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aaaahhhh ok... put this way, i'll have to say i did notice some unexpected body composition changes in the year immediately following rapid weight loss: - went from looking deathly skeletor-ish (gaunt and drawn and frail looking) to pretty healthy looking despite weighing less now than those skeleton days. - my hair is actually thicker and "healthier" and even slightly curlier than even before surgery (which was a very welcome surprise after all that hair loss from months 4-6 post op omg) - i don't get pimples anymore. like ever. - those weird dark little bumps on my upper arms are gone. - when i do any sort of sustained exercise it's immediately noticeable. for instance if i do like 30 situps or 60 bicep curls i look shredded right after. no joke. - my dentist says my gums have receeded faster than expected since the weight loss (dunno if this is related or a coincidence??) - despite probably being the most "fit" i have ever been since my 20's, i still feel unbelievably weak compared to my heaviest days. i swear i can't open jars anymore nor can i carry multiple bags or groceries at once like i used to. - i used to be bottom heavy (hips/butt was my widest part) now i am top heavy (shoulders/back are my widest part). - i no longer have armpit hair ...but this is likely due to my arm lift? so i never have to shave there...which has the side benefit of the skin lightening up in that area...no more dark armpits for me! yay! - i have no ass. like zero. looking at me directly from behind is semi-normal looking, but from a side view, its a straight line from the base of my neck to my knees. - the hump on the back of my neck is gone - not sure if this is related to my overall weakness, or because i just do wat more stuff now, or im just getting old, or a combination of it all, but i get injured ALOT. multiple sprains, torn ligaments, torn muscles, pinched nerves, tendonitis like everywhere, abdominal hernia, bruised ribs, carpel tunnel, ingrown toenails, omg. ive had more doctors/physio appts in the last 5 years than i've had in my entire life. times 2. ok...this post is getting too long. gonna stop now lol

I’m not counting macros calories or even protein - I just know I’m eating not a lot - even if I’m having to eat out for every meal I’m trying to make good choices and eat protein first - I think I’m way way off 100g of protein a day though! My doctors did say not to stress the protein too too much though and aim for about 80g most days. I’ll be back in Paris to weigh myself for my 2 month surgerversary but haven’t been able to weigh myself since last Wednesday which was 6.5 weeks post surgery - I’d lost 12.5kg which is 27.5lbs - I’m happy enough with that as I had a lower starting weight. I have another 20 pounds to loose to hit a healthy BMI but I know things will slow down weigh loss wise fast for me and I’d like to loose another 44lbs total to be back at my pre Covid happy/non near constant leg pain weight. it’s hard not having access to scales here and not being able to walk as much as I’d like because Cairo at night isn’t the safest place for solo female walks at night and I’m basically screwed to a chair in a conference center from 9-5 and night falls here at 6.15pm !

Sorry to hear about the struggles. Only issues I'm having so far is how slow my weight loss has been since surgery. I'm going to eat two meals and add protein soups and shakes for my other meal and snacks. I've been getting at least 1000 calories and 100 grams of protein a day. Along with doing exercise daily. My Dr said it's expected to lose slow. Just seems odd to me.

i had the loss-of-fat-butt pain, as well as the mid-back and hip pains as a result of my body re-alignments to adjust for my new centre of gravity (or whatever the weight loss reason for musculature aches from body size shrinkage is!) those pains became non-issues the between the 1 and 2 year post op mark. however since losing all my stomach bulk/fat i can no longer sleep comfortably (unassisted) on my stomach...ill wake up with pretty bad lower back pain if i do. the lack of stomach no longer props my middle up makes my back hyper-extend when i lay on my front. i even have to put a pillow under my stomach when i get massages to keep the discomfort at bay. this was definitely unexpected. i mean never-fat people sleep on their stomachs all the time and they're fine. so we came to the conclusion that i have a weak back and need to strengthen it up. still a work in progress though...am 5+ yrs post op and it's still an issue.

