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I know I am a bypass patient so it is a little different, but I tend to eat similar things as others have said this far out! Breakfast (when I manage to eat it) tends to be a protein porridge pot, or if I don't feel hungry in the morning I have like a protein iced coffee & a protein shake/Huel shake. Lunch tends to be either some form of wrap with chicken, or some sort of salad pot. I don't pre-make my lunches which is probably a bad thing, but also just to encourage myself to walk to the shop at lunchtime so I can get some steps in 😂 Dinners really vary, but I have found that I can eat most things: chicken, beef, fish, seafood etc. So I just cook normal things like spaghetti Bolognese, curries, salmon & broccoli, anything that takes my fancy really! I can eat a small amount of carbs, especially things like brown rice & pasta, but burger buns are just too much so I just take the bun off 😂😂

Good morning! Im 143 days into lapband revision to GB and down 41lbs. I had a 3 week plateau. I was not eating enough protein and was starting to snack. (Death in family , depression, weather is terrible) perfect storm for over eating. So anyway . .. if anyone is struggling my recommendation is to tell your team. They hooked me up with a counselor, im taking some depression meds to het me through this tough time, dietitian gave me some tips, and really supported me. I lost 3 lbs this week!! Hang in there and talk it out.

Hello all .I am 47 yrs old and was sleeve in 2017..Before surgery I was 295 got down to 175 . Fast forward I am divorced single mother and I began drinking heavily gained 30 lbs so I did the endoscopic revision where they re-tighten the stomach the first week I lost 7 lbs mind u I had my revision 9/5/2024. I am almost a month out I don’t feel any restriction and I never feel full… The surgeon said I won’t feel any real restriction because Im not on a regular diet yet . i am on soft foods now but I feel myself getting very depressed because I haven’t loss anymore weight please any suggestions would be helpful.I really want to feel like myself again and lose these 30 lbs..

i am on day 134 since my revision from lapband to sleeve revision. everything started out ok. Now, not so much. I have periodic acid reflux (even with presciption meds). extreme fatigue, and I give myself a shot of B12 once a week. Now I have severe dumping syndrome every morning after breakfast. Doesn't matter if I eat oatmeal or a scrambled egg. The only thing that calms it down is metamucil. My surgeon suggested that I drink a glass of Metamucil when I wake up in the morning prior to coffee or breakfast. This has helped. Now eating is a different story...I feel like that band is still in there. Could it be scar tissue? I eat a small amount and I am almost sick. Severe stomach cramping. I keep wondering if it is dehydration. I don't drink water or those sickly sweet sugar free hydration drinks. Anyway...I am regretting this surgery every single day.

Hello! My name is Zach, and I am a 2nd year medical student conducting a research project, "Evaluating GERD symptom alleviation following robotic Roux-en-Y gastric bypass surgery", which essentially seeks to evaluate the efficacy of robotic gastric bypass surgery in relieving GERD symptoms. I was interested in minimally invasive surgery long before starting medical school, and decided to spend my past summer working alongside a bariatric surgeon in my hometown. While working with him, I noticed how many of his patients stated that their GERD had resolved after undergoing robotic gastric bypass. My time there was limited, so I was not able to really share this survey with his patient population. Below is a link to a survey that follows the guidelines outlined in the official GERD health-related quality of life questionnaire. I would greatly appreciate your help with this! My goal for this survey is that your responses will allow me to publish a paper from an educational perspective, illustrating how efficacious robotic gastric bypass is at alleviating not only weight loss, but symptoms of GERD as well. While I hope that all of you have had nothing but success following your surgeries, I understand that this is not always the case. I would love to hear all of your various experiences and perspectives, whether they are positive or negative. This survey below is entirely anonymous. You should not be asked to sign-in to Microsoft in order to complete the survey, and I will not have access to your name or any other patient identifiers aside from your age. When you first open the link, you will see information regarding informed consent. After agreeing to participate, you will then see seven screening questions. After that, you will begin the actual survey, in which you will answer questions regarding various symptoms before and after your surgery. This survey should take about five minutes of your time. Survey link: https://forms.office.com/Pages/ResponsePage.aspx?id=5CBDHRt_fk2_8ubn-Q2YhAxSQabe5PdIrhihxZU9cCZUQ1hSQjE3WkozVEFHTUQ5N0RTNERSMUNPMy4u If this type of post is not allowed, I understand and apologize! I hope to have the opportunity to share your experiences with this survey and shed some light on the relationship between gastric bypass and GERD. Thank you all in advance!

