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I’ve managed to move the scale about 3lbs this week. Not much but since it wasn’t moving at all I’ll take it. I am down several Jean sizes though and the other day I put a shirt on that looked ridiculous it was so big. My hair has started shedding pretty bad so I’m really watching my protein intake and not missing any vitamins. Hoping it slows down soon before it becomes noticeable. It’s usually pretty thick so I have a little to spare. I think maybe I’ve managed to get rid of a chin or two also lol. Here’s a current picture I don’t have many from right before surgery but the one where I look like I might pop is at my granddaughters birthday present last July courtesy of my daughter 🤦‍♀️🤦‍♀️🤦‍♀️

I think all traces of pot pretty much leaves your body within about two weeks - I don't think it's necessary to detox for that to happen. I'd eat the protein - your body needs it - esp after bariatric surgery. EDITED to add this. Just found it on WebMd: If you’re a chronic user, more THC will build up and remain in your body. That’s because your body can only break down THC at a specific rate. Your body stores the excess THC in your fat cells. More frequent marijuana use means a longer time for THC to leave your system. Here are the average detoxification times: One-time use: one to three days Moderate use (three times a week): five to seven days Daily use: seven to 14 days Heavy use: 14 to 90 days

I workout 4 times a week, due still to still being early out (not 6 months out yet) I try to workout every other day otherwise I get too sore and my muscles don't recover because I don't get in enough protein and calories no matter how hard I try. I don't feel guilt per se but I feel restlessness like I should be working out instead of resting. I also feel sluggish on those days and my mental health gets impacted (I'm addicted to endorphins and dopamine, and to me exercise is therapy). With a history of being athletic my entire adulthood and working out consistently for decades, I don't feel good on the days I don't workout but I also remind myself of how I would feel the next day if I don't sit my behind down and give my muscles time to recover. So long story short you're not alone!

I had a really bad week last week nutritionally. I gained back about half the weight I lost in the last two weeks. I just didn't stick to the milk diet I'm supposed to be on. My surgery date is 7th of October and the bariatric doctor gave a diet he thought would be easy to follow so I can quickly lose weight before surgery. So protein shakes and chicken or beef broth and this is what I'm supposed to have for 12 weeks. Last week, I was sick, I was on my period and a little depressed so I went for comfort food. Starting to panic about trying to hit the weight target the doctor set for me, I thought I would try going to the gym. I've not been to a gym in years and I have memories of PE class and school bullies screaming back to me. But I went in. The staff member was great about showing me around, all the bulky gym buff types that I thought would be bullies because of every high school movie I ever saw didn't even look at me. I think I just assumed that being a fat person I would laughed at judged, but I was no different than anyone else. I was just there to work out just like they were. I was pleasantly surprised by the experience. Some of the equipment is intimidating and I have no idea what it does, but starting slowly, I think going in at least twice a week for now is a good starting point.

If it helps, I was told by my dietician (and have heard/read in multiple other sources) that the liquid/solid rule doesn't kick in until you progress beyond full liquids. If you are struggling to get in water and protein, I know they say to focus on water first. Your body has more stores of protein than water. But also, consider getting a protein water, which you can generally count for both. As for the difficulty with mood right now, it's to be expected. It's a hard adjustment, and would be even if your meds weren't causing more issues. It's okay to know you made the right choice for yourself rationally, but to question it emotionally at the same time.

