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Have you considered getting started for your follow ups with another practice? It sounds like you could benefit from someone with some medical expertise to help get gpu into a routine that with work for you. Others who have experienced this may have some suggestions but Most offices have a NP that can probably help quite a bit with the blood sugar while maintaining your weight as well.

It sounds like you've made a big effort to manage your weight, but it's frustrating when progress stalls. Consider seeing a dietitian to make sure your portion sizes and food choices match your weight loss goals after surgery. Sometimes, metabolic changes or hidden calories can affect weight loss. Also, try changing your exercise routine to avoid plateaus. Stay positive and keep monitoring your progress; with adjustments, you can find what works best for your body.

This was in my paperwork…I haven’t had my follow-up yet with nutritionist after reading them? She has me starting to eat every 3hrs and using a timer.! I guess that’s where the 5 shakes come in. I’ve been told by both surgeon and nutritionist that I wouldn’t have to be on a really strict pre op diet because of being 195lbs but that is 70lbs overweight for me. Plus I have so many medical problems probably related to weight. I am older but I have an esophageal hernia that’s going to be repaired at same time and doc suggested for the sleeve. Didn’t think it could be done at my age….but so thankful.

Weight loss success is roughly 80% or more about your nutrition and 20% or less about exercise. No gym required! So if you don't like the gym or can't fit it into your schedule, really hone in on the nutrition for now and add whatever body movement you CAN manage every day. Meet yourself where you are, not where you think you should be. If you only walk 1500 steps a day, set a goal for 5,000 a day and don't expect yourself to be running a marathon next month. If you're already good about walking, kick it up by putting on some ankle and wrist weights while you do a 15 minute dance video on YouTube to get your heart rate up and build some strength. Or buy a set of resistance bands and do those a few times per week. Culturally, I think we've become convinced you have to "go to the gym" to see results, and it's really not true. And if you only have the energy to focus on one thing in these early days, start with nutrition because that's where you will see the most lasting results. You're still healing right now and your body is not ready for grueling workouts at this stage.

Because I am still 'fairly" early in the journey (a little over 9.5 months post-op) I completely get your fear and worries. I go through the same cycle of thoughts and what ifs, I wonder if I'm eating too much, too little, losing too much, regain....etc. so I get it. What I can tell you is that you used your surgery to build really good habits and that is eating well most of the time, steps, weight training...etc. and I'm sure those replaced your previous bad habits. Please do a mental comparison of yourself pre WLS and post WLS and see how much you've changed. From what I gather is that you took up exercise after WLS and that gives you great advantage. Your body will build muscle and lose fat simultaneously and you will be at the peak of hypertrophy so take that chance to build as much muscle as you can (fat burning machines). I can tell you that someone at your height and activity level would need quite a bit more than 2000 calories to maintain, so you're still in a deficit. And the beauty of it, is that you can always dial back up or down when you see changes on the scale! Weight fluctuations are very normal (up to 10 lbs), yesterday I was 53.2 on the scale and the next morning I was 53.9 overnight! I know that I was getting my period that day so I knew it's water retention, no biggie! I think you absolutely got this!

Find something you enjoy doing. While I have been a gym rat forever, I always take up things that I look forward to and it has to always be sustainable for me. So some years ago I took up tennis and would go twice a week, I also took up Taekwondo, martial arts and now Pilates. My two Pilates classes a week are the highlights of my week, I look forward to them and I shop cute workout outfits weekly because I like to look good when I go. It is much easier to build on the workouts (movement) you enjoy, so if you enjoy a certain activity (swimming, cycling, tennis, padel, Pilates, yoga, hiking, dancing, whatever it is) you will always feel a bit more motivated to build on that. So for me, I go for Pilates twice a week and I lift and do strength and conditioning another 3 days a week to add to my classes. I love jogging, HIIT and plyos and do that for my cardio, but even brisk walking is really really good to maintain weight loss. Keep it simple. Also, I find it much draining to workout after work, so I workout at 5:30 AM before work (except for my Pilates classes because my studio doesn't run classes that early), this allows me to get it out of the way and have my evenings free to do what I like (which is be with my kids, bake, chill). It also helps that I have a fully equipped gym at home that I have built. I always kept weights, a bench, jump rope and resistance band at my old house and would mostly workout at home early in the morning, if you can keep some weights, a walking pad and some resistance bands at home (if it is an option) do that, it works great for busy days or mornings where you don't have time/the will to go to the gym. This is what has worked for me. It has to be enjoyable and sustainable for you.