Over 3 yrs from revision (gerd) and I can eat about a cup of food comfortably. I always think I can eat the whole steak though but that feeling goes away after a few bites lol. I think protein will always be like that for me. So it really depends on what I eat. Either way, it's really fun & liberating to be able to experiment and eat all these delicious foods and focus on quality instead of quantity.

I am having bypass surgery on Tuesday, October 1 and this is my main concern. Even with my having lost 10lbs just on the liquid diet. I am starting the get more and more nervous in general. All I can say to both of us is WE'VE GOT THIS! I saw in a previous post that you mentioned an October surgery group. I have looked for one but did not find one. Of course I just joined the forum so I have ZERO clue how to navigate!

I got really sick of the Protein shakes too actually after my sleep surgery, one thing that helps if you like coffee is to use coffee to cut the sweetness, either hot or cold. I like it cold and I mix one caramel protein shake in a tall Tervis cup and fill the rest of the way with cold coffee and it’s pretty good. I actually learned about this after my sleeve, and even though all of my other habits went out the window that was something I was still doing before my revision because it actually tasted so good.

My hopes are the same it has certainly gotten a lot of attention so perhaps it will help reduce some of the stigma at the very least. I have two friends that are currently on them for weight and they have shockingly low copays. My one friend showed me the pharmacy paper where it said her insurance saved her X dollars and I don’t remember the exact amount but It was well over a thousand.dollars. I follow Dr Weiner too so I learned about them when they were fairly newly being used for weight loss. I also looked into it before i went with my revision, but my insurance does not cover them for weight loss as of when I scheduled my surgery. My family provider’s office is currently working on getting compounded version to offer to their patients and hope to get the price under $200 a month they said but the NP said she would not put off surgery waiting on all insurance to cover it or for them to get a good compound because those things usually take quite a while.

THIS ^^^^ I never dropped a lot of weight in a short time. I averaged 1-2 pounds a week and as long as the scale was moving in a downward direction I was happy. If I hit a stall, I stayed off the scale to preserve my mental health. LOL I kept telling myself slow and steady wins the race. Distracting myself with moving and thrifting. I found that I breezed through clothes sizes way faster. Which was sooo much fun. Almost 1 1/2 years after Gastric Bypass. I'm still losing pounds and inches. Not sure where I will end up and people are telling me to stop but I'm letting my body dictate that. For now. I walk a couple miles a day. That's it. Today I am 5 pounds from goal weight. And I personally know someone who had WLS GB many moons ago and regained the weight back and more. She's a bad reminder of where I don't want to end up. Enjoy the journey and WL and mentally prepare yourself more so, for the maintenance part when it comes. GL

Yep, still waiting for my surgery date @Spinoza The dietitian had warned me that I could end up doing the liver reduction diet over Christmas and I was wondering if anyone else had managed the same 🙂 When I had my appointment with the surgeon, we both agreed on having a bypass so now I wait for the date for the op! Definitely glad I’m over Covid though 🥳 @FifiLux isn’t it odd how the there are so many different approaches to WLS? Some have no pre-surgery diet, some have a couple of days, mines 3 weeks plus there are longer ones etc. It’s hardly surprising that some people end up totally confused with what they are supposed to be doing! Oh, how was your break? Did you take your travel scales? Did they help if so?!

Wanted to share my experience and echo the other commenters here. I am 9 weeks out of my gastric bypass and I am right where you are almost exactly weight loss wise- Pre surgery and liquid diet I was 260lb (117kg) After liquid diet in surgery day I was 244lb (110kg) Now after 9 weeks I am 99kg. I haven’t weighed in a few days so I may be a pound or two more but I’m trying to limit myself to only weighing every few days so I don’t hyperfixate. I definitely feel like I’m losing slow- but last week in my bariatric programs’ support group on zoom, almost EVERY patient had that same feeling. It was very validating and most of us were feeling disappointed and impatient. After hearing that it made me feel a lot better. I keep reminding myself that I haven’t even been this weight in a long time and that it’s going to keep going down on its own schedule, when it’s right for my body. Keep fighting the good fight and showing love and kindness to your body and we will all get there.

