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So glad to hear your checkup went well and everyone’s plans a little different depending on their surgery their age, their activity levels, their medical conditions so you’re probably gonna get a lot of answers. My team doesn’t give a calorie goal either but once I showed her my Fitness app which logs my level of activity as well as my food blog she told me I needed to increase my carbohydrates and protein, which has been really scary and hard to do especially because I went three days without losing and then actually gained a pound after I increased it but I’m trusting the nurse practitioner that she knows what she’s doing and hoping it will work out. I haven’t had my three week stall yet so maybe that’s what’s going on. I mean, I’m eating probably a third of what I did before surgery and I’m exercising 10 times more so there’s just no way that I would be gaining. Oh, I should add that. I weighed myself this morning and. I lost that pound plus another one so I really lost 1 pound in the three days well in four days I guess. I do remember from my sleeve, but it does slow down quite a bit at a certain point. I just don’t remember when and how much. I am also trying to focus on the fact that I feel healthier and have more energy and I’m in a better mood than I have been in years.

How did your visit with the Dietician go? I just hid my scales as well and plan to weigh each Sunday. Up & down on my emotions trying to stay positive and realize this is a journey and I will have moments of not losing weight. Just keeping my eys on my goal for a healthier and more active lifestyle😊

Thank you for your encouragement! I am at a plateau in my weight loss journey. Somewhat discouraging. I am exercising, measuring, and getting my protein in. Worried I am not getting enough hydration (noticed some dry skin on my legs). Wishing you continued success throughout your journey!

Hey March buddies, Just checking on y’all. Hope everyone’s journey has been going smoothly. I will admit that I have been struggling to get both the recommended amount of protein AND water down each day. It feels like I have to choose one or the other, because there doesn’t seem to be adequate time to fit both. I’ve been prioritizing the protein, but I have my checkup with my surgeon in a couple weeks and hopefully they’ll have some tips. I’ve been lucky, I haven’t experienced dumping at all yet. I’m not a huge sweets person, but even when I’ve had dessert, I was okay. My stomach did not approve of fresh corn the last time I tried it, but that’s been the only thing to give me an issue. Popcorn at a movie was fine. My hair has thinned dramatically, and I’m praying it comes back. I already have alopecia and was prepared for this to happen—I’ve been wearing wigs all summer, but I miss my hair and I’m trying not to worry, but it’s hard. I’m down 65 pounds, but I’ve been in a stall for the last 3-4 weeks. I’m going to try to get up earlier to get more water in and I’m starting to weight train in the gym, which is something I’ve wanted to do for a while but just felt super self-conscious. Just gonna pull up my big girl panties and get to it. Hang in there, friends. Even with the challenges, I wouldn’t go back to what was before. I’m excited for a season change and for the weather to be cooler so that I can walk outside a little more. Sending good vibes to all of you!

Tested positive for COVID on Saturday morning. I suppose it explains why I’ve been feeling like I was coming down with something all week plus why my joints felt so painful. I just put that down to being back at the gym 🤷‍♀️ It will also account for why my liver function test was off too. It always amazes me how the LFT can show something amiss before I’m even aware of it. So, the weekend was a complete bust - no anniversary dinner, feeling like I’ve been run over and just general yak. Dealing with an out of hours NHS service has tried my patience to the nth degree this weekend. Due to having a suppressed immune system, I’m supposed to be given antiviral medication if I contract COVID. Huh, it’s Monday and I still don’t have it. Many phone calls all asking the same set of questions (and giving the self same answers) being discharged from the OOH Dr via text, twice, for no apparent reason, waiting for calls that never happened, receiving other phone calls at almost midnight on Saturday, blah blah blah. Thankfully I was able to get through to my GP surgery at 8am this morning (a complete fluke) and explain the situation. They will find out what needs to be done and get back to me. Honestly, sometimes the NHS is brilliant and other times it’s just dire. Health eating? LOL…do you know when you read about the effects of an illness and it says ‘loss of appetite’? Ha, Ha, Ha, I’m the complete opposite, every single time 🙄 I’m not fretting about it right now as I’m more concerned over getting the COVID stuff sorted out. Hey, at least I didn’t have any alcohol on Sunday so that won’t interfere with my levels for when I do manage to get my bloods done again. Obviously I can’t have them done until I test negative. I’ll test again on Wednesday and see how things are. My anniversary dress did actually fit, so that’s a positive! I wouldn’t have been able to wear it on Sunday though as it’s so cold and rainy here now. Hubby has rebooked dinner for 2 weeks time. I don’t think it will be warm enough to wear the dress though but It’s not the end of the world On the plus side, I will have it altered professionally once the weight comes off post-WLS as I really do like the dress and would like to keep it. Missing my gym time, obviously , but it was nice to go back. Muscle memory definitely kicked in which helped enormously. It also gave my mental health a boost so it was win/win for me. I don’t know if my case was discussed in the MDT meeting last Friday or not. They will let me know at some point I’m sure. I will focus on getting any gains off once I start to feel a bit better. My hairdresser put some layers in my hair in order to give it a bit of body and movement. It’s just a shame that i haven’t actually bothered stying it as yet! I’ve just been washing it and leaving it to dry naturally. It looks OK anyway 🤷‍♀️ That’s me for now. Have a great week everyone 😍 Onwards and Downwards!

