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I'm not sure a PCP would have too detailed an understanding of complications from any bariatric surgery, even a more common one. At least I wouldn't rely on that. Although I have a feeling if she has a patient who gets a certain procedure, she might be more likely to read up on it. Is your surgeon attached to a weight loss center of some kind? Mine is, and I'm expected to go for a follow up at the center yearly, basically forever, so I'll always be in close contact for questions. Honestly, I think you need to choose your surgery based on which one will work best for you, which could very well be the SADI. A long term complication is going to be rare, but also you'll know to bring it up if something happens. You don't have to rely on your doctor to think of it, and any doctor will know how to find out more of needed, even if they don't really know much about it now.

I can relate to being afraid of gaining weight after working so hard to lose it. We all deal with that here. But it's a fine line between being mindful about it and developing disordered eating habits. I can speak to this because it happened to me. I was dropping weight like a champ, then I hit stall after stall, and each one lasted longer than the previous one. And I would panic. And I would restrict the amount I ate, I would kick up the intensity and frequency of my work outs. I would have anger and confusion and fear anytime I either didn't lose or I gained a little (turns out, I'm one of the ones that gains 3-5 pounds during a stall and then just sits there for weeks and weeks. Then when the stall breaks, I drop like 6-7 pounds all at once). I had to actually go to a therapist that specializes in bariatric disordered eating (not easy to find, btw) to get my head on straight. And it's still a struggle sometimes. Especially since these last 11 pounds absolutely fight me tooth and nail and just don't want to come off. I said all that to say just be very careful. I never started out intending to have these issues. I thought I'd have the surgery, lose the weight, get healthy, and bada-boom bada-bing, life would be great. But it's never that cut and dry, is it? We can become obsessed with losing the weight, seeing how low we can get the scale, getting into that lower size, looking thinner, never gaining weight again, getting that bmi just a little lower.....and before you know it, you have a whole new eating disorder that's even harder to get out of and we're doing even more damage to our bodies without even meaning to. And we can justify what we're doing because HEY, we got off our meds, we're getting healthier, we're losing the weight, we're EXTENDING OUR LIVES damn it!!! And that's harder to overcome and harder to recognize and going too far than being obese is. We knew we needed help. We knew we were doing wrong. That's why we had the surgery. But now? Now it gets harder to see what we're doing because HEALTH!! WEIGHT LOSS IS GOOD!!! NO MORE MEDS IS THE GOAL!!! JUST A LITTLE MORE WEIGHT OFF CAN'T POSSIBLY BE BAD!!! So please please just be really careful with where you're at now and where you're wanting to get to. Lastly, on the days you're working out (especially the really hard weight days) increase your protein and calories. Your body thinks it's starving, so you need to reassure it that you're not. The heavier the work out, the more your body needs. You can't run a car without gas and you can't run your body without food. So give it what it needs, in the amounts it needs, and it'll do what you want it to. Make sure you also have a larger amount of fluids than you normally would on those days, too. Dehydration can really do a number on the body, as well.

I looked at my journal from my 6th month time. My weight loss slowed significantly. I kept loosing but I was lucky if it was 4 lbs every other month. Stalls and plateaus were more common than actual WL. I just kept to my original plan and weight kept coming off even past the 2year mark. Instead of my scale obsession, I started measuring inches/centimeters and thrifting highly structured clothing made out of thick denim and leather to see my progress. A stiff pair of jeans with no stretch can show true WL because they get too big. I find they keep me honest with myself in maintenance too ; j

Shhhhhhh but someone mentioned on another post about the quitting smokng weight gain..do what you have to do even if it means cough cough putting extra weight in your pockets, bra where ever it won't show for your weigh in to offset your quitting weight gain...This way, you only show a loss. Not that I'm saying cheat the system, but they want you to quit knowing it might put weight on and can eliminate your surgery chances. This way no stressing and you can concentrate on eating healthy and getting healthy! Either the above or exercise a lot , eat very low cal and drink Lots of water and hope it works! Good luck.