You must be so incredibly frustrated! Which type of surgery did you get, the sleeve or the bypass? I'm at about 7 weeks post op from getting the sleeve + intestinal revision and my calorie consumption ranges from 500-700/day, with my carb intake less than 35/day and a protein goal of 60/day with fluids of at least 48oz/day. I agree with others - it seems like a good idea, regardless of any advice you get from this forum, to revisit your surgeon. That said, I do believe you hit the nail on the head for one with the alcohol, and secondly I'd ask how many of your calories are coming from carbs. It's ok to include carbs in your diet, but really, this early, unless you are very physically active there isn't cause for many of them. At this stage it's typical to eat no more than 1/2cup - 1 cup of total food per meal, three times a day (or spaced out into 4 meals if needed). That's including your protein, which as someone else said should be the first thing you eat. Another thing about alcohol - it tends to cause dehydration - so you'd need to be consuming even MORE water throughout the day to compensate for that, just like caffeine. If you aren't hitting your hydration goal (PLUS, because of alcohol) then your body will struggle to convert your stored fat into energy, which is what causes most of the weight loss. An example of what my diet looks like at this stage is a single serve yogurt for breakfast (I have been getting the Aikos zero sugar or 2Good ones) - Remember no drinking 30 minutes before or after, and your meal should last at least 20-30 minutes. For lunch I might have a 'tuna melt' - which I make out of 1/3 can of tuna in water, a zero net carb small tortilla, and maybe 1/8 cup of shredded cheese or a low fat string cheese (I cook it folded over like a quesadilla) with maybe 1/8 cup of low fat cottage cheese, then for dinner a serving of one of the many bariatric recipes - there's a ricotta bake (lasagna with no noodles, basically), unstuffed cabbage rolls (Kind of like egg roll filling), or maybe chicken or tuna salad made with low fat mayo and a dab of relish with some cucumber slices/2-4 saltine crackers. I use the free Baritastic App to track my food and fluid intake. Using a tracking app increases weight loss significantly from what I've been told because you can see and understand what exactly you're putting in your body. The good news is that as far as I know, it isn't too late to backpedal and reset yourself! I'm NOT a doctor but my understanding is that if you get off track after weight loss surgery, especially this soon, one way to 'reset' is to go back on a liquid diet for a week or two, with zero-sugar jello, zero sugar pudding, and protein shakes (less than 5g of sugar each) to hit your goals. After that, work your way back up to puree foods for a week, then soft foods for a week. I strongly recommend eyeballing the nutrition information on any shake you think of buying, too, because there are some that are loaded with sugar and have as many as 22g of carbs EACH. After weight loss surgery it's also strongly discouraged to have fried food at all for the first 6 months, and after that maybe once per month. The same goes for sweets and baked goods. I hope this helps, and again - I feel like you should really follow up with your surgeon and a nutritionist! Best wishes!

I’m not sure about in AU, but in US medical files sometimes still say history of obesity/Bariatric surgery so that bypasses a lot of issues when trying to explain why you need help losing regain or maintaining weight. Can others please chime in if they have any information about this? But either way if you can swing it, they are effective.

Hey there! I had bypass back in February. My best advice is to ignore other people's stats and focus on you. I, too, was worried about my progress, but 7 months in, I am still losing weight and just bought jeans in a size I have not worn since I was 22 years old (I am 50 now). Here is how it went for me, just so you can see one example, but we are all different. Starting weight: 251 lbs (BMI 40.5 as I am 5'6" tall) Pre-surgery loss (over 6 months): -12.2lbs (this was from nutrition changes) 2 week liquid diet: -15.4lbs Month 1: -8.2lbs Month 2: -10.8lbs Month 3: -3.8lbs Month 4: -11.0lbs Month 5: -3.4lbs Month 6: -5.2lbs Month 7: -3.6lbs So far in month 8: -2.2lbs Today's weight: 175.2lbs (BMI 28.3) My goal is to lose another 20lbs in the next 5-6 months, which would be 3-4 lbs per month. That would get me to a "normal" BMI of under 30 and would be about the same weight I was when I was 18 years old.

