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You are 4 lbs away from your goal weight so you are doing great for my two cents how are you feeling with all of that exercise- do you feel great? do you have the time? - if you feel like it is too much or are exhausted, my trainer says focus on training heavy for fewer reps but that is just his two cents really

Yes the doctor wants me to lose 10% of my weight before the surgery. Being on the national health service, I guess they want to take extra precautions to make the surgery approved by their boards and directors. 12 weeks seems a really long time, but I've had weight problems for over 30 years so in the grand scheme of things, it's no time at all. Thanks for the suggestion about ways to celebrate my birthday! I've made plans to get my nails done with a friend so that will be great!

8 weeks PO today and 14 kg down- 56 more to go- I made myself one of those goal thermometers so I can colour it in week by week- I also have a weight tracking app- but there is something nice about colouring in the thermometer.

Congratulations on your surgery date. That’s a pretty long liquid diet but I guess it’s because you have a specific amount of weight they need you to lose. It will be well worth it because it will make your surgery that much safe plus be that much less you have to lose afterwards. I can’t suggest much for the wedding but When I did my sleeve I celebrated my birthday early because of the pre op diet. I guess you missed that window but you can celebrate late (a half birthday this year perhaps). But honestly one thing you will learn from this surgery is that we tend to celebrate things with food but there are many other ways to celebrate. You can take a weekend trip somewhere you’ve been wanting to go, spend a day at the spa or buy yourself something you have really been eyeballing. And you can have people around who will inevitably need to eat something but not have the day centered around food. Or you can schedule something between lunch and dinner and ask people to not bring food. It’s your day so you get to celebrate it how you want.

I had the same feeling at first. But the important thing is that you personally are going in the right direction. Slow or fast doesn’t matter. (Although i would love the weight to ‘go’ faster). Im at 9weeks and every week shows a tiny bit of progress.

Hi! I got approved for the surgery in May of 2024. Doctor first told me that I would most likely have to wait until 2025 because of how the long the hospital waiting list is. Suddenly, I got called last week saying they were able to do it in October of 2024. So this is the first day of a 12 week liquid diet to lose 10% of my body weight before the surgery. My birthday is coming up and I have wedding that I'm going to next week! I'm happy that this is happening this year, but I also feel bummed because I feel like this is bad timing. I'm really happy that this journey is starting. I've always been overweight and so was my mother. We were the only one's in the family who were. We moved to the UK when I was 14 and my stepfather was also overweight and he passed away in 2022 due to pneumonia and other weight related complications. My mother had gastric bypass in 2008 and due to surgical complication, they couldn't fix a bowel perforation and she passed in 2023. She and my stepdad were the only people in my life who were really supportive of anything I did. I fell a little bit alone going through this now, but I'm feeling optimistic at the same time. Just looking for other people to share my story with.

You have to start walking right away, before you even leave the hospital. For the first 3 weeks, the walking is plenty. It's about increasing the amount you can walk. Around week 4, I started doing the treadmill on a lower incline (not completely flat but a lower incline) and a normal walking speed. I also started doing arm workouts (without weights). I started doing mild step ups, and increased walking even more. At 6 weeks, I started increasing the incline on the treadmill, added low weights to my arm work outs, and added the exercise bike. At week 10, I increased the weights and started doing more strenuous workouts and small hikes. At 12 weeks, I started core work and increased the workouts more. i also do beginner pilates, but I only just started that.

I almost never post here because I hate the format on this website and prefer fb but wanted to try to inspire more people. The first photo is how big I was the night before the surgery. The other 3 were taken within the last week. I had the duodenal switch December 30, 2021 at the age of 24. My weight immediately going into the procedure was about 301. (My highest weight of all time, I believe was 320) I now hover between 157-160 and basically eat whatever I want. I'm fairly active and also malabsorb a ton (common channel length is 85 cm) Depending on the day, I eat somewhere between 3500-4000 calories a day. My weight doesn't budge. Still, life sucks in other ways. I struggle with serious depression that has crippled me. Mental health is always a work in progress. Any questions feel free to ask.

