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Well at my last appointment they told me that some people never get out of the obese BMI so my being “overweight” now and nearing “normal weight” is really good. I have done nothing more or less than just following the plan, though. Many people I have heard from on here have far surpassed that 60% of your excess weight statistic.

I had the RNY in 2000. Through the years, I gained about 90 pounds and, in January 2020, had the DS revision. My question is, after almost two years, I am still losing my hair and feeling slow and sluggish. I have a hard time taking iron (because it goes right through me), so instead of taking it, I get iron infusions a few times a year. The vitamins I do take are a multivitamin, biotin, b12, Calcium citrate, and magnesium. I noticed Celebrate Vitamins has a start-up kit for a DS consisting of Multi-ADEK, Iron 60, and Calcium Citrate Soft Chews. It's not cheap, so I wanted to make sure it was exactly what I needed if I got it. Could you help figure out what the best vitamins are for me?

So was wondering on peoples before sleeve weight and after I weigh 337 and am 5ft 7in my surgeons office told me I'm only expected to lose about 90lbs and that just don't seem ok with me what has everyone experienced with the sleeve? Sent from my ONEPLUS A6013 using BariatricPal mobile app

I did keto for a good bit of my weight loss period (with the full support of my Surgeon). His plan was low-carb anyway, so he didn't mind when I took it to keto levels.

DISCLAIMER: The following is what *I* did based on my own research and trial end error on how things affected *MY* body. I am NOT advocating to NOT listen to your team without educating yourself. With that said: Edited to add: I didn't realize this post would be so long, sorry! My program was to consume pre-defined "portions": each meal was supposed to consist of 25% protein, 25% starch and 50% non-starchy vegetables, and to work my way up to 1200 calories per day total with a min 60-70g protein. They also said to avoid added sugar. The didn't specifically mention to go low fat, but I mean if I followed the guidelines listed above, it would naturally be low-ish fat. Needless to say, I didn't do that. First, I couldn't get that amount of food in, Second, I tried it out, saw a swoosh in weight, and figured that going low-carb was very effective in weight loss for ME. I kept losing weight, so I just kept doing it. Why fix what ain't broke, right? More on this later... So for the majority of my weight loss phase I went ultra-low carb...was averaging less than 20 NET g of carbohydrates per day (i don't count fibre nor sugar alcohols), aimed to reach 60g protein per day, and let the fat fall where it may. My cals were about 300-400 in the first couple months, and by the time I reached goal, I was at about 800 (yes, I know this is on the low end compared to most, but it worked for ME). P.S. I feel the need to add that my nutritionist was made aware of what I was doing. And while she tut-tutted me about it, she didn't overly object. Also, all my labs came back satisfactorily during this period (and still does), and my surgeon was pleased. ***WARNING, MATH TIME...*** Given the total calories I was achieving, I wasn't truly doing KETO proper, as my fat consumption did not reach the levels required for my protein intake. True KETO is 70-80% fat, 10-20% protein & 5-10% carbs. Since I was doing 60g of protein, I would have needed to do ~75g of fat, which would have put me in the 1100 cal range...and I wasn't even coming close to that level. **** So really, I was probably doing more a version of Atkins Phase 1 (ultra-low carb). Now that I'm 3 years out, I am no longer so strict about my macros. I still *kinda* limit carbs, but not really. I eat bread on occasion, and sugar pretty regularly (in small amounts)...but i very rarely eat pasta or rice. I think its just habit now? Looking back, here is my take/opinion on going this route: TRUE Keto is very difficult to achieve in weight loss phase while keeping cals low. There is a relatively big drop in weight in the beginning of each period of going low carb. There is a bunch of science to explain this, you can google it. Going low carb makes a difference in how my face and body looks. While it looks good on my body, cuz you can see more muscle definition, its not so great on my face cuz I look gaunt. I've come to the conclusion that FOR ME, in terms of weight loss/maintenance ONLY, the ingestion of carbs has much, much less impact (if any) than calories consumed. It doesn't seem to matter if 1000 calories is made up 5% carbs or 50% carbs, I'll lose weight on it either way. Good Luck! ❤️

I use the weight I was on my first visit with the surgeon - it was also my highest weight ever.. and it stayed pretty stable until the pre-op liquid diet.

I was told to wait primarily because during the weight loss phase your liver is having to work like crazy to get rid of the toxins that your fat cells are releasing, and if you add alcohol to that could be very damaging.. and of course also the increased risk of alcoholism. Glad I wasn’t much of a drinker before (like.. 10 drinks a year maybe?) because dealing with food habits and changing those for the better is already a LOT! So much respect for all of you who are dealing with missing alcohol on top of everything else 🌸

I was sleeved on October 13! I am 36/F living in Ohio. I have 2 kids, a soon to be 11 year old girl and a 4 year old boy. My high weight was when I was pregnant with my son, over 300 lbs. Starting weight was 288, got down to 271 before 2 week liquid diet, then got down to 253 day of surgery. I am almost 2 weeks post op and am down to 238.