Even though my surgery was in July 2023, due to all the complications I suffered, I only consider that my journey started in January 2024 and even then it was a struggle most days to just breath and get out of bed but I have been doing and feeling much better since around May/June this year after (what was hopefully) my final WLS related procedure. I now feel comfortable in myself and enjoy the lighter side of life. Since the surgery I have lost almost as much weight as I now weigh (62kg/136lb/9.7st vs 58kg/127lb/9.1st lost) which amazes me, I didn't actually think it was possible to be this 'light'. I didn't grieve food as I was just too exhausted most of the time to give it much thought so in a way I take that as a positive. I am trying my best to respect my new stomach in that I give it small yet good/nourishing food choices and allow myself the occasional treat and glasses of wine. I have enjoyed finding and trying out new recipes. I took up aqua aerobics and pilates in February and used that to help build up my strength and then in October joined the gym which I love. I find it funny now how my body and brain tells me I need to get up and walk, and I obey, whereas in previous years I would have just ignored the notion and stayed on the sofa. I love the feeling of wanting to move and then being able to move, not restricted by the weight. I also see in myself how I am changing, pre-op if I had a set-back or upsetting day I would usually sit on the sofa for hours/days and drink and eat on repeat but now I think it out, do an activity etc to get through - for example a couple of weeks ago my beloved cat of 16yrs had to go to sleep and it was so upsetting for me (and still is) and in times gone by I would have stayed in bed or on the sofa with a bottle (or three) of wine, popcorn, chocolate etc but this time I scrubbed clean the apartment one day, sorted somethings out for donations another day, went to the gym and just focused on the movements, went for walks. I just hope that I can keep up this sensible me for the years to come! In the last year I have learned to listen to myself, take care of myself and not take sh*t from anybody and I intend to keep that up for 2025. Also for 2025 I look forward to continuing as I am doing now; mindful eating, exercise and enjoying life. Happy New Year everyone 🎉

Congratulations on your weight loss. I hope your sweating issue has resolved with your being closer to goal. I have question though? Do you recall the name of the rx your dermatologist gave you for sweating? I have a similar issue which I know is exacerbated by my weight but even when I lost weight with the sleeve it was still an issue. It’s horrible to live with. I have seen every specialist and had every test I can think of. My dermatologist gave me oxybutwnin which was great for my bladder but did nothing for the sweating. I would be thrilled to know that thete is another option.

I think that it is hard not to measure ourselves against other people - but our bodies will ultimately decide the rate in which we lose weight. You have had an amazing loss so far, try to celebrate that and remember you are on the right track x

Does such a thing exist? I don’t really want to just wear bicycle shorts but I have always had bigger inner thighs (even when I was thin) and this is of course way worse at my current weight. I found “Chamoise Butt’r” which is a cream you put on to prevent chafing which is AMAZING but it still doesn’t stop me from looking and feeling awkward needing to pull my shorts down in the middle every few steps. Has anyone found any shorts that are better for extended sizes?

I've heard/read of this before - so yes, some people do seem to develop lactose intolerance after weight loss surgery. You could try something like Fairlife milk. It's ultra processed although it has higher protein and less sugar than regular milk, and it's lactose free. There are other brands of lactose free milk on the market, too.