We eat out a lot since my partner works a very time intense job, we have no kids, and I'm still recovering from some serious health issues that cause a ton of fatigue. I generally aim for the same things at a restaurant that I would cook at home--healthy proteins, lighter sauces/marinades, sides that are low carb veggies instead of starches, and I always tell the waiters no chips/no bread, because if it isn't even brought to the table, we can't eat it! Hahaha! I've found that a lot of places will work with you to modify what you are ordering if you let them know you have special dietary needs. At my favorite breakfast place they make me a modified kids plate (one egg, one sausage, and fresh fruit) when I don't feel like having leftovers from a full size omelet. At my favorite pho place they replace the noodles with veggies. At Mexican places I tend to order fajitas with no tortillas, beans, or rice (my stomach does not play nice with beans or I would eat those!), or if I don't want leftovers, a side salad and steal some of my partner's protein. Steakhouses are VERY easy as long as you tell them to keep the bread. Two veggie sides and a lean steak usually means several meals at home later! Our local taco place will make you any taco in a lettuce leaf, or in a bowl instead of a tortilla. Thai places almost always will hold the rice and give me extra veggies if I ask when I order a curry. Sashimi is an easy alternative to sushi that avoids rice and I just ask for a side of avocado so I can still have the tuna and avocado combination I love so much! Smoked chicken or pork from the bbq places is great for several meals and they always have green beans or collard greens. And there's a Peruvian chicken place close by whose chicken I like much better than the supermarket and they make salads with fresh vinaigrettes instead of cream dressings. If we are traveling we tend to eat at some sort of chain restaurant that has their nutritional info online so I can hit my macros without worrying too much. The best advice I can give for eating out is to try and get ahold of the menu ahead of time so you can find a few options without feeling rushed in the moment when the waitress wants your order. And ask for a to-go container when they bring your food so you can put away all but the portion you would usually eat. Dieters tend to do this anyway, but our dietician suggested it to a woman who goes out to eat daily for business meetings so she wouldn't feel self-conscious about having so much food left on her plate in front of clients. When you put away your food before you start eating, people tend to forget you did and you can still stash away any last bits if you don't want to leave them behind after you eat. ❤️

It was a mix of everything for me - holiday last year where I could barely move due to ridiculous pains in my knees that wouldn’t stop. I thought it was a Rheumatoid Arthritis flare initially but nope, just Osteoarthritis because I’m fat. I was so miserable. The holiday was ruined and hubby was really worried. Had physio and steroid injections when we got back home but nothing worked. I was 55 but felt 85. It felt like I had nothing to look forward to, life seemed very small as I didn’t leave the house. Pain is constant, nothing touches it, sleep is continually disturbed and I just felt unhappy generally. I wasn’t depressed but it was a very fine line I was walking, and I knew it wouldn’t take much to tip me over into depression. I’ve always been able to see the positives in pretty much any situation but I couldn’t this time. Hubby has his own mobility problems due to nerve damage in his lower back from an op that went wrong, and all that kept going through my head was how were we going to manage with everything? I was the one who had kept everything ticking over but I couldn’t do it anymore. I hated my body, never let hubby see me naked, couldn’t play with my granddaughter, clothes were chosen just because they fit not because I actually liked them etc etc. I spoke to a female GP about HRT as I had just started it but had to change how I took it because of my weight. I was having a major panic because HRT was the only thing stopping me from acting like a crazed homicidal manic! My GP was fantastic, I actually felt listened to for the first time. It was then that I asked about what I could so about my weight as I’d had enough and nothing was working. Every time I dieted, I put it all back plus more. I’d had Orlistat that didn’t work and had looked at the jabs but couldn’t afford £250 a month. My GP didn’t hesitate and talked me through my options, saying she would support me. She referred me that week and, after a bit of hoop-jumping, I’m now on the WLS pathway. I already feel better about things and I’m excited for the future 😊

I am 9 days post op . this morning I poured myself 4 ounces of a premier protein shake out of the refrigerator. I sipped it I didn’t think very quickly. I literally took one sip, had a pain in my stomach and I immediately needed to use the bathroom. I noticed since the last day or so, this has been happening, Whether or not my food is cold or room temp. I’m also experiencing at that same time stomach cramps. Is this dumping syndrome? I don’t think I did anything out of the ordinary I’m not having any added sugar that wasn’t already in the protein shake. Has anybody else experienced this, or has any idea?

@BlueParis My skin has been so dry! I've been using more lotion than usual and my hands still feel like sandpaper. Maybe because I barely eat any fat right now? I'm not convinced the advice for non-fat milk and yogurt makes sense right now because I basically get no fat when all I'm having is protein powder and dairy.

I totally understand this. It's not a bad thing AT ALL to step away from the scales if they aren't helping you. Honestly - if you stick to your plan you will lose more weight than you have already - much more. The issue is that the loss is never linear. If you get stressed by stalls and regains then maybe weigh yourself once a month and celebrate your losses then. I was and am a daily weigher but I could tolerate the highs and lows associated with that. Yes - the food volumes we can tolerate increase in the months and years after surgery. If you focus on a diet of protein and veggies you're not likely to go too far wrong.

