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Congratulations on being down 3 1/2 lbs this week!! I’m so glad your knee is feeling better too!! I had knee pain once a few years back and I swear that is one of the worst pains there is. I was so glad mine went away eventually because I told myself many times I didn’t know how people dealt with such pain continuously. I do hope yours stays away. I have not stepped on the scale. I do not want to be disappointed. I start work tonight after 10 years of not working. I’m disabled and do not know how long it will work out but the activity will count towards helping me lose the weight if I can make it any amount of time. Sadly I will probably have to up my steroid dose to do it but those should burn up and not add any extra weight. Wish me luck.

Has anyone had their gallbladder removed after losing weight quickly? I just had mine removed after dealing with constant pain and gallstones. Any tips on what to eat? I had my gallbladder removed on Monday.

I have read through so many posts on the topic of revision and see that people are mostly very happy to have gone through with it but a lot of them seem to be due to regain, hernias or bad GERD so my query is a bit different. My surgeon has mentioned a number of times to me about doing a revision from sleeve to bypass as following my surgery a year ago I had bad reflux. When I was released from hospital in November I was prescribed two pantomed (PPI) a day and since then GERD has become less frequent, for the last three months I am now on just one a day and I don't consider that the GERD impacts me, maybe once a week I might have a bit of gas, but the surgeon was still suggesting bypass and at my last appointment (in May) even mentioned that it would help me lose more weight, even though I was then just 5kg/11lb from the target he gave me and still only 10 months post-op. Given all the complications I had after my sleeve surgery in July last year I am very hesitant to have any further operations as I don't know if it was the medical teams fault and/or my body. If it is something that the surgeon says is needed I am torn between asking for a referral to another hospital or risking his team again in the belief that they would be extremely careful with me after everything that went wrong the year ago. So far, in just under 12 months, I have lost 47kg/103lb and am only 7kg/15lb away from my goal weight (3kg from the surgeon's target) and therefore I was wondering, from those who have gone through the revision process, if you think it is worth it? For me the only benefit I see is that I would be able to stop taking the daily pantomed, so not sure that is worth risking another surgery for. I have not had a single dumping episode and for the last few months have been able to tolerate all foods without issue so am a bit fearful that the bypass may lead to a backwards step on those fronts. If my GERD is not impacting me is there any other long-term benefit to the revision when I am still (slowly) losing weight? I don't want to go more than a few kg below my goal weight as it is not a good look on me. If there is no drastic weight loss, given so much has been achieved already, is there hair loss with the revision? Any insights would be appreciated as I have my one year check-up in a couple of weeks and I want to be prepared for when the topic is raised

pro tip: for those JUST entering maintenance, you *may* want to hold off off on resizing your "important" rings...as you will most likely go through an "upswing" in the weight/size department. you also may not, but who knows??? my engagement/wedding rings where a size 6 and 7 respectively. when i hit my lowest weight, i was below the lowest of the ring measurement paraphernalia i had....so i actually dont know what size i was. at around 3-4 years post op, i was a 4....today, (almost 6 yr pi) i am aaaaaalmost a 5. i still haven't had my engagement/wedding rings resized, but mostly out of laziness...but i figure someday i will. anyway....long story short: maybe wait a year at most to do the deed and resize the important rings. unless u dont care about having to likely resize them again later, go for it! i myself am going to look into those resize bead things.... 😊

I’m wondering if you still aren’t eating enough for your current height, weight, and activity. I eat about 1600 calories to maintain and am shorter & weigh less than you & I’m not active at all. I mean my stretches and resistance band use burns nothing really. So I’d expect I would need fewer calories to maintain my current weight than you yet your non workout days you eat the same. Yea I am making a generalisation and we are different but ut is something to consider. I’ve linked a BMR calculator below which may give you an idea of the number of calories you may need to be consuming and it maybe something to discuss with your nutritionalist. I get the looking tired and unwell. My uncle told my mum I looked like death when I first stabilised. A few months later he was telling me & my mum how great I was looking. Give it time. PS - I too was wondering if you need to take a break from your workouts like @ms.sss suggested or reduce the frequency or intensity. https://www.calculator.net/bmr-calculator.html?cage=45&csex=f&cheightfeet=5&cheightinch=5&cpound=175&cheightmeter=180&ckg=60&cmop=0&coutunit=c&cformula=m&cfatpct=20&ctype=standard&x=Calculate

Has anyone experienced an increase in their cholesterol levels? Before surgery, mine sat around 5 regardless of my weight (healthy, overweight or obese). In the first 3 years post surgery it was about 4. Then it went to 5 again. Okay I thought just where my body wants to be. But it’s 5.7 now. Like what?? My surgery follow up doctor suggested I speak to my GP about a coronary artery calcium store test. My dad had a higher cholesterol level but not enough for meds. One brother’s is about what mine is now but he follows one of those fat is good diet (I swear he slathers his toast with butter like an inch thick). My mum, other brother, aunts, uncles, grandparents levels are/were ok. Rest of my blood work was great.