I have all way eaten by the guidelines. Have done very well with the weight loss . So I have come to conclusion this will be a life time battle of gaining weight unfortunately, I regret wishing and getting something that would greatly improve my life. Have I added protein drinks, no I wouldn’t able to leave the house. But I eat proteins all day . Chicken chicken chicken . Cottage cheese. Veggies ect. one cup at a time several times a day. The past few months I have added a whole bag of chips that I can eat thru out the day on top of my healthy meals. Chips is 2000 calories a day. 14 grams of protein. Saturated fats 15 grams . Carbs 208 . Im doing the opposite of guidelines . Blood work is all normal. Should I have such a restriction 5 years out.? I wake in the middle of the nite to eat, I’m so hungry. Yes stress plays a role in weight . I have a pretty good life;)

I started going to the Chiro at 2 weeks PO, my hips were locked, I have stage 2 arthritis through my whole back. For the first 3 months I went 3 times a week for adjustments, now I go once a week. It has helped a ton! I still have back pain and I know some of it is just my body adjusting to losing 179 pounds. It is pretty amazing with the adjustments and weight loss to have some mobility back! My gait is a lot better, I stand more upright, and the back pain is a lot less than it was!

Yep, me too. I had upper back pain. Getting a bra that actually fit & was supportive helped a lot but that’s not an option for you - Lol! I had some acupuncture too. As @ms.sss said, a changing centre of gravity because of your weight loss is a big contributor. Your body (muscles, tendons, sinews) was used to holding itself in a certain way to counteract & balance the weight you carried, now it’s relearning how to hold itself. I remember slouching for a while after because I didn’t have a tummy to prop me up anymore. I used to check & correct myself to sit up or stand straighter until it became more automatic & natural. Yes it was temporary for me too. Can’t recall how long for though. Maybe a physio can help with some exercise & stretches to build up your postural muscles again. Or some good massages or acupuncture. Congrats on your weight loss though!

there have been people on here who had the SADI (some might still be on here). It's sort of an altered, new-fangled version of the DS. There would be more potential complications with that than with the RNY or VSG, because it's a more complicated surgery, but on the other hand, I think that like the others, major complications aren't that common. And like with all the WLS surgeries, you'll hear about horror stories because people are much more likely to post when they have problems than if everything is hunky-dory. It's because they're usually looking for support or advice. one thing to think about is that regular (PCP) physicians are all pretty familiar with the RNY and sleeve since they're so common, but you might come across some who aren't familiar with the SADI - so if you have issues in the future, you MAY have to see a specialist, but then that might not be a big deal for you. On the plus side, people tend to lose more weight (and maintain their loss more easily) with that one than the sleeve and RNY, so there's that.

[MINI GASTRIC BYPASS THREAD – PLEASE CONSIDER YOUR SURGERY AND EXPERIENCES MAY NOT APPLY TO MINI GASTRIC BYPASS PATIENTS] Hi all BP’ers and lurkers out there; especially hi to everyone who had the mini gastric bypass (AKA the one-anastomosis gastric bypass/single-anastomosis gastric bypass/omega loop gastric bypass) It’s my surgiversary! I can’t believe it’s already been a year. But what a year it has been. Man. I wanted to share a lot of thoughts about my journey – there’s not a ton of MGB patients out there yet, and especially not in the US. I’ll admit I’ve been working on this for a while, because I want to share the good word about the MGB and contribute some of the things I simply cannot find out there. Well, now I know, at least how it’s been the first year for myself. So that’s my small contribution. Below, I’ll post the following posts individually so it’s easy to browse for anyone new: The surgery: what is it, how does it work, what does science say about weight loss and complications with MGB? My journey to weight loss surgery My weight journey for a year after the mini gastric bypass My diet and calories – stages + what does a typical day look like after a year? Exercise – what and when and how much? Alcohol and MGB What I wish they had told me prior to surgery Setting a goal Why I think you should consider the MGB What it’s like being a mini gastric bypass patient on BariatricPal – what I found useful, and why I needed a pause from participating on the forum What now? I hope you’ll find some of this enjoyable.