Not so much because we need something that gives drastic results, that's permanent and can't be undone, and will be a tool that will help and almost force us to stick to the diet and make good choices. If it's something that can be easily undone, then when it gets hard and we feel like it sucks, we can go in a moment of frustration and have it undone. Not to mention, the weight loss isn't as much, which is something most of us need. At my surgery weight, I was 388. My goal weight was 190. So my excess weight was 198 pounds. With this surgery, I only would have lost 40-50 pounds. That wouldn't have made any sense at all. There are a few articles I saw that had people lose 35% of their excess weight, but that's the exception and not the rule. But even then, I would have only lost 65 pounds. Still would not have been enough. Wouldn't have even gotten me out of the 300's. My heaviest weight was 421 and my surgery day weight was 388. With the sleeve, I lost 113 pounds but had complications and needed a revision. Once I had the revision, I lost another 100 pounds. No way could I have done any of that with this particular surgery, and I'm guessing that's why most of us don't look at it. We need something more drastic. Losing 40-65ish pounds wouldn't cut it.

Hi everyone, It has been awhile since I have posted. We have been very busy around my house. I will be 6 weeks post-op on Tuesday. I can officially transition over to regular texture foods as of then. My dietician did tell me to not attempt over 1/2cup per meal. She said that is my max goal for a couple more months. Daily goals: 60-80g protein, 48+ ounces of fluids, 500-700 calories, eat 3-6 times per day. Obviously do not eat 1/2 cup 6 times per day though. Lol I am excited about being able to go to the gym and start an exercise regimen. I also do not need protein shakes anymore as long as I am meeting my protein goals. So happy about that. I have found a new product, Nurri, it is an ultra-filtered milk (shelf stable) with 30g protein and only 150 calories. It is honestly better than Fairlife and comes in a can. I have been drinking that for my breakfast and while I take all my meds. I slowly take my meds over the 30 minutes or so I drink it. @draikaina8503 hope you are feeling better. @Justarwaxx the foamies are the worst. I’m glad it has only happened to me once. @ShoppGirl the target heart rate formula is interesting. I can walk across the room and my heart rate would be higher than that. Those goals don’t really work for me but if it’s great if they help you. @Voca my date was also 8/6. Hope you are doing well. I can’t remember who asked about weight going up and down. That has not happened to me since my surgery, but in previous dieting for sure it happened. I have had a couple of days where my weight did not change. I am more of a slow loser so I weigh every day to keep myself honest and to see if something I did the day before might contribute to loss or even a stall. It works for me but might not be good for everyone. I have tried chili from Wendy’s and McAllister’s Deli and they were okay. I do not really count those as “eating out” since they were chili and I could have had almost the same from a can. Last night I went to dinner with some friends for the first time since surgery. I had not told any of them about my surgery and then they were all worried about what I could eat. I had already looked at the menu before going so I knew what my options were. Really not super WLS friendly. It’s a wood fired pizza restaurant. I ordered the best protein option pizza and had only the toppings from 2 pieces. They were small pieces and the entire pizza fit on a single plate. My choices worked because today I am down 1.3 pounds. It made me happy that I knew I made the right choice. I was also not bothered by them eating other foods and seeing them finish their entire meals. They were all super supportive and asked if we needed to go somewhere else. I recently went through my closet and started pulling clothes that are too big and adding in fall clothes. I had previously done a big purge of clothes that did not fit and I did not want to keep so my clothing options are a bit limited right now. My cousin had the gastric sleeve about 18 months ago and she gave me all of her clothes so that has been a huge help. It was like getting new clothes for free. Haha My NSV is putting something on that did not fit a month ago and now is loose. That is a great feeling. Looking at the scale and saying I have lost 25 pounds since 8/6 and that does not seem like a lot to me but knowing how a certain shirt or pants fit before and now they are loose or even too big to wear. That helps keep it real for me and helps to keep me motivated. Hope everyone has a great week and keep focused on those small goals and successes.