I’m sorry you’re feeling this way. Break ups can be very hard. I had a bad one when I was about your age & went through a period of depression & anxiety. Ended up leaving my job & moving back home. The depression coloured everything in my life. It may be doing the same for you too & causing you to regret the surgery & a change of behaviour that has bought you many benefits (weight loss, health improvements, more active, fewer restrictions, etc,). Yes, I’m considerably older than you & that means I can look at things differently than you so I don’t mind if you think I’m talking rubbish & don’t understand. 🙂 My friends are big eaters & drinkers & the first couple of times we went out after my surgery I felt a little uncomfortable & conspicuous because I sipped one alcoholic drink for hours, took a while to eat & ordered small plates. Then I realised, I wasn’t going out with them to eat & drink, I was going out with them to spend time with them. What I ate or didn’t eat & what I drank or didn’t drink was irrelevant. It was our friendship that was important. We socialise often (though likely not as often as you). At each others’ homes, bars, fine dining restaurants, etc. My surgery & food choices haven’t stopped us or slowed us down once (oh, except when they wanted to go to an high tea with unlimited champagne - I rarely eat sweet & one glass of champagne would be ample so not worth it. We did dinner instead.) Actually one of my friends decided to have surgery the year after me though she is more flexible in her food & drinking choices than me. Another one wants to have the surgery. And the fourth in our group, has slowed her eating & is making better food & alcohol choices. Not for anything I’ve said. I guess I’ve become a bit of a role model for a healthier life. LOL! Maybe have a chat with someone, like a therapist, about how you’re feeling to help you work through this.

Good afternoon all! I just was thinking of all the surprises I've experienced since WLS...and I wanted to ask others what's surprised them about their weight loss/surgery journey that they weren't told by their bariatric team?! I'll go first: 1. All the aches and pains in my hips and butt. My butt hurts now when I sit since I'm missing my butt padding! Also, since losing weight my posture and gait have changed so now I'm in PT for hip abductor pain. 2. The ever increasing and changing locations of skin irritation. The skin now droops in places I wasn't told to expect and I get red irritation under my butt creases from over lap - sorry for the unpleasant visual! 3. I've shrunk..so driving I now need extra padding to be at my former "sitting height" I feel like a kid driving my parents car now. 4. I've had to buy new glasses, mine were stretched out from digging into my fat head 😋 and now they keep falling off when I look down. 5. I've had to buy new shoes, all my old shoes no longer fit. They just flop around. I was expecting new clothing..not shoes. 6. I feel more clumsy and weak despite working out. My manual dexterity is horrible now. 7. I still feel hunger 😔 These are just a few of the changes I've experienced that my bariatric team never mentioned. Do you have any to add that can take the surprise out of it for people just starting their WLS journey?! I eagerly await your responses!

Good afternoon all! I just was thinking of all the surprises I've experienced since WLS...and I wanted to ask others what's surprised them about their weight loss/surgery journey that they weren't told by their bariatric team?! I'll go first: 1. All the aches and pains in my hips and butt. My butt hurts now when I sit since I'm missing my butt padding! Also, since losing weight my posture and gait have changed so now I'm in PT for hip abductor pain. 2. The ever increasing and changing locations of skin irritation. The skin now droops in places I wasn't told to expect and I get red irritation under my butt creases from over lap - sorry for the unpleasant visual! 3. I've shrunk..so driving I now need extra padding to be at my former "sitting height" I feel like a kid driving my parents car now. 4. I've had to buy new glasses, mine were stretched out from digging into my fat head 😋 and now they keep falling off when I look down. 5. I've had to buy new shoes, all my old shoes no longer fit. They just flop around. I was expecting new clothing..not shoes. 6. I feel more clumsy and weak despite working out. My manual dexterity is horrible now. 7. I still feel hunger 😔 These are just a few of the changes I've experienced that my bariatric team never mentioned. Do you have any to add that can take the surprise out of it for people just starting their WLS journey?! I eagerly await your responses!

Hi everyone, I had gastric bypass on February 27 of this year and I am down 53 pounds. My goal is to lose 100-120 pounds. While I am happy with the weight loss, I am losing muscle just as fast. I started going to the gym and hitting the weights this week. Of course I’m not as strong as I was before (I used to lift weights 10 years ago). I’m concerned that I won’t be able to get the nutrition/protein I need daily to start growing muscle again. Anybody on here bodybuilding months or years after surgery? Any tips or suggestions? Thanks

I will definitely get onto the team and surgeon! Start weight before surgery was 21.9 , 20.9 after LRD before surgery. Lowest after surgery 17 stone, currently at 19. After surgery total loss was 3 stone 9lbs which I think isn’t great surgery was feb 2022 got to 17 stone august 2022. Then gained now stalled at 19 stone for nearly a year.