I would ask her what specifically does she think will improve if you lose weight but I am pretty confident she wouldn’t be able to come up With one thing. . She sounds like one of those people that does cookie cutter medicine and it’s better ypu find that out now then when you have an issue that is outside of the box because we are all unique And she obviously doesn’t see you that way.

Meowdy, friends! 😸 I had VSG on 11/22/23 (the day before Thanksgiving here in the USA 😂, almost 5 months ago), and I have not been a very fast loser. While some people may have dropped 20 lbs in each of the first two months post-op, I'm just at almost 40 lbs down since surgery. My Physician's Assistant (we don't meet with the surgeon at all post-op in our program) said I'm definitely a "slow loser" and am about 12 lbs higher than they'd expect me to be right now. Anyone else out there only losing about 1-2 lbs per week? Anyone who was in this situation and managed to kick things up a notch? And also, anyone who was a slow loser who eventually met their weight loss goal? I've always been awesome at getting in my water, protein, and vitamins each day. My program pretty much refuses to give us macro goals other than protein, but I know I'm generally under 100g of carbs daily (sometimes much less). Protein, I'm usually at 80g+. Calories, I float around 1000 per day. Water, I get a MINIMUM of 64oz. I took a week off of exercising (elliptical and weights) when I was sick with a cold, and I actually lost the most in that week, so I laid off the exercise for a bit, worried it was slowing me down. I'm going to start back up on it, just because it's a good habit to get back into. When I do the elliptical, it's usually pretty vigorous for 30 minutes, sweating profusely and burning ~400-500 calories. I put on some very loud heavy metal and take out all my frustrations on the machine 😅 I'm worried I'm going to be stuck at this weight and that I'm "wasting" this tool and opportunity, or that maybe I chose the wrong surgery. Granted, my current weight is way better than where I was before starting the pre-op diet, and my mobility and endurance are IMMENSELY better, and my IBS-D has basically disappeared (THANK THE LORDT), but it's still not where I'd like to end up. The PA told me that sleeve patients can lose for at least 18 months post-op, so hopefully it's just a slow-but-steady race for me. I guess I could just use some encouragement or advice or anecdotes from others who were slow but successful, or if someone sees something glaringly "wrong" with what I'm doing.

They reduced both my pouch size and the size of the opening during the revision. That's why I'm very puzzled by his comment that you wouldn't lose significant weight after the revision. It just makes no sense to me.

So, I went to my primary doctor today and I will be going on to the next step Monday and get my bloodwork done. She will also be in contact with my other doctor, and I have to say I so love my primary as she told me that minus my weight that I am actually pretty healthy as in my blood pressure is not high or low; my lungs and heart sound great so unless my blood work comes back with something that we can't see she will be clearing me from her end for surgery. So one more step closer or at least a half a step.

"Heck, his excess weight was probably a huge motivator in doing oral sex in the first place. He may have felt he was not satisfying you with intercourse so performed oral to ensure you were happy. Now that he is happy with intercourse and feeling like you are both being satisfied oral is less necessary." This is my guess. We're always quick to assume the worst and worry. I agree with others, the only way to get answers is to ask! I'm sure he'd love to hear you miss his amazing skills and the enjoyment you received from them!

So this could be your body’s set point. The weight your body is happiest at & will continue to gravitate to this weight despite your efforts to lose more. Remember if you reduce your calories & increase your activity to lose more weight, you will have to continue to eat fewer calories & be more active than you are now to maintain the lower weight. And this isn’t sustainable as you’re already experiencing & your body will fight you the whole time. This becomes a head issue. You’ve lost about 100lbs. That’s an achievement. Plus you’ve built muscle which weighs more than fat too. Look back on how you were before there surgery - general health & status of your cop morbidities, mobility, ability to do the things you wanted to, self confidence, etc. What have you gained or regained with this weight loss. Don’t fear your appointment. Take in your tracked food intake (there could be something you’re missing) & your activity. Ask what else you can do. Ask if this is it for you? Ask what else you can do. Maybe raise whether the GLP-1medications would be of benefit. Do you see a dietician? Because of your intense weight training, you may need to be consuming more & by reducing your calories you have put your body into starvation mode. Even with all this, don’t give up yet. Many of us continued to lose well into our second year albeit very slowly like grams not kilograms a week or month (ounces not pounds). All the best.