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!

Here’s my story. On 4/25/22 I weighed 281.8. A few months later at a Dr appointment for reflux the topic of having endoscopic gastroplasty was mentioned and eventually the surgery was scheduled for September 2022. I reported for the surgery and was going thru the pre-op process when our son called to let us know that he tested positive for COVID. The doctor advised us to reschedule. The next opening was a couple of months off, so it was rescheduled. I reported for the rescheduled surgery but after at check-in we were greeted with the news that the ventilation system for the operating room was down and we would have to reschedule again. This pushed us into 2023 and required navigating a new health insurance provider. Finally On 1/24/2023 I had my surgery and by 5/1/2023 my weight had dropped to 224 then “stabilizing” at around 235. 2023 had lots of ups and downs: - 4/25/2022 – weight 281.8 – bmi 38.2 - 1/23/2023 my last coke have gone over 1 year without a coke. Was typically drinking 1 – 2 20 oz bottles per day of regular coke. - 1/24/2023 - surgery. - 3/31/23 got laid off from work. - 4/6/2023 – robotic hernia surgery - 4/26/2023 – kidney stones - 5/1/2023 – weight 224 – bmi 30.3 - 7/11/2023 – procedure to evaluate hiatal herniaI - 1/18/2024 - COVID. - 1/25/2024 - big disagreement with boss and resigned. - 1/29/2024 - received ontingent job offer but significant pay cut. Job won't start for a month so I have time to think abiut job or seek other opportunities. - 1/30/2024 - weight 234.4 – bmi 31.7 Things to work on: - Eat better and exercise long term. I’ll do ok eating and exercising for a week or two and then I start stress eating, not feeling like walking. - Eating – there are times when I don’t feel hungry but want something to eat. - Regularity – I’ve always been irregular and at times have IBS with uncontrollable BM and then other times go days ( 3 – 4 days) between BM. - I have a goal of going on a couple of long bike rides 10 -15 miles but need to start getting in shape for them. - Decide to retire or find new job. - I rarely feel full. I think that I’m eating less but feel hungry or feel like eating even if I’m not hungry. Looking for advice on healthy things to eat between meals and limiting appetite here is a list of things that I like to eat . - - I like Kind Dark Chocolate Cherry Cashew bars (170 cal, 22 g carbs and 6 g protein) - addicting - Inspire Square Protein Wafers by Bariatric Eating (200 cal, 13 g Carbs 15 g protein) - addicting - BariatricPal Protein Shake or Pudding – Chocolate (6 gm carbs 15 gm protein) - Lunches - Dole Sunflower Salad Kit - 350 calaries (40 gm carbs and 9 gm protein)

It's not that you need hard truth, you just need to face some truths for yourself. There's nothing we can tell you that you don't already know. You know what the bariatric diet is. You know what to eat and what not to. You know how much to eat, how often, and when to stop. You need to get back to basics. Maybe start the bariatric diet over. Do a week on each step of the diet to retrain your stomach and brain on what to do and not do. There's no "pouch shrinking diet" but there's a "retrain yourself how to eat properly again" diet, and it's essentially to start back over with the basics and go from there. Reach back out to the nutritionist from your surgeon's office if you need help or new meal ideas. Go back to using calorie/carb/protein/fat counting apps. Measure out your food again. Log your meals and meal plan. Make sure you're moving your body at least a little every day. Cut out sugar and salt as much as you can. Do all the things you did when you lost the 70 pounds. Do the things you already know to do. There's not really any new tips and tricks. It's lifestyle changes you need to make and stick with. If you didn't do it before, do it now.

I had bypass surgery April 4. I've been getting my recommended water and was put on a clear diet when I was discharged from the hospital. This means I can be drinking clear protein shakes, broth, etc. I haven't eaten anything or drank anything containing calories since leaving the hospital. I'm afraid to eat. Not because I think I'll get sick but because I went through with this surgery to lose weight and I'm afraid any food will prevent weight loss. I didn't have this feeling before surgery. Is this normal?