I hear you! I feel like the social side-effects of my surgery have really taught me to tell the difference between truly supportive friends & family, and those who claim to care but seem to be more concerned about how my weight loss (& lifestyle) will affect their life. There are some I don't talk to about dieting/health of any kind anymore, and others I just don't talk to period.

Thank you! I actually scaled back a little lol and dropped the 4lb gain lol odd! I love working out, its just something that is fun, I have 3 kids, work full time, finishing my bachelors so the gym is my one hour of putting music in my ears and its just me, so I have fallen in love with it. I am thinking that I need to scale a little more though. this advice is great!

Another tip I would give you is the harder the workout regimen is to sustain the higher the chance that cutting back in the future would cause weight gain. Also, rely on your workouts to build and maintain muscle, enhance body composition and to get stronger (also to improve the way you look). Rely on a good diet to maintain a lower body fat percentage and manage your weight, abs are made in the kitchen!

I would suggest that. I have been athletic my entire adulthood with a really good muscle tone and maintained a really healthy weight for decades until a very bad ankle sports injury that caused my weight to balloon up. At one point I was exercising 6 days a week for 2 hours, that's when my weight suddenly went up 4 kilos out of the blue and I didn't know why. A few months later I was forced to cut back to 4 days a week (1 hour each) and my weight dropped on its own. What I found out is that 4 days of 1 hour workouts suited me much better than 6 days of endless time at the gym. Now that I am below goal weight I follow the same, 4 days of workouts (2 Pilates sessions and 2 heavy weight lifting days with cardio). My body is comfortable and the weight is melting off. I workout hard, but I rest hard as well. During the first few months I lost a lot of weight rapidly and I was weak and frail, so I stopped any sorts of weight lifting. The first week I started weight lifting again I was so incredibly sore and guess what, I hit my first ever stall since surgery, not only that but my weight even went up that week and took me a good 2 weeks to break through the stall. Muscle fatigue causes inflammation that causes water retention within the muscles. Rest days are just as important as workout days. I am not saying that this will 100% work for you but might be worth giving a try. Good luck!

Hey Everyone, Has anyone here tried Contrave after RNY. im 3 years post op. Slowly starting to gain. I’ve never had a reduction in cravings (which is my main Huge issue now) Or dumping after eating sugar or anything. dr suggested GLP-1 but it made me way to nauseous.

I had the sleeve 3.5 years ago and I remember testing the waters pretty early out too. Not saying that it was that which caused me to go off course and gain it back but it’s definitely a slippery slope for some of us. Just be careful ❤️ .

Now that I'm 2 years out from my sleeve and 1 year out from my revision to bypass, I can tell you that I eat around 1200 calories per day when I'm not working out and 1400 - 1500 per day when I'm working out (depending on the type of work out I'm doing). I'm on my feet all day at work, so I increased my daily calories from what they were before. Same with my work outs. I can't work out as often now, so I go harder than I used to on the days I can actually work out (now that I have full medical clearance with no restrictions). I noticed pretty early on that if I didn't eat enough calories during the day, but was still working out, my body thought it was starving and it would hold on to every single thing. As hard as it was to wrap my brain around, I took the advice I saw on here and increased my calories on work out days by a couple of hundred each day and I actually started losing again!!! I was floored!!! So as I increased intensity of my work outs, or increased the weight I was lifting, I increased my calories a bit. I didn't go crazy, but enough to let my body know it's still healthy and not starving. BUT....I had to initially give myself grace and time to be able to increase calories. Work outs or not, I had to do it on my body's timeline, not a doctor or nutritionist's. No way could I have been at 900 or 1000 calories at 2 or 3 or 4 or 5 months. There just was no way. And honestly, mine didn't expect that. They didn't want to see us above 700 calories before 5 months post op. I had JUST hit 900 calories at 7 months post op. I'm actually thinking about increasing my calories a little again, because I'm still losing, and I'm nearly 10 pounds under my goal weight, and I really would like to start maintaining lol If I drop to 179, I will definitely increase my calories by 100 everyday and see what happens.