Not jiving in my mind. I was ALWAYS thin and active. Once I got pregnant with my son, my PCOS really kicked in. I gained almost 100 pounds and only lost 35 after I had him. Nothing I did worked, but back then, doctors didn't know much about PCOS (this was April of 1998). I worked out, ate fairly healthy, did a lot of swimming, and still nothing worked. Because of my PCOS, I then had 10 losses (and gained weight with each pregnancy). I was diagnosed with PCOS in 2005 as well as insulin resistance. I was put on Metformin, which helped me drop down from 322 pounds to 301 pounds. I got pregnant with my daughter and had her in Sept 2006. At that point, I was 355 pounds. I stayed on Metformin, worked out, improved my eating even more than before, and went down to 340 pounds. And never lost another pound. At all. I also was never able to get pregnant again. Through the years, my weight ballooned up to my highest weight of 421 pounds. I ended up getting type 2 diabetes, high cholesterol, high blood pressure, painful joints, mobility issues (needed a cane to get around), and I was wearing size 28/30 (4x/5x), size 10 rings, 22"-24" necklaces, no bracelets (none fit me). I exercised so much for so many years, but the PCOS really did a number on me and stopped me from getting healthy. After a while, you start to feel defeated and give up. Why kill myself dieting, working out, doing everything right to, at best not lose weight, or at worst keep gaining?

Week 3 Post Op Sw: 155kg / 341 lbs Stats to date: - 11.6kg / 25.5 lbs I hit 3 full weeks post op yesterday and met with my surgeon + nutritionist So far so good, nut is happy with the progress i’ve made and have given the ok to move to solid food no restrictions. We looked at my hydration levels, all are good thank god because this particular subject is one of my biggest worries ! She gave me some ideas to up my protein but told me it’s quite normal to not be getting protein in yet and that month 2 is generally when you can build on that. We talked a lot about actually going up in food quantities. She told me that i should be eating 150g meals from month 1-3 then around 200 g from 3-6 months and ending up at 300g meals (standard portion size) from 6-12 months. She explained how to start adding quantity : adding one more spoonful per week. She and my surgeon are both pretty against weighing food they want me to start eyeballing as they both say the goal is to be able to live a normal life and be able to visually know one’s serving. Not sure how i feel about that and the whole upping the quantities thing is scary right now … we’ll see. My surgeon is completely happy and has provided my estimated weightloss curve. He estimates per his calculations a loss of around 60kg in 12 months - fingers crossed. He also gave me the ok to got back to work earlier than he had anticipated - but with a warning that i need to take particular care in having my daily vitamins because work means being more active and more fatigue. He did however not clear me for any physical activity on top of work. I work in an airport so i walk a LOT daily and he doesn’t want me to add more activity on top of my above average daily steps. I’ll be back in his office at month 3 now so early july ! I am officially stalled and have been for around 5 days so far weight wise which is expected and i’ve decided to just put the scale away and check back one week from now. I have survived my first ever restaurant with my boyfriend - and it went great ! I ate very slowly and was able to adapt my portion and my meal (steamed salmon and 1 baby potato) Incidentally we had a little conversation about his exclamations of « is that all you’re having are you sure, are you really sure » and i realised it’s strange for him to be seeing me eating so little and he has this kind of guilt about going all out and eating big portions. It made me feel ssooo good to get back into « normal » life, even at work i packed a snack box of individually portioned snacks (16g cheese slices, 30g watermelon, 30g strawberries and then a lunch of tuna salad and 3 crackers). It was so much easier than i thought to actually get into a real life normal routine - i love it !

Thanks, everyone! Let me ask, how'd you handle the comments of "You're too skinny?" I get that from several people and it's infuriating. They are older and I respect them, so I don't want to give a mean comment. Oh, and the stares and jealous looks. In my mind I tell myself, "if your (talking to them in my head 🤷‍♀️) weight were that big and issue to you, then do something about it. That's all I did." An 126 lb weight loss in less than a year is massive change but the comments and looks...so isolating sometimes. Thankfully, another friend of mine has had the surgery as well, so I can talk through it with her. But what really iced my cake is she doesn't get the same stares and comments from the same group we run in. Unless, I'm reading too much into it. People who didn't know me from before look at me or comment me like a "normal" person. For example, I was at the doctor's office yesterday and we were discussing a dose change for a medication, and he said, "for people of healthy weight, such as yourself... " I just want to video it and play on repeat. Sorry, my passive aggressive fell out 😂

