent, as everyone says, that surgery really is just a tool. It will give me that initial kick to lose weight so that I see the physical benefits: I will be in less pain, more able to get up and move about, more energy. I will *hopefully* feel more positive in myself and more confident. But the rest of the work, well, surgery can't do that for me. I am responsible for changing my behaviour & attitude, and I think for me at least that starts with being kinder to myself. I can't remember a time where I have been kind to my body, in how I treat it, and how I think about it. I realise that if I want to be successful on this journey, I need to work on me as a whole, body and mind, or else success isn't something I'll be able to achieve. Old habits would creep in, and my expectations would be too high. I am now attempting to drop the mindset of: "when I am skinny everyone will love me, and they will all treat me better and I will be an amazing person" - because truly, that has been my internal narrative, and I didn't see it as a negative until the other day. I need to rework it into: "I am me now, and I will be the same person on the inside even when I have lost weight. Those who I care about already love me and treat me with respect and care, and anyone who doesn't, isn't deserving of knowing me. Regardless of if I am 20 stone, or 11 stone. I am worthy of love". So, time to put my words into action 🤞🌸

I don’t have ESG. I’m in Boston and only some places offer it because insurance doesn’t cover it. The average cost is 11k. The average weight loss after a year is 10-20% (Johns Hopkins quote). You might want to do more hard core research before shelling out that kind of money for low results especially after your recent problems with the balloon. P.S. there’s different forums on here based on specific procedures if that helps.

OK so I have no experience with this because I have no interest at all in skin removal. WLS was, for me, all about the health benefits and way less about the aesthetic benefits but I totally get people who want both (and OMG see the photos on the before and after threads for detail and inspiration)! From what I have gleaned in my 2.5 years here people's weight loss is in the single pounds category after skin removal surgery. Unless you started off in the 60s or 70s of BMI? The point isn't the added pounds of loss but more the making their bodies feel more comfortable to them. I am also a huge believer in the concept of a new 'set weight' after surgery. Our bodies just seem to decide where to settle. Pushing beyond that is tricky. I would have been happy 15 or 20lbs above where I am at the minute. I didn't particularly push myself to get beyond that. But it feels like my set weight was decided by my body. I know that sounds strange. You talk about feeling happy at your current weight plus or minus the weight you might be after removal of skin and whether losing a few pounds more might cause sag that you would have to address at a later point. Honestly I don't really understand that but I guess others will be along soon who might. It might be worth discussing in detail with your surgeon what your desired end point is. Congratulations on your loss, it's amazing.

Absolutely this, if your head will allow it. Tek is wise. But - as a fellow traveller who wanted to know what *everyone* here had lost at *every* stage in order to compare my loss to theirs and angst a bit (head thing!!!) you are doing so very well. My stats are available on request but you've lost 8 BMI points in the matter of a few months. You've got this 😍 I have now relaxed a bit, 2.5 years post surgery. I do still like to compare myself to others though because I'm that type of human. Totally in awe (and I really really mean that) of all the people who can walk their own road glancing neither right nor left. That's the absolute dream and the path to Nirvana.

I'm almost 9 weeks post-op and trying to figure out if I'm on track. I started my 2 week diet at 239 and was 223 the day before surgery. Since surgery, I am down to 204. (So much slower since surgery!) Here's where it gets tricky. If my goal weight is 155 lbs and I use my starting weight from the day I began my 2 week diet, I had an 84lb weight loss goal and am currently at around 41% of excess weight lost. But if I use my day of surgery weight, I had a 68lb goal and am at only 28% lost. This feels like a big difference. I've seen some sources say count your weight loss during the immediate pre-op diet, and others say no, don't count it. Are there any actual rules, or is everyone just making this stuff up as they go?

I have been kicking off my day with a smoothie, and I think it's probably the healthiest thing I could do. I know the opinions on fruit sugar can vary, but for the most part, science seems to be on the side of reasonable quantities of whole fruit (not juice) being good for us and valuable for weight loss. I usually put about a cup (150g on the food scale) of assorted frozen fruits (may include banana, blueberries, raspberries, cherries, pineapple, mango, strawberries, blackberries, peaches, avocado), a handful of fresh baby spinach, 1 Tbsp each of chia seed, hemp seed, flax, and sunflower seed, a serving of beetroot powder, a scoop of Benefiber, 20g worth of unflavored protein powder, and top it off with tap water. This all fits in a 20oz smoothie blender cup, and usually takes me 30-60 minutes to drink as I start my morning. At around 425 calories and 33g protein, this is roughly half my calories and protein for the day! After that's done, I fill a 32oz thermal tumbler with 1 cup Fairlife skim milk and the rest decaf tea, which gets me another 13g protein, plus 24oz fluid. Since I can only get in about 15g protein at lunch and dinner when eating solid foods, it's really helpful for me to get so much in during the morning in an easy to consume format. I may try adding frozen riced cauliflower to the smoothie, too, as I hear that's good for the creaminess and I need another veg. Has anyone used any veg besides greens in your smoothies?

It is a bit unnerving to have days where you can only get a small amount of food in, then the next, so much easier or visa versa. I agree with the others here that it all seems to balance out. Unless on those easier days, you are consuming slider foods and not the protein and veggies as prescribed. My appetite ups and downs haven't seemed to hinder my weight loss at all. In fact, it's probably good to vary your daily caloric amount (within limits) so the body doesn't adapt. Kind of the same as with exercise. I recently met a woman who had Gastric Bypass quite a few years ago when WLS was young, and she had gained all her weight back. It served as a reminder that I never want to go back there ever again. If we don't make the changes we need to early on, regain is inevitable. The surgery can only take us so far... GL

I totally understand this. It's not a bad thing AT ALL to step away from the scales if they aren't helping you. Honestly - if you stick to your plan you will lose more weight than you have already - much more. The issue is that the loss is never linear. If you get stressed by stalls and regains then maybe weigh yourself once a month and celebrate your losses then. I was and am a daily weigher but I could tolerate the highs and lows associated with that. Yes - the food volumes we can tolerate increase in the months and years after surgery. If you focus on a diet of protein and veggies you're not likely to go too far wrong.

HI All! I had gastric sleeve surgery on 12/6/23. As of March 7th, I am 45lbs down. I stopped weighing myself after this date, though, bc I was becoming OBSESSED with the scale and would fall into a deep sadness each day I didn't lose at least a pound. So, I decided to put it away and focus on my feelings and habits. Anyway, lately, I've noticed I can eat much more than I was. I watched a YouTube video about a doctor explaining that after month 3, patients tend to notice they can eat more. He mentioned that it usually freaks them out at first because not being able to eat a lot at all was the major tool in helping the weight loss, but to not be alarmed because it's normal and to focus on healthy foods, working out, etc. Still, it's scaring me because I am scared I will fall into old bad habits and start overeating again. So I was just wondering, has anyone noticed this? I noticed I can eat more than I was 2 months ago. It's freaking me out a bit bc I'm scared I'll overeat, esp bc certain foods are easier to overeat than others. The other day, I got a bag of organic Doritos and ate the whole bag throughout the day. I know I shouldn't have, but I was weak. So, has anyone experienced this? Has it affected your progress at all? Please be kind. ❤️ Thanks!

Stalls tend to last 1-3 weeks and you’ll likely experience a few of them while you’re losing. They’re actually an important part of your weight loss. It’s the time when your body shuts down to reassess your new needs based on your weight loss. Your body works out what it needs now in regards to digestive hormones, metabolism, etc. When it’s done this & it’s ready to move forward again, your stall will break. Stick to your plan. Don’t make any additional changes other than what your plan requires - don’t stress your body more.