Honestly, that's why it's not good to weigh yourself every day. Things like how much you ate and drank, how much salt you had, if you pooped or not can all affect your weight. As hard as it is, weighing yourself once (or if you must, twice) per week, in the morning after you go to the bathroom, before you eat or drink is the best way to see what you true weight is. Weight also fluctuates by a couple of pounds naturally, so if you weigh yourself daily, you'll get discouraged and frustrated and start to think, 5 weeks out, that you've plateaued. Be mindful of slider foods. That's stuff that you can eat more of because it goes down super easy and takes longer to make you feel full. Potatoes are known for this. As I said before, the first 6 months is when you lose the most the fastest. Eating things that slow down that process during that time is counter-productive. This is where you really want to stick to the diet as closely as possible to get the most out of the weight loss. Also move your body. Add in working out, walking, swimming, anything that increases movement over and above what you normally do. Not only does that help, but when you drop weight fast, you can lose muscle. So you want to start working on that.

I only got to about 600 calories at 6 months. Took me another year to get to 1300. Yes some programs, encourage people to consume around 1000 calories at about the 3 month mark. But you can only eat what you can physically eat. I even had that conversation with my surgeon at the 8 month mark when I had pushed up to about 900. He understood my position and was happy I was working at increasing my calories even though it was a slow process. I eat about 1500 calories now which according to those BMR calculators is about what I would need to consume for my age, height, activity level & to maintain my weight. It’s plenty of food. I don’t feel hungry. Some will say you need to get your calories up or your body will go into starvation mode & you’ll stop losing. Didn’t affect me like that. Didn’t slow my losing more than what is expected to happen. Didn’t stop me reaching my goal or exceeding it. But we are all different so your experience and needs may be totally different. If they do say increase your calories, don’t tie yourself up in knots about it. Just slowly increase your intake as you’re able. It naturally increases as you progress anyway. Those recommendations are based on averages too. Remember the recommended calorie intake for a woman is 2000 calories. I’d be as large as I was if I ate that much. lol!

Looking great, and I hope you enjoyed the beach! Last summer, I took my kids to an indoor water park at just around my highest ever weight. I had to buy a new suit because nothing I had fit anymore, and looking back at the pictures, oh my goodness. I even looked uncomfortable. We went again a few weeks ago, and I was 4 months post-op. Let's just say that thankfully, the suit from last year went straight to the giveaway bag, and I had to order a new one because even my "skinny" suit from a few years before was a bit roomy. I ordered two new ones and ended up with one that is perfect and one that was a bit tight, but I'm hoping it will fit me well in a few more months. Such a great feeling, and going on the water slides was so much more fun this time than 60 lbs ago, for sure.