A protein shake is really a meal replacement so you are having more than a meal or two. And no, don’t load up on junky snacks or empty calories. Look too foods that will add additional nutrients: fruit, complex carbs i.e. whole/multi grains, good fats like avocado & nuts, boiled egg, cheese stick, etc. Keep the deli/luncheon/charcuterie meats intake low too - highly processed, high salt & high fat, lower protein. Better to buy a bbq/rotisserie chicken& package it up in single serves & eat that. Give your body time to settle. It takes time for your body to work out what it needs to function effectively & for you to physically be able to eat appropriate sized portions & meals. My hunger didn’t really come back until about a year so after I reached goal at 6 months & it played a part in my continued weight loss. And it took a while to work out the calories I needed. When my weight first stabilised at around 18 months I was eating 1300 odd calories - it took me all that time to eat that much. At 4 years I was eating 1500/1600 & still maintaining much the same weight so it took that long for my body to work out what it really needed. Your lowest weight may not be your final weight either. There’s the quite common 5-10lb bounce back regain around the 2 or 3 year mark. Or lifestyle choices may mean you settle a little higher. And finally, your goal weight might not be your body’s goal weight (your new set point). My new set point was 11kg/24lbs less than my goal.

a couple weeks ago i remember your post about your struggle to stop losing...are you still losing while this hunger appeared? perhaps its your body's response to the weight losses...? if thats the case, then perhaps listen to your bod and eat more? i can imagine that eating more is in itself a struggle...it took me 3-4 months to get over the mental block to actually stop diet mode (and like 2 years to get over the mental block of eating bread/rice/pasta lol) if im not mistaken you just recently reached goal? (congrats again btw), my suggestion would be to give yourself a bit more time (ie several months) to find your happy spot, it usually takes a while before you get to the autopilot of maintenance...great suggestions above...experiment with (small amounts) of (preferably nutritious) foods and amounts and see what help with the hunger. keep an eye on the scale in tandem to determine any causal relationships with certain foods. but yeah, i know, "easier said...". good luck, and it CAN be done! ❤️

I unfortunately only spent a few months following surgery without being overly hungry, but after about the three month mark it came back with a vengeance, so I decided to do some research. I now consume Non digestive or Resistant meladextrin. Its a corn fiber that your body can't digest so; no calories, good fiber and probiotics purported to help with the following: Resistant maltodextrin is believed to enhance gut health by [19, 29, 30]: Promoting the growth of good gut bacteria Improving stool weight, consistency, and bowel movements According to some researchers, resistant maltodextrin has potential against obesity, diabetes, and heart disease because, in various studies, it has [31, 32, 33, 34, 35, 36, 37, 38, 39]: Reduced belly fat and body weight Decreased food intake Increased satiety hormones (glucagon-like peptide-1 and peptide YY) Lowered the production of the “hunger” hormone (ghrelin) Reduced blood sugar levels and insulin resistance Blocking the growth of cancer cells and tumors ** hasn't been proven** Decreasing endotoxins, inflammatory cytokines and oxidative stress markers (TNF-a, IFN gamma, MDA) Increasing protective antibodies and anti-inflammatory substances (IgA, butyrate, IL-10) In clinical studies of over 200 people, resistant maltodextrin enhanced the growth of good gut bacteria, including [19, 29, 44, 47, 48]: Bifidobacterium Ruminococcus Eubacterium Lactobacillus Lachnospiraceae Bacteroides Holdemania Faecalibacterium As a resistant starch, this type of maltodextrin will help keep your blood sugar level stable after meals. In a meta-analysis of over 900 people, resistant maltodextrin blocked the increase of blood sugar after meals (postprandial glycemia) [37]. resistant maltodextrin decreased blood glucose and insulin levels. It increased a weight-loss protein called adiponectin that blocks glucose production. 3) Obesity In several clinical studies of over 300 overweight people, resistant maltodextrin reduced body weight, body mass index (BMI), and body fat. In one 12-week clinical study of 30 people with metabolic syndrome, it decreased waist circumference and belly fat [31, 55, 35]. In clinical studies of over 160 overweight men, resistant maltodextrin decreased feelings of hunger, increased satiety, and reduced and food intake. In another study on 32 healthy people, it decreased levels of the “hunger” hormone (ghrelin), lowered feelings of hunger and improved satiety [31, 32, 33, 34]. In rats, resistant maltodextrin reduced body weight, belly fat, and suppressed excess food intake [56, 6, 50 I found numerous research studies that pretty much said the same things above..so I figured I'd give it a try. It has no flavor and desolved completely so I just add it to my water plus it has no calories and helps regulate Ghrelin (hunger hormone). It really seems to help! I just make sure its non GMO etc etc. Perhaps it can help you, I figured it couldn't hurt and I do feel less hungry...still by try but less.