the two they usually measure for are ALT and AST. But not all clinics test for those, so not everyone knows their values (actually, my bariatric clinic doesn't test for them, either - I'd gone to my primary care provider for some reason or another (it's been eight or nine years, so I don't remember why) and she did some panel that included liver values. She freaked about it, but my bariatric clinic knew what was going on - and again, they were back down to normal once I was about a year out).. They go up because rapid weight loss is really hard on the liver.

I'm fairly certain its the other way around. The only thing you actually lose in hot weather is water weight causing dehydration. So make sure you drink more water with perhaps a bit of sodium added to your food! "You won't burn more calories in the heat, but that may be a different story in cold weather. According to the National Institutes of Health, the body works very hard to maintain its internal body temperature in both hot and cold environments. Yet, when it's cold, heat loss occurs and the internal body temperature drops, the hypothalamus (a small region in the brain) increases the body’s metabolism to generate heat. In addition, the muscles involuntarily contract to cause shivering and generate heat. Shivering also burns calories. However, a drop in body temperature or shivering only occurs in extreme and potentially life-threatening circumstances. Living in a cold climate does not necessarily translate to calorie burn." https://www.today.com/health/diet-fitness/burn-calories-heat-rcna157769

I believe the original poster has already had their surgery, but for anyone else who is reading this as someone else who has had a sleeve and needed a revision, if you do not have a strong medical reason for choosing one surgery over the other, and you’re choosing between the sleeve and the bypass I would’ve gone with the bypass to avoid meeting to take a PPI. my only reason for going with the sleeve and giving it a try, knowing that I may have to revise was because I’m on mental health meds, and we were concerned about the absorption. The sleeve was obviously a better option for that. However, I believe it’s like 26%, I read somewhere, of sleeves that need to be revised for Gerd or inadequate weight loss/ regain. The risks with the bypass are slightly higher, but in my opinion, not enough to have to end up revising because the revision surgery in itself is riskier than either procedure plus it’s a second surgery so twice the chances to experience the risks. If your doctor offers the SADI as a virgin surgery that complicates things a bit because the risk are lower for Gerd than the sleeve and the weight loss is higher and more durable than both research has found so far but it’s a little newer, and comes with its own set of sure and long-term risks that may not have been figured out quite yet. It does have a higher no absorption, so the risk of malnutrition is slightly higher than the sleeve and bypass but lower than the DS. Long story short, there really isn’t a perfect option, only a perfect option for you.. The biggest thing to keep in mind with all the surgeries is that any risk of complication is drastically lower than the risks of staying obese.

If you’ve read all the posts, I’m sure that you’ve seen that most people drop when they finally do drop a chunk of weight like more than 1 pound I think one time I lost 4 pounds after a stall with my sleeve. 🤞

I just recently learned that the heat makes you lose more weight I noticed now that I’m wearing my fitness Watch that my heart rate when I’m walking the exact distance outside is higher than indoors and it’s calculating me burning more calories. I never really thought of it but it is harder I guess.