So...I'm struggling with how to answer this because I want to give you helpful information, but I still have questions. I guess I'll jump right in and see how it goes. 1) You started off at a lower weight to begin with, so your body is likely at the point now where it's at it's healthiest. As of right now, you're 5'5" and 136 pounds with a bmi of 22. You're exactly where you should be. If you lose 15 more pounds, you'll weight 121 pounds and have a bmi of 20. On paper, that's still healthy. But my concern is you're becoming addicted to losing the weight and even though you're exactly where you should be (and could even gain 10 pounds and still be where you should to be) you'll panic and possibly go about things in an unhealthy way to drop those pounds. 2) Were there other reasons besides your weight that led you to getting the surgery? Did you have any comorbidities such as high blood pressure, diabetes, cholesterol, etc? You didn't mention that. My fear is, if you only wanted to drop weight and your bmi was 33 to begin with, and now you're wanting to continue to drop even though you're being told you look "stick thin" (and you're in the healthy range now but still want to go lower), that this might have more to do with the number on the scale than getting healthy. 3) Stalls are normal, and happen all the time. The fact that you haven't had one until 4 months out is actually kind of surprising. They do break on their own, but honestly, you may lose little weight going forward (and what you DO lose will likely come off slowly) since you're already well within the healthy and normal range and your body feels it's happy at its new set point. 4) Your body likely thinks it's in starvation mode, based on how you're working out and lifting and what you're eating. The harder the workouts, the more calories you need. Prioritize protein first above all else, then veggies, then carbs and healthy fats. But you definitely need to increase your calorie intake. This isn't necessarily advice for dropping more weight (although that tends to happen when things like this go on) but for healthy purposes. If your body thinks it's starving, it'll hold on to every single calorie and bit of fat. And it'll eat away at muscle before fat just to make sure you survive. So my suggestion is to increase your calories. I don't do heavy lifting, but I DO do weight training, and on those days, I go up to 1400 calories. Core and strength training, I go up to 1300 calories. Cardio I go up to 1200 calories. Non work out days I eat around 1000 calories. 5) You didn't mention what surgery you had, but I'm assuming it's the sleeve. If I may ask, what made you choose having surgery versus doing anything else for weight loss? Have you tried changing your eating habits before, did you try medication, or did you go right to surgery? How have you changed the way you eat, and what you eat, since the surgery? How much fluid are you taking in every day? How much protein and carbs are you taking in each day? Are you taking your vitamins every day? How many days per week are you working out (should give yourself 2 days off ideally, but for sure at least 1).

Hello everyone, I was sleeved on Jan 10th. For the past two weeks I have to have chinese takeout in my fridge. I am a college student so I don’t have access to a stove just a microwave (an air fryer really) and fridge. I am pretty content with how much weight i’ve lost. I’m just mourning the loss of my butt. I know it isn’t ideal to always eat chinese food nearly every day but I guess it works for me. I wanted to know if anyone else can relate to being hyper-fixed to a food. My order is usually chicken and broccoli with light sauce and rice or vegetable/chicken lo mein. That’s all I get but because I can eat such small portions, 1 order can last me about a week and a half.

i had an arm lift (and breast lift, and tummy tuck...all in one shot in Dec 2019). i always disliked my upper arms. when i was thin (and thought i was fat) i was self conscious of what i thought was the size of them and rarely wore sleeveless tops. then when i actually got fat i NEVER wore them. if i had to go to an event the warranted (an arm-baring) dress, i always wore a shawl. fast forward to the weight loss and i was left with some saggy jiggly upper arms. while they looked okay when my arms were at my sides, i really did not like the look of them flapping in the wind when i raised them, lol. and i raise them alot, ha...i'm one of those raise-your-arms-in-the-air-and-wave-them-like-you-just-don't-care kinda gals, lolololzzz. so i had them done about a year post op (6-ish months after i reached goal). LOVE EM. while i did wear sleeveless again after the weight loss, i feel a lot less self-conscious about them after the arm lift. and really, it makes all the difference :).. now i do have very prominent scars on my arms (i scar very badly, and knew this going in), but for some reason the scars dont bother me as much as the flapping did. Go figure. recovery is no joke though, i'll be honest. had i not done too much too soon, i would probably have been good to go by 6 weeks...but i didn't, so my recovery was more like 3+ months. that was over 5 years ago now, and i've been wearing tank tops and other sleeveless tops all year round since, hahaha. it really all boils down to what YOU are comfortable with...i was told by countless of people that i didn't need to/shouldn't get it done. but i got it anyway, because the only person who can say i need it is ME. if you have the means and the desire, the option is yours. Good luck! ❤️ some pics: 1st link: 6 months BEFORE the arm lift 2nd link: Day before VS 3 weeks after arm lift 3rd link: 6 months AFTER the arm lift