I'm going in today to a new doctor -- haven't had any follow up in 10 years, have gained 50 pounds back (about 10 pounds a year) after losing 150. Have been having some issues on and off that include a tremendous amount of mucus, throwing up, and difficulty eating when sitting down. A Lot of changes in my life these past 5 years and emotionally haven't been handling them well -- feel like issue is more emotional than physical, but figured I'd start with something tangible that i can see -- have the band looked at and adjusted if needed. Any advice and thoughts would be welcome.... TIA

I agree 100%. I under went VSG in 2015 at the recommendation of my surgeon. I was initially looking into getting RNY but he stated since I was young and without children, it would be best to undergo the sleeve procedure. However, I'm 7 years post op, experience severe GERD, regained a good portion of my weight loss (my fault completely) and am now in the self pay bucket for revision as my current insurance under my employer outright refused any type of bariatric surgery. I'm not saying all this to scare anyone, I'm just saying DO WHAT IS RIGHT FOR YOU. I wish I would have put my foot down on the decision between VSG vs RNY but all and all, I did it and it is what it is. It works for some, but not for all. Unfortunately I fell into the "not for all" and it was definitely USER error. I can't speak on it, but I feel I would have had a better success rate with RNY vs VSG which is why I'm looking into the self pay option for the revision surgery. I would say to anyone looking into bariatric surgery to RESEARCH and ask a lot of questions at appointments/support groups. In the end like I said, do what is best for you. 😁

I took my cpap with me to the hospital, but never used it. I quit using my cpap about a month after surgery. I wore it because I snored so badly, but after I lost weight, I quit snoring. If I try to wear it now, it feels like the pressure is too high. Sent from my SM-N976V using BariatricPal mobile app

I use the weight I was on my first surgeon visit as my starting weight but my actual highest recorded weight was 13 lbs higher a couple of years earlier.

Always a good idea to get feedback from others. I was put on keto for the 2.5 weeks before surgery but that was all I did. Some will likely swear by it but personally I wouldn’t go back to it. Good to kick start a diet but not long term. Your surgery is the best kickstart you’ll ever find. The high fat intake on keto is the real issue for me. I’ve never enjoyed high fat foods & now I don’t have a gall bladder to help process all that fat. You may find your cholesterol temporarily increases while you are losing (it’s released from your fat). I believe it’s one of the reasons most surgeons & dieticians recommend low fat while you’re losing so you’re not adding to the risk. Losing large amounts of weight & high cholesterol levels also put you had a higher risk of developing gall stones. It’s why many of us end up having issues & have our galls removed post weight loss surgery. I’ve read keto can also screw with your blood sugar levels so if you have issues with diabetes it may not be your best option. Usually best to stick to your surgeon’s plan & dietician’s recommendations while you are losing. Slowing adding in new foods as you go. You’ll lose doing that & you will go into ketosis as well - bad breath & a smelly body awaits you 😉. You may find you end up developing your own eating plan which works for you & which incorporates aspects of many eating styles once you’re close to or in maintenance: keto, vegan, vegetarian, Atkins, intermittent fasting, etc. Whatever way you go it has to be sustainable & complement how to want to live your life. Good luck whatever you choose to do.

I use my weight at the start of the 2-week pre-op diet. That was my highest weight ever and an even 200.0 lbs. Makes the calculations easy! 😉

I use both. My weight at my GP when I asked for my referral to the surgeon (91kg) cause it was my weight when I officially started the process. I sometimes refer to my weight on the day of surgery (85.8kg 6 weeks later) because that was what I was right before I started benefitting from the surgery.

They are almost impossible to pass usually because of their size. Certain medications can help dissolve very small gravel but the side effects aren’t the nicest & until they are gone you will continue to experience pain. Have you had an abdominal ultrasound to see how many you have & how large they are? Best treatment is to have your gall bladder removed otherwise you will continue to experience pain. My surgeon said once you have one stone you will likely develop more. Gall stones can develop because of high cholesterol, prolonged weight loss, menopause or high bilirubin levels.

Hey there! I was wondering if I could get some feedback from individuals who have combined bariatric surgery with the ketogenic diet, and what your progress has been with it. Specifically wondering if you've seen it maximize your weight loss.

I use my highest weight recorded for starting weight, then surgery weight for what I weighed at the hospital before surgery. Sent from my SM-N986U using BariatricPal mobile app

I track weight loss in baritastic & also in my own spreadsheet.

Hi Mikki leo! Congratulations on losing 90 pounds! 👏 Your weight loss is inspiring! I know you can get back on track & continue your path to reach your weightloss goals. You look terrific! Lots of luck!

Thanks, that's a relief! Hah, not like I don't want to lose weight or anything but I wasn't sure about the timing of it all.

I use my weight the day I called for the referral to be put through. However, my total weight loss from my heaviest is what's on my ticker, because it's more motivating that way and durn it, I did the work!

My doctor (my primary) told me to take my blood pressure/water pill combo the day after surgery and I peed like a freaking racehorse. I was under surgery weight by day 3. Now, six weeks out, I'm done with the first stall (it was more like a slowdown) and am losing relatively steadily at around 3 lbs/week, which is elating.

For me, I use my highest weight of all time. Any weight loss progress is progress! I didn't start the bariatric surgery process until April of 2021 when I was 318lbs. However, my highest weight was in January of 2020 when I was a little over 330lbs so that is what I consider my "starting weight". Good luck to you ❤️