I agree it’s more of a volume consideration than mass. Also agree with checking in with your team for their recommendations, I was advised 1/4-1/3 cup from purée slowly increasing to about a cup at 6 months. That was pretty much all I could manage too. That was me. You could be very different. I never considered the actually weight of what I ate until I was in maintenance and working how much I needed to eat though I know some are given weights from early on.

No problems, I did see a doctor about 10 years ago because I had hurt myself in the gym that caused my band to feel awkward, but it was fine. I still have had no fills and my weight is still down 100+ pounds, I am today at 265. I love my band. Still and I still have plenty of restriction and occasionally I find myself in the kitchen sink chucking but I’m OK with that. I signed up for it. I don’t feel fat. 💯🥰

Is it a low dose PPI? If so it may be okay to stay on long term. I would ask your surgeon. I have been on a 20mg Omeprazole since after my sleeve and when I had a revision for weight gain I went witb the SADI knowing that I most likely will need to stay on the Omeprazole for life. My surgeon said it would be fine for me. I’m sure if he thought that there was any concern that he would’ve steered me towards the bypass. He left it up to me. He keeps his patients on them for a time post surgery anyways so I haven’t tried without it yet. They also may want you to try Famotodine if you are concerned about the PPI’s (it’s Pepcid). I tried the prescription version which was 20mg before my revision but it didn’t work. I just switched back to the Omeprazole without even asking if there was a stronger one since I knew I was gonna have to switch soon for my surgery anyways Maybe it will work for you??

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….

banded in 2012. That's what I wanted to hear if it ain't broke why fix it. Have you gone to dr any time just to get it checked since 2006? I'm hesitant to go to a doctor, since lap bands aren't popular anymore they will try to get me to remove band and get a different procedure. For the most part, I'm happy with the band, once we became friends, it's all good in the hood. I just want to get the band checked to make sure it hasn't slipped. No health issues, some weight gain, but that's because I eat crap sometimes.

It might be because the reality of this particular surgery is that it's not permanent, the expected weight loss if you are completely compliant is between 12-20% of excess body weight and we typically need to lose a lot more, and insurance won't cover it. It's around $10,000 and people tend to want better results for that kind of money.

I lost over 100 pounds and then life hit me. I changed jobs, left my husband (long time coming) & moved out of our home/town. I moved back home until the divorce is final (hopefully around thanksgiving) and we sell our home. I found myself less interested in going to the gym and more interested in going out with friends and enjoying life. I have not gained anything in the past year but I also haven't lost a pound. I have recommitted myself to eating healthier (lower carbs, sugar and calories) as well as returning to the gym. I also looked into different GLP-1 injections to maybe help me get into the right mindset and attitude as well as help jump start my weight loss again. I ultimately decided to go with the "hers" program. I was approved and written the prescription and am waiting on my shipment of the injections. Has anyone tried the hers program after weightloss surgery? Did you have side effects from their compound?

It's probably best to discuss your dietary needs with your surgical team as every plan is different. Also, believe it or not, the size surgeons make pouches after surgery is not standardized. The point is they know best what's appropriate for you. I'll add that weight is not really a good way to measure your food this soon after surgery and most plans will provide amounts by volume (such as 1/2 a cup). The reason is that your stomach does not care how much something weighs, all it knows is if the amount of food you ate will fit inside or not. Later, there will come a time when you might start weighing food, but that's not something you really need to worry about yet.

Finally getting round to putting on my measurements 🤣 01/05/24 - Just before I started my liver reduction diet. HW: 20 stone 1lbs = 281 pounds =127.4 kg Neck: 16" Upper Arm: L: 19.5", R: 18" Chest: 53" Waist: 45" Thigh: L: 32", R: 33" Calf: L: 17", R: 18" Stomach: 56" Hips: 56" 26/08/24 - not the MOST recent, but close enough. Weight as of 13/09/24: 15 stone 6.3 lbs = 216.3 lbs = 98 kg Neck: 14" (-2") Upper Arm: L: 17" (-1.5") , R: 16" (-2") Chest: 45" (-8") Waist: 36.5" (-8.5") Thigh: L: 28" (-4"), R: 29" (-4") Calf: L: 16" (-1"), R: 16" (-2") Stomach: 47.5" (-8.5") Hips: 49" (-7")