Yea. He said it’s definitely a more aggressive option than the bypass for revision with a few more risks but better weight loss for most people. I read somewhere that when you eat the wrong foods that it causes gas pain and bathroom issues which if that’s true I think as much as it would not be fun it may be just what I need to remind me to keep making the right choices. Also If I understood correctly it does more to reduce the hunger hormone which was definitely my biggest issue. From day one with the sleeve I was able to eat more than expected at every given stage. I just chose not to and that was easy while the hunger was gone but when it came back it came roaring back so I lost most of my weight and then gained it all back like a yo yo. In the beginning I was still eating all the right foods but I was starving so I ate more than I should have. I am really hoping that this procedure the hunger hormone remains less intense for good.

Oh, hello, three-week stall. I see you've arrived like clockwork. I'm one of those people who weighs every morning as soon as I wake up. I started doing it the day before my pre-op diet began. I won't do it forever, but I really wanted the record so I could look back and see what patterns my weight loss actually took, because I think it's easy to forget over time. Plus, I like graphs. So, I hit 217 lbs on Tuesday, and have now been that weight for 4 weigh-ins in a row. I think my body must have access to a calendar because it hit the 3-week mark perfectly. I mean, I'm kind of impressed.

I'm only a week post-op so I don't have much experience with this particular conversation -- but I've struggled with weight all my life and have had a few periods of great weight loss. And those conversations were never great, either. Honestly, I feel like the majority of people just want you to reveal "the magic solution" to them -- whether because they want an easy solution themselves, or just want to write you off as having "cheated" for your success. They don't want to hear about the tough, ongoing, lifetime of work you're putting in. Some people -- those who deeply care and connect with you -- that won't be the case. But those people that care, won't get too pushy if you set a boundary. And that's really what I wanted to talk about: setting healthy boundaries. It's nobody's business how you achieved this. Decide how much you're comfortable sharing, and allow yourself to set a clear boundary. There's absolutely nothing wrong with giving a bland "oh, you know, lifestyle changes" as an answer, and if they push further let them know "Honestly, I'm not comfortable talking about it. I'm healthy and happy though." Anyone who tries to push past your boundaries? Deserves the stink eye, and maybe a LOUDER repetition of exactly what you told them. At most. (But most people feel too awkward to push, I think. If they don’t, well, they don't really deserve you to be polite back. Get sassy. Ask them what part of your statement needs clarification. Ask them something extremely probing and personal back. Tell them to look up the definition of 'boundaries,' 'respect,' or 'pushiness.' Ask if they're a Taurus. Hiss at them 'Alien Abduction' and walk away. Most importantly, take care of your own emotional and mental health first -- because nobody else will prioritize it for you. 🤍

stalling is a very normal part of weight loss. Most people lose weight in a "stair step" pattern. The best thing to do is make doubly sure you're following your plan to a "T" and stay off the scale for a few days. Maybe just weigh yourself once a week until it breaks. And as long as you're following your plan, it WILL break. Your body just has to stop and recalibrate once in awhile.

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.

yeah, i dont think your lack of exercise/activity is the issue, you probably get your fair share of that already caring for your kids weight loss is more about reducing food intake vs increases output (though regular exercise is wonderful for overall health and wellbeing). also sleep. regular and restful sleep has a positive co-relation to weight loss. now i realize time for food planning and calorie counting and getting some well deserved sleep may seem hard to come by given the aforementioned kids. do the best that you can. it may take a little longer vs if you had more time and help, but baby steps, as they say. along with a flexible and self-forgiving attitude! forget the chores sometimes and take a nap when the kids are napping. when u prepare the kids food, prepare urs too. preferably in large batches for freezing or storing in individual packets so u have a healthier grab and go item. stock ur pantry with better choice snacks...for both you AND the kids. never too early to start them on a healthier eating path for life. and finally: ask. for. help. we tend to (at least i know i do) try to do everything ourselves...we dont need to. reach out to family, friends, neighbours, community service providers, insurance services (if u have them). good luck! ❤️