Hi Ladies, I’m almost 6 weeks post-op from my gastric bypass. I started at 109.5 kg, and now I’m at 98.6 kg, so I’ve lost about 10 kg. While my nurse and doctor mentioned that I could’ve lost more by now, they said it’s still not bad. Honestly, it didn’t make me feel great, but a loss is a loss, right? I find myself comparing my progress with others, mostly with sleeve patients, which I know isn’t fair. So, I’m here in the bypass forum to hear from others with success stories. Shouldn't the most weight loss happen in the first 2-3 months, and then it slows down? Right now, I’m losing around 1 kg per week, which I know is healthy, but I keep feeling like I should be losing more, and then I panic, wondering if I’m overeating. I’m on a 1200-calorie plan with 8-10 small meals a day. I haven’t been able to stick to the 10 meals, but I do my best to hit 8, and they’re all balanced. My workout routine has been almost non-existent, but I joined the gym TODAY, so that will change! I just need some reassurance that I WILL lose the weight and that I’m not going to fail like I have in the past with weight loss.

Yes, it is okay!! It was kind of embarrassing for me to but I believe it was 26% of sleeves that need to be revised between GERD and inadequate loss or regain. We are not alone. My surgeon said that the sleeve is a really great surgery for many people but obesity is complex and some people just need a greater metabolic change that the SADI should give you. It’s a very exciting journey. I’m excited for you to get started. There is another thread titled “Sadi is so lonely” that I started when I was considering the SADI and couldn’t find many answers to my questions. You can see if you skim over it how lost I was back then but you will likely get the attention of many people who also had the SADI surgery if you post any specific questions you have on there.

Yes, I had sleeve 3.5 years before I started my journey to revision. It’s considered fairly “new” In the medical community but finally got endorsement by the ASMBS so it should become more prominent now but finding info on it as a standalone procedure was tough enough, nevermind as a revision. Like @Arabesque said I had a really difficult time making my decision between the SADI and bypass but i did finally land on the SADI and I am happy with it. This week at six weeks out I was down 40 pounds (including the weight I lost on my two week preop diet which was basically two shakes and a low carb dinner). With the sleeve I felt like I was on a diet. The reduction of the hunger hormone helped me to keep my portions small and get down to 167 (i’m 5’8”) but I was able to eat more than expected from day one. Not a lot more but enough that once the hunger came back and I was eating several times a day I was gaining from even healthy food. The fact that I felt like a failure for not reaching my goal and that I was gaining in spite of my best efforts discouraged me and bad habits started slipping in bit by bit but rather quickly I gained it all back plus some. Things that have been different with the SADI. For one, my level of commitment. I quit going to my follow up appointments at the Dr and stopped posting here when I regained a big chunk of weight post sleeve because I was so embarrassed and I never went to the in person support groups to begin with. After I started my journey to revision I began posting again and committed to doing the in person groups when they meet monthly. I also have made even more than the minimum required appointments with my team to acquire as much information as I can and I asked to do my follow ups more often which helps for now with my anxiety over healing but also will help to keep me accountable In the future. In terms of the surgery itself it seems to have made more metabolic changes for me. For one thing I was actually a salty snacker before my sleeve but post sleeve I craved sweets. I actually woke up from my sleeve surgery craving various desserts but with SADI I was craving Fish Tacos (a meal I never even enjoyed pre surgery) and I have been eating all kinds of stuff I had to force myself to eat pre surgery and I’m actually enjoying them. I mean not like pizza but still pretty good I am back to regular food now and I may have a sugar free popsicle once a week. Other than that I don’t really want sweets and my food cravings are very quiet and good choices are really good. In terms of motivation and energy I have a ton more. Part of that may be due to my exercising this time compared to the sleeve in which I didn’t do any. This time I started out a little shy of a month just walking to the end of my street and back and now I’m up to over 15k steps a day (sometimes 19k) and I’m getting ready to try YOGA at my community center (waiting for my 8 weeks post op just to be safe). I feel fantastic. It’s not just he honeymoon phase either. I actually wake up hours earlier eager to start my day and at night when I hit the bed I feel accomplished and I sleep so much better. Everyone I talked to said fat was okay with the SADI and carbs were the enemy but that has not been my experience. Maybe processed carbs are bad but in things like veggies, fruit and oats or brown rice are okay for me. I actually do lower fat because I had my gallbladder out so think almond milk and 2% cheeses or non fat yogurt (surprisingly not bad tasting though). In terms of carbs if I remember correctly she started me at. 60g and then increased me to 80 because of my activity. They did not resleeve my stomach so my return to food progressed a little slower than yours will if your getting re-sleeved though so that will not be the case this early out. You won’t be able to eat the volume of food that I do at this point. I can actually eat every 3 hours. Most times I’m already up but I have an alarm set for 8 and I wake up and have my proffee which I finish by 9 with my multi vitamin and then every three hours (12,3 and 6) I have a small meal with my three calcium chews. My last meal being a snack at 9pm and I take my magnesium and hair vitamins. I seriously have so much energy. I care so much about what I put into my body. I make everything from scratch and before it was all about convenience (hated to cook) and I won’t lie and say I love exercise but I want to do it. In fact I’m nursing three blisters now and they just weren’t healing with the continued training so I’m having to force myself to slow down today. It’s so weird. I haven’t exercised in over 20 years. I have avoided it at all costs!! I mean I had to make the decision to get started of course but the surgery gave me the energy to do it. Ooh, the recovery was a bit tougher for the SADI, well a lot for me but they took my gallbladder too. I was okay without pain meds once I finally was able to pass gas (like 7 times one morning) but I spent five days in hospital because I couldn’t pass gas and my pain was only managed on meds they wouldn’t send me home with. Once I got home I took half of one pill because my husband forgot to get the Tylenol and I had to wait for him to get it I the store but after that i managed without it. With my sleeve I work up and refused pain meds and was fine the next day. In fact i almost forgot I had surgery when I was out front and asked my husband to pass the basketball to me. So night and day difference in recovery but it wasn’t horrible. Just not expected. Anyways, I’m sure that once I get closer to goal I will be tempted by less desirable food choices and it won’t be as easy as it is now but I honestly do feel like it will be different this time. For one, I have more support but also, I am actually changing my entire lifestyle this time. I am even looking for organic and cleaner ingredients in my food instead of just processed junk that’s diet friendly. I feel great and I want to continue feeling this way for a long long time. That got kinda long, sorry. I really hope some of it helps.