You want to do whatever possible now before regain happens. Go back to the basics. Make sure you are eating high protein, low carb! Use a calorie counter for a few days and see what you are generally taking in. I had a bypass in August of 2002. I ended up at one point due to mental health struggles going back to eating badly and regained about 100lbs, not all I had lost but most. One day I had just had it and changed my diet and did walking daily until I could power walk and complete 5k at a time which was huge for me. I haven't medically been able to work or go on walks this summer and I miss it. It helps my mental wellbeing to be out in nature with my favorite tunes. Setting small goals helps me the best. Then I feel good when I can meet them and am encouraged to make a new one. Virtual 5k programs really motivate me. Find what motivates you! I'm sorry you are struggling with bad depression. I've been there until I did a genetic test and found only 1 antidepressants works for me after decades of trying new ones, some obscure one was the winner. I feel so much better and way less SI. I don't know if this is allowed but you are welcome to add me somewhere if you would be interested. My heart goes out to you. I'm very non judgemental and open minded! I hope you have the best day you can! -pawsalmighty

Currently 10 weeks post op Vsg . Haven’t been able to reach my protein goals (can’t tolerate many foods) & just started reaching my water goals. Not sure if this has contributed to my stall but any advice or recommendations on how to break a stall ?

If you love soups here is a recipe I found that I have made twice now recently and really like; https://www.bbcgoodfood.com/recipes/spiced-carrot-lentil-soup I made it in the slow cooker and added 2/3 of the carrots for the whole process so they were soft and then added the other 1/3 in for the last hour or so to have a bit of bite to the soup even after blending down. I did peel and chop the carrots, did not leave the peel on. Also I did not use the oil or yogurt and went with more than a pinch of chili as it gives it a really nice kick. I got 9 to 10 servings out of the recipe instead of the indicated 4 so the nutritional values according to MyFitnessPal are; If I need to up my protein intake for the day I add some protein powder to the soup.

I put heavy cream in - old keto diet habit and I don't eat enough fats as it is, then I add my protein powder and my digestive resistant maltodextrin. That's it! If I want more flavor, I use my "chocolate flavored" nespresso blend coffee..not any chocolate added its just the flavor of these particular beans and I froth my heavy cream. Also, make sure your coffee is truly decaf, most have some. Look for those that are water processed they contain the least amount of caffeine grams!

Since posting this I have been searching for recipe ideas online as well. A lot if the low carb seem to be much higher In fat. I guess we have to sift through to those that focus on protein. There is a website called Delish that has a lot of pictures that are making my mouth water but it’s a paid site and doesn’t even let you see the macros without paying. Assuming they even post the macros.

I tried cutting my pill into small pieces rather than crushing them into powder, and I was finally able to get them down. Yesterday I was able to get down a little over 40 oz, thank goodness. I know they were super ready to send me to the hydration clinic if I wasn't able to get my water intake up. Today has been much smoother with water and a protein shake down so far.

Hello friends, Update: Surgery went very well. Doctor was very pleased with it and post-op, Tomorrow is one week and I am feeling pretty good so far. Following the protein and water intake recommendations. (Using a medicine cup to remember to sip and not gulp -- that's helping a lot to establish this new habit.) So far this recovery has been easier than my hernia surgery and my VGS some years ago! I hope everyone is having a good experience as we embark our on this new path together! Best wishes, Elizabeth

Wow. It’s amazing that your work has healthy options. I can see where it’s kinda hard to measure things at work though. Just a thought if you are measuring by volume. Amazon sells containers that I find handy when I’m eating healthy to pack my snacks that you may be able to use now to measure your lunch. Mine are made by easy lunch boxes and these have four square sections (they sell one that’s bigger also but I usually tend to grab the one with 4) basically they make homemade lunchables. I just measured witb water and each section holds 1/2 cup if you fill it to the line (not overflowing). So half way would be 1/4 cup Maybe you can use or transfer your lunch to a container like this and that way you will have a better idea of how much you are eating?? It’s kinda Like having four measuring cups without having to use an actual measuring cup or a bunch of containers. Plus, you will likely love them later if you need to pack healthy snacks anyways. The ones I got are $11.99 for four and they come in handy to pack smaller portions of fruit, cheese, veggies, lunch meat, jerky, nuts, etc for snacks on the run.