Hey, sorry for the late reply. I got the sleeve and my goal weight is 170-175, but I'm currently at 155. And to be quite honest, I'm hoping to add more weight so I can reach back to 170-175.

I actually think maybe it’s because that test is more commonly done to diagnose delayed gastric emptying the more I read about it. So im sure mine was fast compared to people with that issue. I just wanted to think the tech was on to something and it was a possible answer to my struggle with weight and it would hopefully be an easier fix.

If you're basing your bypass opinions on 20 years ago, it's come a long way! I chose bypass and have been very happy with the choice. Having said that, I am an avid listener of Dr. Weiner's Pound of Cure podcast and videos, and I found these videos so valuable when making my choice. Ultimately, I went with bypass for the more durable weight loss and avoiding GERD. But there are good reasons to make either choice, and these kind of walk you through some of that.

There was this older lady in my craft group, and I told them that I had surgery because I figured it was more people to make me feel accountable. This is a revision surgery for me and the last time I didn’t tell people like that and it didn’t work out so well so I’m trying a different approach. Anyways, she is about 80 years old and she said to me she just wanted to tell me how happy she is for me because since my surgery, I have really blossomed. She said that I i have a healthy glow about me and I’ve really come out of my shell in terms of confidence and it shows. I think that was probably the nicest compliment I’ve ever had in terms of my weight loss. I just appreciated that it wasn’t about superficial things. Maybe there’s hope for all these superficial people that when they get a little older, they will view things in terms of stuff that actually matters.

The little things are sometimes the best NSV. Just going into regular shops will never get old to me. Congratulations on your weight loss and the NSV.

Hello and welcome! Also -- congratulations!! How exciting it must be to be at that stage of seeing the weight peel off, and past the point of initial recovery, and past the point of choosing which surgery to get. I noticed that you chose to go with the sleeve as opposed to the Roux-y surgery. I think that's where I'm likely to begin, myself. I have bounced around, investigating what they call a SADI-s / Loop / SIPS surgery which has an extra component with the intestine beneath the sleeve, often done as a revision of the sleeve for those who regain weight or aren't satisfied with their results. It SEEMS to have fewer side effects than the Roux-y (full gastric) but I just don't know. I've also been given a fair amount of advice suggesting I try to find an expert to do the duodenal switch (DS) due to my BMI being in the high 50s/low 60s. I'm certainly willing to try to go that route but as someone else said -- there is usually a LOT of back and forth before committing to surgery and I'm almost 7 months into the program I'm at with my current surgeon. How long would it take me, realistically, to get this far again? WLS is such a difficult and scary commitment, and then getting on here BEFORE having a surgery has filled my brain with so many more complicated options. Its kind of hard for me to commit to big decisions and sometimes I wonder if learning more and more is making matters harder for me. I love to feel in control of what's happening with my body and try to inspect EVERY detail such as to avoid any regrets -- but sometimes staring at the water for too long makes one less likely to jump in, doesn't it? But you've DONE it! I think the sleeve is a great option and respect your choice, and am so happy that it has gone smoothly thus far. It could just be my perception, but most of the men I've seen post about their surgeries seem to indeed have a bit more gentle recovery, with fewer complications. I've seen a lot of folks caution me (this forum and others) about whether I'd be satisfied with the degree of weight loss if I were to go with a base sleeve, Roux-y, or SADI-s. This makes me really appreciate where you talked about that dark spiral and maxing out at 407. I say this as someone who feels like I understand pretty dang well what you're talking about because my max weight was 435! Being 'down' to 366 feels a heck of a lot better by comparison, and I got this far by myself, so maybe I don't need to be as concerned about satisfaction with the numbers as I do making sure I'm comfortable with the process of surgery to help me continue my weight loss journey. Please keep us in the loop as you continue on to your goal! Also - congratulations to the rest of you posting here who are inches from your goal weight or have already made it there!! No matter what surgery (or surgeries) helped you get there, you DID IT! Definitely an inspirational group of people here!

Thanks for checking on me!! About the same in terms of weight, unfortunately 😩, although I'm bouncing around the high 240s instead of the low 250s now, so there's been a slight change. I'm going to reach out to my team soon if things don't get moving again.

Congratulations. You’re doing so well. Your weight loss is certainly noticeable. Sometimes the scales don’t move but the numbers on the tape measure gets smaller or our clothes get bigger. I think our body makes small adjustments to the location of our fat as we lose. It certainly goes through a noticeable resettling after maintenance begins & our weight loss stops - we look less gaunt, our body shape changes, etc. It’s why those of us who’ve been here a little while often suggest taking body measurements instead of weighing yourself during a stall. Looking forward to seeing what their next months bring you.