@ShoppGirl just had a revision to Sadi. She’ll likely respond to your post but you could message her too and also read some of her posts about it. She struggled to find much information and personal stories from others who went through the same revision. Keep us updated about your experiences.

Hello, in 2020 I had a sleeve did well lost 100lb. In 22 I got sick and ended up with prednisone shots which made me gain weight. 50/100 that I had lost was back but any how now I’m scheduled for the sedi on 10/24 . Just wanted to get everyone’s intake in there experience

Hi, I’m a sleeve revision from 2020 gained back 50 of 100 lost and I’m scheduled for the sedi on 10/24.

Okay so I will remind you yet again that my surgery was a revision and they did not operate on my stomach so I’m probably quite a bit further along when it comes to food tolerances but when you get there you may want to try these spring rolls. The rice paper is kinda hard to work with so the first ones looked pretty bad but I got to the end they looked a little better. My guess is next time they will be good. I still don’t know what to do with the leftovers. I made 8 instead of 10 because I didn’t ration the chicken well enough but it just increased the protein which btw is kinda low in this as well. I am thinking I may add edimame next time. This time I just supplemented by having a shake for my snack. Ooh and the peanut sauce is super salty. Maybe because I used 100% ground peanuts and that doesn’t have any sugar but next time I may try reduced sodium soy sauce. Anyways, here is the recipe if you like spring rolls. The hardest part was trying to figure out the mandolin to julienne the veggies. https://www.bariatricfusion.com/blogs/recipes/bariatric-recipes-chicken-and-veggie-spring-rolls