How are you doing now? Have you started back to some form of movement. I know that when I had the sleeve I tried to do the treadmill and that did not stick no matter how many times I tried. To me, that was like torture. This time with my revision I am walking around the neighborhood instead. Talking with a friend on the phone who is also walking or listening to music and seeing the various houses and people is just a great deal more enjoyable for me than the treadmill even with the television on I still felt like a hamster I am still early out and I definitely wouldn’t call it a habit yet but I can tell you for sure that I do not dread it each day like I did the other and I’m really hoping that I can keep it up I know for sure that the endorphins are great for my mood and my energy I go until I fall into the bed and sleep like a baby. In fact that’s why I’m up right now, because I did so much yesterday I feel asleep at 9pm 😂 I agree somewhat about the fact that if you must choose one place to put your effort then the nutrition is definitely the most important in terms of weight loss BUT, having done this before and been less successful, I can tell you that last time I did not exercise and it felt like less of a huge life change for me as it does this time Again, I am only 5 weeks out so it’s possible that this is temporary, though I hope not because I feel fantastic with all of my choices my point is that adding in exercise, for me, makes it feel like more of a lifestyle change and after I come home all sweaty from my walk I don’t want to put any junk into my body. I am even starting to buy things that are grass fed and organic when they are available and trying to cut back on salt as well as rethinking my artificial Sweeteners (although that’s going to be the toughest for me to give up) because my body feels so good and healthy and I want to feel this way for a long long time. As others have said it doesn’t have to be a specific exercise. Just move your body more. Maybe dance lessons, or Pickleball, something like that. My library had a Belly Dance teacher at one point about a year ago and now that I’m losing a bit I am going to look into whether she is still there because that sounds kinda fun. I also did some research on the weighted hula hoop and it is cardio for most people as well as a bit of strength training so I may try that. It brings back memories of competitions with them as a kid so it could be fun. Something that my PA said at one of my pre surgery support group meetings keeps ringing in my mind that helps motivate me too he said that just 90 minutes of exercise a week in zone two heart rate (which I achieve with a brisk walk) decreases your risk of “all cause mortality” by 15%!! You can even break it into 15 minutes a day- 6 days a week (although it’s really 25 with your warm up and cool down added) but weight loss aside, a 15% decrease, thats pretty incredible. I was afraid of some of the complications from surgery that may or may not kill me and that was once like a 2% risk. So my goal is 30 minutes of exercise a day (I rounded up) and anything beyond that is just a bonus. That has seemed to work for me so far 🤞

I had the sleeve and I started gaining just months after I reached goal. I was too embarrassed to reach out for help and ended up gaining it all back and had no choice but a revision. Good on you for reaching out here. My biggest piece of advice is to reach out to your team and get an appointment. Start logging your food again if you haven’t been and give them an honest picture of what you are eating so they can help you make tweaks. Also if you have a fitness watch, pull it out of the drawer and get a real picture of you current activity level. I thought for sure that my team was going to be so harsh on me and make me feel awful but they couldn’t have possibly been more understanding and all they wanted to do was help. For me the only real option was revision but for you some tweaks in your food and exercise may help, could be hormones so they may want to check that, weight loss medications in tablets or the newer option if the GLP-1 injections may even be an option. The other suggestion of support group meetings is a really good one too. I am doing so much better this time around because I am reaching out for support anywhere I can get it. This time I told more people so I have more people cheering me on and I have the in person support as well as on here and I am going to see the NP more of they than they usually require. I know that I need all the help that I can get. lol.

When you finally do drop weight, you’ll probably drop a couple or several pounds at once

Oh I know, so frustrating. For the last month or so I am losing and gaining the same 1.5kg and therefore remain 1kg to 2kg from my goal. I did so much walking in the last few days and will likely again when I go on holiday next week that I am hoping it will help with one final shift. That said the kg may be slow but the cms/inches are still dropping as jeans I put on last week which were nicely fitted are already a bit looser on the backside/thigh area yesterday.