I hope this finds you well and you are okay. From my understanding, the upper GI series your surgeon has recommended is a crucial diagnostic tool. It can provide insights into various post-surgical changes, such as alterations in the anatomical structure of the gastrointestinal tract or potential issues with nutrient absorption. This non-invasive test is instrumental in identifying the underlying causes of unexpected weight fluctuations following weight loss surgery. It’s a key step in ensuring your ongoing health and well-being.

Super helpful to know! Maintaining will be just as difficult (if not more so) than the initial loss then. I so hope I can do it.

Hi Wendy- I found it important to confide in friends who I knew would see the surgery as an effort to reset my system and not as a vanity project. So, I opened up to three close friends and no family other than my husband and teenage son (whom I sat down and really went through the toughest reasons why with). My parents are gone and I don’t see my siblings very often - easier in that respect. And I also sought out references from friends of closest friends who knew someone who’d had the surgery and talked extensively about the aftermath and any complications. They were exceptionally compassionate and enthusiastic supporters. I really felt ready. The comments from a good friend group came in waves: “you look great”! Then, a bit of concern - “all okay?” Then, “wow, you look like a different person: are you on ozempic?” with a direct desire to know what was up. I told that group together but only after 3 month mark, asking they not share it with others. No one has been negative about it. I had a dear friend say, “look, if there was a surgery that would reset my brain to comprehend things more quickly, I’d do it in a second”. I had to explain it’s not a quick fix but I knew what she meant- getting one’s beast of burden off the mind. Re: Hair loss- timeline was strange - I’ve always had a thick head of hair and thought maybe I’d bypass the intensity of it. Alas, no- it started to really come out heavily in Aug/Sept. I was worried bc it didn’t slow down and had thinned dramatically but now the growth is back - slowed in Dec/Jan and I kept it short all fall. No one especially noticed enough to mention it. Again, all good thoughts to you as you begin this remarkable feat! You’ll feel amazing soon enough but I hope you’re proud of getting to this point!

Since my surgery in 2017 I've lost my weight loss powers. I'm a mere mortal when it comes to weight loss. That being said I do the following: 1- Weekly weigh in and log it in 2- Stop eating at 7PM and start again at 7AM (I usually go to 9AM) 3- Eat the same thing every day. For me, Breakfast greek yogurt and hard boiled egg, cup of coffee Lunch, tuna fish, sardines or salmon from a can (no additives such as mayo) dinner broiled or baked seafood with a salad. I will also eat a costco protein bar if I need it. 4-Excercise, for me 3x at gym nothing too strenous just 30-45 on treadmill 5 degree incline with a brisk 3.5 mile speed walk Very Very difficult to stay within 5-10 pounds of goal weight then try to get back down. Vigilance and sorry to say obsession are my keys. It's a struggle every day.

As Arabesque mentioned, you will experience many stalls on this journey. They are normal and if you just keep with the plan, weight loss will resume. It can be discouraging, for sure, but Arabesque is wise.

Thank you, longhaul68! I read about hair loss and was hoping it was a rare side effect. It sounds like it does get better when nutrition picks up?? Did you tell everybody you had weight loss surgery? My friends know, as they are my support system. I have not told anyone at work. I told my boss I'm having surgery. I told my families (I work with kids) that I'm going to be out for 2 weeks (BTW is 2 weeks enough??). It's not that I'm ashamed of the surgery, I don't think. I'm not sure why I haven't told everyone in my life. They'll think I'm sick when I start the weight loss! What have others said to people?