@Bypass2Freedomsharing your workouts would be so great, thank you ☺️ I generally sort of notice weight loss when I’ve lost around 3 stones, so documenting it has helped. @catwoman7I will be honest and say that it’s so very hard putting myself in front of hubby with a camera when the size of a house. Hubby reminded me of something today which made me stop and think - when I’d lost loads of weight years ago, I would happily have my picture taken. Hubby said I would have given our 4 year old granddaughter a run for her money when it comes to posing etc (she’s a diva, what can I say 🤷‍♀️) and he’s looking forward to that time again. @SleeveToBypass2023aw, what a lovely thing to say, thank you ☺️ I won’t forget the bike 😉

100% I had to shift my mindset that instead of loosing weight, how do I want to feel? Okay I am at a "healthy BMI" but am I really healthy? Am I really putting things in my body that is healthy? Am I working out my body in a way that it will make it stronger? Its NOT easy at all to change our mindsets! I have moments that I am unhappy with myself think that I can do better or more. Its my head playing tricks on me! I think you have a great approach!

I am 6/ almost 7 weeks out from sleeve surgery so I have started upping my working out some; mostly intervals of walking and jogging. I know I still need to be mindful of what I’m doing and not go too crazy with running or weights. Other than feeling low energy during a workout or a little light headed after, I haven’t had any issues. So my question is: if any of you have had issues with working out, what did you feel in your body and what exercises were you doing that caused it? I want to make sure I’m not pushing too hard. Also, I’m jonesing to take a bath. When did you guys feel comfortable taking a bath or going swimming with your incisions?

One thing I forgot to mention is that I also decided to just tell the women at my yoga class a vague version of what I am going through. Not because I am seeking attention or pity as some people may believe but because the doctors told me that with the first phase of chemo I need that I would no doubt be losing my hair and not to even torture myself trying cold caps because they wouldn’t work for me. I didn’t want to have to miss any days trying to hide that when it was inevitable that they would find out anyways. I can’t wear a wig to yoga without dying of heat stroke even if I can find one that doesn’t irritate my head and won’t fall off doing downward dog. Also, I have to wear a mask until class starts and I’m at my mat and far enough away from people. Also, with the chemo i do get a little dizzy at times and physically I have to take a tiny break once in a while which doesn’t go unnoticed I’m sure. I just decided that I have no clue what is going to happen with my body in days to come but I’m going when I can and doing as much as I can. I’m not missing something that is good for my health, weight loss journey and that I really enjoy just to try and keep something a secret. I have spent enough of my life hiding because of my weight and I have finally broken free of that. I’m not going back in that dark place ever again. I am usually a pretty private person so it was a big choice for me with sharing about the bariatric surgery and now with the cancer, but so far I am happy with my decisions for both. I just told them that I don’t want them to make a big deal about it that we are there to relax and do yoga, but I just didn’t want to feel awkward wondering what they must be thinking so I was just getting it out there. It was partly because I did the same with my revision surgery and it has worked out positively for me. With the sleeve I didn’t tell anyone outside of my best friends and that wasn’t successful so with the SADI i decided to try something different. I told the women in my crochet group and the one craft group because I have known them almost two years now (but not the one I joined more recently). They do ask how I’m doing or congratulate me on my weight-loss and ask what I’m eating and about my exercise, I briefly answer but then I will say enough about me we are here to craft and ask what they are working on today and that seems to work pretty well. So with yoga, now, I hope I can just walk in with my hat or wig and take it off before class begins and do my thing and when I take more an more breaks they will just ignore me. I’m sure it will feel really weird for me the first time when I’m bald because it was when i had to go really short and I was thinning with a head band covering most of the bald spots but everyone already knows about the elephant in the room now and hopefully we can just focus on YOGA. Food for thought for those with the decision about cancer and for those on the fence about whether to tell about their bariatric journey as well because people who see you once or twice a week notice things and they are probably wondering. It has worked for me to just rip off the bandaid and move on.