I'm glad you are feeling better!! Learning to eat slow is definitely a challenge. I still catch myself sometimes. I get food bored too so I try to eat a variety of things. I don't usually weigh out my food, but I do portion it out/estimate the portion and log it to make sure my macros are on target. It is crucial for DS patients to get enough protein in and if you aren't tracking it you might not be getting enough. It'll eventually show in your labs, but once your protein level drops in labs it is a huge pain to get back up. So it is best to just track it... You don't have to be as exact as weighing, but a good estimation is worthwhile and will also teach you how to understand what correct bariatric portions are for you. My surgeon likes his patients to stay in ketosis for a while so I aim for 120 grams of protein, less than 50 total carbs (usually less than 40 total carbs for me to be safe), and I aim for about 100 grams of fat for good brain health. I don't eat at specific times. That's too much planning. LOL I drink a protein shake as soon as I wake up, then eat a meal about an hour later, and eat every 3 hours after that until I go to bed! I usually end up eating about 5 times a day. I ascribe to the "eat less more often" method and so does my surgeon. I discovered soon after surgery that I need to eat within 3 hours, anything past that and I start to feel exhausted and have no energy and get moody. I feel my best if I eat within 3 hours of my last meal throughout the day... Sometimes eating is a protein snack like a bag of protein chips and a few pickles. Sometimes eating is more meal-like like keto chicken tenders with steamed asparagus. But I always eat by that mark or I pay for it. I also pay for it if I don't get enough fluids in a day, so I watch that. Monitoring your food and water can feel triggering for some people due to past diet attempts. But it is important to reframe it as a caretaking behavior as much as possible, especially for DS patients because our dietary needs are so important to be on target with.

Thank you for replying -pawsalmighty . Hugs to you. I certainly do want to stop the rot before it takes me back to where I was. I cannot afford to go back. Life is so much harder to live when you feel trapped inside your own body. Even the basics like taking a shower or walking around to do the grocery shop was confronting every single day. Even now, here it is winter. I have never experienced such cold. I need to wear gloves over my hands but I would rather this than sweating on a mild day plas all the other garbage that comes with it. I have stopped focusing of protein and switched to chocolate but I need to do better. I like the fact that I have more strength where before I could only walk part three houses and I was done. My weight has been a life long issue. Richard Simmons passed away recently. I remember working out to his album in the 80's. I played the songs and my body remembered the exercises. I am not new to this game but the struggle continues. I suppose that is a little aside. What do you mean about genetic testing? How does this help to find the right anti depressant? Sounds so much better that the p'doc trying the hit and miss method with medications. Have many people found it to be helpful? I really do need to find a new way to set small goals. Not sure what they are yet. But I am going to see my doctor tomorrow. Hmmmm, Wish me luck.

Yes, the ulcers were definitely the culprits. I had an EGD (upper scope) to confirm it. I was slowly bleeding out. The weekly IV-iron infusions haven't shown any rapid results. I've been told that this is a slow process and could take weeks, if not months, before my labs are in ideal ranges. My hemoglobin is no longer in the fives. It is only in the eights, but that's progress. I am still dragging. No energy. I am a food pantry volunteer. I also provide transportation to at least three families who don't have a car. A homeless man named Gordon relies on me to help him with enough water and protein-rich canned food for the week. My husband keeps telling me that I can't help anyone unless I help myself (heal) first. It's hard for me to do that. It was during one of these pantry trips that I passed out in the parking lot (while in the lineup car queue for assistance). I hadn't been diagnosed at that point, so it was quite scary. Fortunately, one of the families I pick up for was with me. Who knows what would have happened had I been alone... I have other conditions that helped to mask the problem. For one, I have Hashimoto's, a common thyroid disorder. I was used to being fatigued from that. I am also a chronic pain patient and take heavy doses of morphine, so I am used to being in pain (and anemia hurts.) My daughter is a PharmD and two of my three sons are M.D.s so I have plenty of support and knowledge in my corner. My primary doctor is also my youngest son's medical school classmate. She is like a daughter to me... Which just goes to show that a person can have all these medical types in your life... and STILL succumb to something like this.