Happy surgery month, April-ites! I did mine in April of last year and want to share my encouragement and support, knowing almost one year out (26th) it has been an extraordinary and revelatory experience. There were some bumps and dings throughout the year (Foamies, severe stabbing pains post surgery - they subside! , gallbladder removal, fainting from dehydration, no appetite, strong appetite, hair loss and regrowth, etc). All worth the rollercoaster and 107 lbs down. Happy to answer any questions :) summer had a lot of comments, Fall was the sweet spot of people noticing and me feeling my best. Winter and now spring again- I’m starting to run and be outside a lot more. Really helps to have a 2nd chance at moving well in my body and enjoying real food. All the best to you guys!!

My surgery is April 30th. I am getting it due to severe GERD and ongoing damage to my esophagus. But weight loss is an excellent side effect! Good luck to everyone!!!

You will be wearing a hospital gown and given non-slip socks, so all you really need is to wear something to the hospital that is comfy with a stretchy or loose waist you can wear home, and bring clean undies and socks. Also bring a toothbrush, travel toothpaste, hair brush, deodorant, chapstick, and lotion. Don't bring meds or fluids as they will need to administer those to you and record them in your chart. But check on this because if you are taking something unusual, they may want you to bring it. In my case, they just gave me my daily thyroid medication from the hospital pharmacy. Bring your phone and charger and a book, maybe headphones if you'd rather listen to music. Hospitals are kinda gross, so the less you bring, the better. I had an incident where my IV came unattached and I ended up with watered down blood everywhere, which would have ruined any pillows or blankets from home. Oh, I brought a small pillow for the car ride home that is made for abdominal surgery (search Amazon for hysterectomy pillows) and can velcro to your seatbelt for extra comfort for your incisions. It was nice but not 100% necessary. For home, I had a weighted heating pad that I loved for sleeping. You will also want a bottle of liquid adult strength Tylenol at home for pain.

Week 3 Puree diet sucks. I may need to seek counseling as I didn't realize my relationship with food, or lack thereof, is this out of control. Maybe it's not a food addiction? Maybe I don't try hard enough? I lack control and I know it will affect me long-term. I convince myself that I'm trying, but am I really? I'm supposed to be eating/drinking plenty of protein. 64oz of fluids per day, but I'm not. I have absolutely NO motivation to get out of bed or the control to not snack on foods I'm not even ready to properly digest. I keep telling myself I'm chewing enough so it's "basically pureed" before I swallow. I could literally be furthest from the truth. Wth is wrong with me? I did SO good for my pre-op diet. I was very militant, even drank more fluids than I was supposed to. I also lost more weight than my doctor asked me to. What happened? I'm hungry, what seems like, all the time. I was warned I may not like sweet things and even salty foods could throw me off. If anything, I'm craving those two like never before. I've been cheating with food already...drinking around 35oz of fluids per day, on a good day. I'm so tired all day all the time. End rant... I hope I'm not the only one here who is suffering from stagnancy and lack of control. I will become stronger. I have faith in myself. It's just right now I'm at a loss.

I am 6 months post surgery. I struggle to hit all the targets for my post-op diet - I am getting around 900 calories at most - I prioritize protein and water - and taking my vitamins. I still have problems with nausea. Getting the recommended amount of protein and exercise is the best way to prevent muscle loss. Given that I am having a hard time hitting my nutritional targets - I am tracking key body measurements (waist, hips etc) on the Baritastic app in addition to monitoring weight loss. I saw some BMI scales online for around $100. They can compute body composition - I will see how it goes and maybe invest in one of those if I continue to struggle with eating.

I am 3 weeks Po and I initially lost 20 pounds but I haven’t loss a single pound in a week! I am following the diet, exercising everyday. I’m getting discouraged

It’s so frustrating i wonder if for me something else is holding me back like pcos, I’ve had it my whole life. Im also curious if having the drastic weight loss pre surgery affected post surgery and has made it less significant. I’m just as lost and confused here but we’re lost and confused together! Have you tried asking about phentermine or another medication? Pre surgery mounjaro and phentermine really worked well for me.