Haaaa hello fellow champagne drinkers! 🍾 Veuve Cliquot all the way here. But I wouldn't say no to any of the others Sorry we've gone off piste a little. I have drunk carbonated drinks from very early post op. I don't *think* it made a difference to my rate of loss or to anything actually. But I was never told to avoid them. Although - full disclosure - I have regained 12lbs from my lowest weight at the start of this year, so maybe I'm not the poster girl for carbonation!

I actually don't know how to cook my wife takes care of that to be completely honest. I told her if I ever lost sny weight that I'd be interested in learning so that I could make some things to eat while she is at work. Right now I am so heavy and out of shape that I cannot do pretty much anything by myself anymore and I need her help with everything. But if I lost 150 pounds I might give cooking a try and see what I can make. I definitely do not want instant food anymore so she is probably going to have to prepare me something to eat while she is at work for the first few months. I can make my own protein shakes but that's probably going to be it.

I had my bypass in May 22. Happily and I needed to,\ I have lost a decent amount of weight after the bypass. My diet has been much improved. I go for walks most days and attend a gym once a week. On the down side depression has been kicking my butt and I have recently been hospitalized because of it. I spent a month inside and tried a new medication but it didnt seem to do anything for me so My P'doc said to stop taking it. Ever since then appetite has skyrocketed and it is causing me so much distress which I try to fix by eating. Yes, the cycle continues. So far my weight has not altered much but that wont stay the same forever. My psychiatrist has suggest that I ask my GP to prescribe Ozempic. Yes, I am a diabetic but since the bypass have managed my bsls with exercise and diet. Has anybody added Ozempic to help with their wls journey? Were there any draw backs. WHat else have you tried to get help with food addiction.

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.

Thanks JennyBeez, I guess my concern is not so much my BMI dropping too low, as it is that the insurance will say, "See?? You can lose weight on a diet! Just keep doing what you're doing!"

Well, I will tell you that after my sleeve, there was nothing that I could not tolerate. I’m pretty early out post revision so I haven’t tried many of those foods with the exception of tacos but I haven’t had any issues with anything so far. I make tacos with ground turkey meat, 2% cheese, and just eat the filling or I have it with low-carb tortillas. Surprisingly the turkey meat and the 2% cheese do not taste much different at all by the time you add the seasoning and them little low-carb tortilla aren’t bad either. Sometimes I just do it as a salad too. You may be surprised to find that you don’t crave those same foods, though. The surgery does some metabolic changes and can change the foods that you enjoy. I mean, don’t get me wrong, pizzas still sounds good to me but all of a sudden grilled fish doesn’t sound bad either so it’s a lot easier to make the healthier choice. It really depends on what your purpose is for the surgery. If you’re only goal was to get rid of your Gerd, then you may not care about getting into a super skinny size in which case eating smaller portions of the foods you enjoyed before shouldn’t be an issue at all. But if your goal is also weight loss and you want to be able to maintain a very low BMI, then you’re going to have to make some sacrifices. In which case, my suggestion would be to search the bariatric websites and even the thread on here for recipes and try some things once you get to soft foods and regular foods. You may be surprised at things that you will enjoy. I make turkey meatballs, and I have those with peppers and onions and sauce which are delicious, turkey tacos are good too, chili with lean meat is pretty reasonable macro wise, white chicken chili is a favorite, I made a Mexican skillet that wasn’t bad macro wise you may enjoy if you like Mexican, I sometimes do the zucchini noodles if I want pasta. They are pretty bland and just pick up the flavor of whatever sauce you use and of course you will want to add some protein. I also found a recipe for spring rolls which some people call summer rolls that are so yummy. They’re not the fried ones but still really good. It’s chicken, avocado and veggies with peanut sauce to dip. These are all in the weight loss phase once I get to maintenance I can add things to jazz them up a bit You can also do chicken or cauliflower crust pizza with chicken and veggies so it has more protein Or cauliflower mac & cheese. Lean beef cheeseburger without the bun, a cheeseburger salad or low carb cheeseburger wrap. There are ways to tweak your favorites. Basically anything I am craving. I just type it in Google with the word healthy in front of it and I try some recipes until I find one I like. Some of it is bland but many things are surprisingly good. One that I still want to try is zucchini lasagna. After doing the ricotta bake on purée stage and loving it, my guess it that it’s good I still make the ricotta bake I just add Turkey sausage and veggies. Ooh and quest protein chips are really good once you can do crunchy. Also, they have an “ice cream” maker that you can control the ingredients I have heard some people talking about on here But the short answer is No, unless you have a specific intolerance, allergy or sensitivity you will not have to give up your favorite foods forever. You will just have to make tradeoffs. How often you can have them will be based on what weight you are looking to maintain. If you are willing to exercise, for instance, you will be able to eat more carbs and maintain at a lower weight.