Thank you so much for taking the time to tell me all this! How long were you off work right after surgery? I told them 1 to 1.5 weeks is my guess. But one lady here said she was back in a few days. I don't want to push it if I need to heal more though and my clients are all understanding. My dad passed away last year after 25 years of congestive heart failure then also diabetes and lost one leg then the other. It was extremely heartbreaking and don't want my kids to see that happen to me if there is any way at all I can be healthier. So going to do this. Have 12 dietitian appts. Done two. Already had psychological and was cleared. Have endoscopy Oct 11 and last dietitian appt on Oct 30. Surgery after final approval so they estimate Nov. Hopefully early Nov. Doesn't bother me at all about the holidays. One year I lost 5 lbs from Thanksgiving to Christmas. It's all mindset. But it's when I go back to eating like everyone else I always gain! Sucks. Thank you again! I'd love to be able to text with you if you'd consider that! It's ok if you'd rather not though. Lol! I know I'm a stranger. Lol! You look great and I'm so happy for you. And yes when I'm even at 200 I have the energy for the gym and remember only being able to do the stairmaster for seconds and worked my way up to 20 or 30 minutes. I was so much stronger. It was years ago so can't remember but think I got up to 30 mins and now I love esp the machines and esp the leg machines. Leg day is my fave! Can I ask you, did you grieve your clothes? Even though they are big now I like them. I remember when I lost before I grieved them because I'd raised babies with them all and kept some just as memories. Lol! But will just alter what I can and the rest will buy new. Bet no one ever asked you that one! Lol! Unless you've been there and dropped several sizes before you wouldn't understand. 💗 And do we need to add quote when replying because won't these get too long? Lol! Have a great Friday!! ⚘️ Wow! That's awesome. I'd take even half that loss and be happy. But would sure be nice to lose quite a bit so my low back can calm down. Severe osteoarthritis there. About 240 lbs now. 277 was my highest many years back. Lost 100 through diet and exercise and slowly came back. Then end of 2021 was 265. So did it again. Ate less, moved more and lost 64.5 lbs about 2 years ago and got to 200. Felt sooo much better even there but slowly back now to 240! Blah! Surgery most likely early Nov for sleeve. Said bypass will cause ulcers since only ibuprofen helps my back. Can I ask you about exercise you did? Also that you do now? And did you have any skin removal? May need that around my middle later on. Heard someone with our insurance got that covered also. Praying for that but will save up for it if I have to. Thanks for any advice and info! You look great and I know you must FEEL better. That's what I want. I never sought surgery to look better but hopefully will. I just feel terrible and need some relief and want the weight to stay gone. Using this tool to help me remain smaller.

I was in the same boat, My very highest was 310Lbs then lost 100lbs through WW, had my daughter gained most of it back. Lost 50 ish pounds, gained 75lb back. A constant yo yo of my weight. I got down to 240 when I met my partner, then had our son and gained it all back to 297lbs. At that point I was tired of feeling like crap, being too tired to do anything, not being able to be active with my kids, not being an active partner. So I looked into the sleeve, didn't feel like the bypass was for me, due to certain restrictions with meds. My goal wasn't even to get this small. It was to be at 190lbs which put me in the "normal bmi" and I wanted to have more energy and not to hurt anymore. But then I really got into into fitness and eating healthy. Can I ask you about exercise you did? I started with walking around 6weeks post op, just 30min during my lunch break, about 2 ish weeks later I started incorporating weights and workout videos. Very light 5lbs or just body weight. Then at about 3ish months post op I joined my gym and I hit the ground running and never have stronger and fitter in my life. Also that you do now? I work out 6days a week. 3 days lower body/cardio, 2 days upper body/cardio 1 day HIIT training/cardio each about an hour to hour and half a day. If you need assistance what to do workout I am super willing to give you some things that helped me. And did you have any skin removal? I have not, I am getting my boobies done in January lol but nothing else. Its so expensive! so I have to do it in parts. Right now I am working out as hard and heavy as I can to tighten up as much I can. This tool was THE BEST DECISION ever! I wish I would have done it sooner. I got my life back.

Wow! That's awesome. I'd take even half that loss and be happy. But would sure be nice to lose quite a bit so my low back can calm down. Severe osteoarthritis there. About 240 lbs now. 277 was my highest many years back. Lost 100 through diet and exercise and slowly came back. (Had lost 100 lbs 8 years before that and gained it back too.) Then end of 2021 was 265. So did it again. Ate less, moved more and lost 64.5 lbs about 2 years ago and got to 200. (Had lost around 60+ twice before that and gained it back over some years too). Felt sooo much better even there at 200 but slowly back now to 240! Blah! Surgery most likely early Nov for sleeve. Said bypass will cause ulcers since only ibuprofen helps my back. Can I ask you about exercise you did? Also that you do now? And did you have any skin removal? May need that around my middle later on. Heard someone with our insurance got that covered also. Praying for that but will save up for it if I have to. Thanks for any advice and info! You look great and I know you must FEEL better. That's what I want. I never sought surgery to look better but hopefully will. I just feel terrible and need some relief and want the weight to stay gone. Using this tool to help me remain smaller.