This is a hard one because on the one hand, it's fairly easy to advise how to change your diet and lifestyle. Here are some basic things to try: drink at least 64oz water per day remove all processed foods and sweets from your house and diet and replace with fresh fruit and nuts/seeds (this includes artificial sweetener and protein shakes if you're past 3-6 months post-op) make sure you hit your protein goal (probably 80g) with high-quality lean protein every meal, every day (meat, chicken, fish, eggs, cheese, beans) decrease or eliminate your grains/starches and always opt for whole grain when you do have it eat only at mealtimes increase your vegetable consumption increase physical activity (for example, get 10k steps per day) keep a journal that includes both a food journal and an emotions journal, and use this to see if you can find patterns or triggers in your behavior The motivation is a whole other issue. None of these changes are likely to stick if you don't have the motivation and mindset you need to do it. Personally, I found a lot of information and motivation from reading Dr. Matthew Weiner's books, A Pound of Cure, and also the one that explains how weight loss surgery really works. I also get a lot of inspiration from watching YouTube vloggers and podcasts. Here are a few of my favorites: https://www.youtube.com/@LouisesJourneyxo https://www.youtube.com/@apoundofcure https://www.youtube.com/@nicoleislosingit https://www.youtube.com/@kakisrnyjourney5376 https://www.youtube.com/@thistothatlife Finally, if you can, get friends and family involved in supporting you by checking in on your progress, going for walks with you, maybe cooking meals together. And post here for support!

Don't take me wrong, I'll take any weight loss as good. That's what I was trying to convey as long as its going down its a win..am I happy I'm one of the slower losers, no, but its still a loss! Hence the "(sigh) slow or not..its a downward trend. 😀" Thanks Arabesque for the words of encouragement none the less! 😃

From what I know if you look at your BMI range, it is the top figure weight, say in my case, 78 kg. You now take your current weight, which when I started surgery was say 128 kg. Sorry I work in Metric but it works the same in imperial. 128-78 equals 50 kg. That 50 kg is my XS weight, so if mini gastric bypass has a predicted loss of 70 to 85% of the XS weight then it is 70% of 50 kg to 85% of 50 kg. I.e 35 to 59.5 kg is what I am expected to lose with the procedure. When it comes right down to it from what I understand. If like me, you have been obese all your life. Then you will have thicker, heavier bones to support that weight, more skin to wraparound it and a larger heart to pump blood around your body, so that means no matter what the general BMI limit is it is not totally relevant and there has been some suggestions by bariatric surgeons that to aim for a BMI of 30. BMI is intrinsically a flawed concept as it does not take into account, body muscle mass. You will know the example of the brick **** house musclebound New Zealand rugby player with no fat, looking like a crazy obese person on paper because they have a BMI of 45. I am 52 this year, so I think I would be happy with something above the BMI range. Otherwise my skin will waft in the breeze! 🤣

I think I seen in another post that you are having trouble sleeping. Loss of sleep can certainly make you feel like you are losing It. Have you spoken with your team to see if they have any ideas that can help. It’s possible your medications are just not absorbing properly. Maybe Check with them to see if they can safely adjust the dose or try something different alltogether. After you get some sleep you may find that the depression and anxiety subside. If not, it will depend on how problematic it is. Many times Depression can be helped significantly by just getting outside in the fresh air and sunlight (or by using a special lamp Designed for seasonal affective disorder that can be purchased on Amazon). Light exercise can also help if you are cleared for a walk. Even better if you can get a friend to go along with you. Most anxiety can be reduced through meditation. Guided meditations are available on you tube or apps such as the calm app. If formal meditation is not your thing, many hobbies require mindfulness. I suffer from anxiety and I crochet. Focusing on the pattern and counting the stitches takes just the right amount of mental energy to pull my focus and help me relax. Believe it or not since I started crochet I have been able to cut back on my anxiety medication by more than half. Many people also Find adult coloring books to help With stress and anxiety. If Crafts are not your thing, just google anxiety reducing hobbies and you will find things such as puzzles, writing and reading have been proven to reduce Stress and anxiety. If you are still struggling with depression and anxiety that are bothersome i would contact your team. I am not certain but they may be able to prescribe something for you to take temporarily to help you to feel more like yourself. If not hopefully they will have some more ideas because you are definitely not the first one to go though this.