BMI isn't always the best way to judge for people who've lost massive amounts of weight because even though we've lost muscle and bone mass in addition to fat, we still have more muscle and bone than "normies" who weigh about the same but were never obese. (we needed a lot of infrastructure to hold up all that weight!). The PA at my bariatric clinic said we often look 10+ lbs lighter than the scale would suggest, because of that extra muscle & bone (well, there's the extra skin, too - but skin doesn't weigh very much. I think I "lost" about 4 lbs after my skin surgery - but there's that, too, if you haven't had it removed). Your PCP evidently hasn't worked with a lot of massive weight loss patients....

Chips are slider foods. Most people can technically eat more of them than other foods and anyone can eat a pretty good bit when they are “grazing” Which is eating little bits multiple times throughout the day. Try really hard to avoid grazing because that will can definitely get you into trouble. Not sure if you’ve seen me on here but I had sleeve three years ago and I lost a quite a big chunk of weight but I did regain my weight just as fast. I was able to eat more than I expected at every stage but even still if I had been eating healthy options three times a day that would not have allowed me to gain the amount of weight I gained. I gained my weight by sneaking in the not so healthy foods from near the beginning since I was eating so little i thought it was okay because I was still losing. When my hunger came back my portions got a little bigger and eventually I was eating bigger portions of less that ideal food more often than prescribed. Since I never really took advantage of that honeymoon phase to actually change my eating habits to healthy foods this is when things went off the rails. The surgery will not do all the work. My recommendation is to take this time where your tool is really working for you to try out some new healthy options and recipes and find a variety of things that you like so when the actual hunger comes back you will have changed your habits.

I don't care about being the fattest person in the room I've been over 200 pounds since I was a teenager I'm used to it. What bothers me is I need a cane everywhere I go and I can't do literally anything anymore. I can't walk in a store I have to stay in the car, I have to have help with bathing, I can't take showers I have to take baths because I'm too fat even for a shower chair. It's just getting out of hand. I'll be glad when I instantly lose like 10% of my body weight. Can't wait for October 30th so they can set a date already and tell me how the psych eval went in detail. Just saying "I have nothing to worry about" isn't enough for me lol.

Sending you good wishes for your Brest check and that they find nothing untowards. Hoping it just is finding out more about your breasts since they’re likely smaller and you can feel things more easily now. I remember finding a hard lump as I was doing a self check of my deflated breasts only to realise it was a rib bone as I felt around more. Congratulations on your continued weight loss and getting into the next stone bracket. Yay! And yes, I’m for a little Christmas treat too. Enjoy your dark chocolate and have a most wonderful Christmas. PS. You’re not alone in feeling a bit flat about Christmas @NickelChip. A few friends and I are feeling the same. Can’t be bothered putting up a tree, hanging a wreath on a door, …Can’t blame it on the cold, or the heat in my case. Just a bit bah humbug. Though we had an early Christmas dinner with my younger brother’s family last night and watching his children (7-14yr) be so excited about opening their presents did boost my spirits. Oh & we did a little drive around to see the local Christmas lights. Hope wrapping your gifts will brighten your Christmas too.