Your bmi is 30.45. I looked it up. And if you lose just 3 pounds you would be 29.95 (below 30) Do you know the prescribing criteria for that drug.according to several websites your iBMI has to be over 27. From 27-29 you must have a comorbidity. Only at 30 can they prescribe it without a weight related issue. Unless your heart issue is considered one of those comorbid issues that losing weight would help with then you just need to lose three pounds and she will have to leave you alone. lol. I joke but my point is that you are so close that even if BMI was accurate representation for everyone for her to be pushing this is just so absolutely absurd. I mean three pounds could be a bowel movement. It would be one thing if you were driving this but for her to push it under these circumstances doesn’t make any sense to me. This is copied from the package insert posted on drugs.com Phentermine Hydrochloride is a sympathomimetic amine anorectic indicated as a short-term adjunct (a few weeks) in a regimen of weight reduction based on exercise, behavioral modification and caloric restriction in the management of exogenous obesity for patients with an initial body mass index greater than or equal to 30 kg/m 2, or greater than or equal to 27 kg/m 2 in the presence of other risk factors (e.g., controlled hypertension, diabetes, hyperlipidemia). Oh and also, I took that stuff when I was like 19 and I had no history of heart issues in myself or my family and they still made me do an ekg so I hope she at the very least planned to do that?? I totally understand why you are mad I would be too

This was my day today; 2 mini ham frittatas, I made a protein shake, had isopure protein powder in my water, 1/2 of a ricotta bake and dinner I had .5oz of pot roast meat, one baby carrot and a bite 1/4 of baby potato. macros: 662 cal 40g carbs, 89g protein 16g fat Am I doing this right? Lol I really don’t know. I’m terrified of gaining weight

I've always eaten well even at my highest weight. I eat the exact same just much smaller portions and I know now that the type food I was eating was never the problem but how I much of it I ate - because I always complained that I wasn't able to lose weight although I always worked out and ate well 🤷‍♂️ - . My meals are balanced and I always prioritize protein and have veggies with my meals, but I do have a couple of bites of not so good things (cake, cookies, ice cream) and I limit myself to a couple of bites, I am trying to enforce the taste everything but eat less rather than find alternatives to everything. With that being said, I do try to substitute things that don't affect the way I savor my meals (protein toast for normal toast, low carb tortillas for regular tortillas and so on, it's because I can't taste the difference). I also love eating out, albeit hidden calories and all. I do indulge in sugar free chocolate almonds though and chocolate protein balls because I like the way they taste. I make paleo cookies and higher protein desserts like chia seed pudding protein banana bread but I still limit myself on how much of that I eat.

No! No! No! Besides why would you? Let’s be honest. We enjoy eating. The smell, the textures, the flavours, the look and sometimes the sound of food ( like the crunch of an apple) is appealing & gives us pleasure. We celebrate with food. We share food with loved ones. We give thanks with food. Why would you sacrifice that to drink a protein shake for every meal? Yes, you may be prescribed shakes in your pre surgical diet and you will be prescribed them for usually 2 weeks after surgery. The pre surgery shakes are to increase your weight loss to improve your surgical success odds & to shrink your liver so the surgeon can see the surgical field more easily. Post surgery it’s to support your healing & not strain your digestive system (remember all those sutures & stables holding it together). Short term reliance on shakes. The goals of the surgery include you changing your relationship with food and establishing a healthy, nutritionally dense, sustainable way of eating. Drinking shakes for any extended period of time is simply not sustainable. It’s not nutritionally sound, only gives more power to cravings, creates new bad relationships with food and will highly likely result in weight regain & poor health. Key word here is supplement. If you are struggling to get your protein in via the real food you eat, sure a protein shake can be beneficial as a supplement to your earring. Same with any vitamin or supplement. If your body is lacking in specific vitamin or minerals, sure take a supplement but they should never be what you totally rely on to get the nutrients your body needs to function unless you have a specific medical condition that means you can not eat real, solid food. I never touched another shake after I began purées (start of week 3). My goal was always to get all the nutrients I needed through real food. And I do. I don’t even take vitamins now (except in winter when I have a dip in my vitamin D - I feel the cold so hibernate in winter & rug up if I have to go out so little sunlight for me then). Ask your nutritionalist, surgeon & GP. I bet they agree with all of us.

i am stunned over it. i went to the hospital for back pain after i met my surgeon. i was weighed at 379 lbs. not even 1 year later i am at 254 lbs. last time i was at this weight was when i was 23 in 2006 i got some swim trunks that are 3xl and they dont fit me anymore. they used to be hella tight on me.