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

August 7th isn't too far away! You're close to the preop diet. I started mine a few days ago and it's testing me, but I knew it would. If I were a smaller person, I don't think it would be such an issue. If I weren't having appetite issues even before the diet, things would be easier, too. What's helped has been sipping on broth or slurping on sugar free Jell-O all day. I go slow with those so it feels like I'm eating/taking in more than I am. I'm only nervous about one thing: the gas pains immediately after surgery. I've never had surgery before, so I am not sure what to expect. I want to have a realistic expectation of pain before experiencing it. I know I will handle it better that way. Luckily, I have a few family members who have had laparoscopic procedures before and we willing to be honest about the experience. I've been avoiding stories online of others' experiences of that moment, because we all have different pain thresholds and it's too easy to go down the rabbit hole of scary stories. Especially with AI/algorithms thinking we want to see the worst of the worst. I want to share why I made my decision to have the SADI-S vs a sleeve or bypass. While I cannot speak to what things will be like after surgery, I am confident I'm making the correct decision for myself. I'm in my 30s with no kids, but would like some. I have been struggling with my weight ballooning up and down for the last 20 years. At my heaviest, I was over 320 pounds. I hit that as I made the decision for surgery. I didn't know what surgery I wanted, so I started doing research into the best bariatric surgeons in my state. I read through their websites and looked at reviews for the surgeons through my insurance provider, google, yelp, and other such websites. Then I asked a few friends in the medical field which doctors they would want doing surgery on them. All of that narrowed my list down significantly. I ultimately went on gut instinct and don't regret it at all. My surgeon is amazing. Her teams is extremely supportive. Here's some information she gave me on my options: -- Gastric Bypass: She does not recommend the procedure to any patient. It has more points for potential surgery complications and, in her medical opinion, the highest chance for weight regain. -- Sleeve: potential to lose 70% of excess weight. Less than 1% chance for complications. -- SIPS/SADI-S: potential to lose 80% of excess weight. Less than 1% chance of surgical complications. I want to have children, and she advised that the SIPS/SADI-S (there really needs to be a better name for this) is the best choice to allow me to get pregnant a year or so post-op (depending on how I'm doing) and reenter weight loss when appropriate post-birth. I will have to work very closely with my weight loss team throughout the entire pregnancy, but it really feels like a bonus to have more support. My surgeon's office also recommends patients to very talented specialists for all surgery clearances. They all treated me like they were part of a huge team dedicated to helping me get through surgery clearance. It was amazing. I was given a packet with all the possible issues I might encounter post-op, what can be done if they happen, and how to avoid them in the first place. When I read through it spelled out in black and white, it's easy to see what my life would need to be to avoid a horrible experience. The most embarrassing ones are noted as being most common with gastric bypass than sleeve or DS. Most of these complications can be avoided by chewing well, not drinking during meals, and not overeating. One of my doctors said I am going back to being a baby again, digestively. I will need to reteach my body how to process what I eat and not be afraid to push back milestones if I'm not ready to start the next leg of the journey. I'm definitely anxious. The unknown is always scary. I'm confident at the same time because of the team I'm working with. And because of the support I have at home. I know I'm extremely lucky to have the surgeon and support I do. It's definitely a burden to afford this surgery right now, but I don't believe I will feel that way in 5 or 10 years.

stalls will happen no matter what. You can't avoid or prevent them. Now if you start to gain weight back, then re-evaluate what you're eating, how much, and how often. personally, I stay away from potatoes (especially in the beginning), grits, pasta, rice, breads, etc... The first 6 months is when you lose the most the fastest. Eating things that slow down that process during that time is counter-productive. At least to me. I would wait until you're MUCH further out before you start eating those kinds of foods.

OK - opinion from the other side of the track. I have had reflux for 20+ years and was always tied to a PPI. When I lost a lot of weight it always receded. When I regained it recurred. I took the chance and had a sleeve procedure. I wanted to maintain my anatomy as far as possible. I took a gamble that my reflux would not worsen and I won. The sleeve does work out for some people. Also it doesn't work out for others. I really hope you can weigh up all the experiences we have to share here and find the right path for you.

I get comments and I haven’t even had the surgery yet. My surgery is on 7/25 and when i talk about my goal weight, I get the whole that’s too much weight loss, you won’t look good. How are you going to tell me that a healthy size I once was before I started having weight gain issues will make me look unhealthy. I learned not to talk about it with certain people because they really aren’t supportive. Some people don’t want to see you change for the better because then you are leaving them behind.

Yea. I checked and I don’t have any coverage for them either so to get the real deal I would be looking at a considerable amount out of pocket like you. I didn’t mind the suggestion though, some insurance companies are actually covering them for weight loss now and when they do they are much more affordable. I have a friend who just got on Wegovy for weight loss and her copay is only $25 a month!!! If I had that coverage I would for sure be asking more questions. A lot of companies are also making compounded ones that are like $2-300 but it’s not really clear if they are as effective and/or safe quite yet. . My primary provider said they were working on getting the compounded ones in their office so I assume those would be safe but still I question the effectiveness and they are only beginning to work on it now so who knows when it will actually happen. My primary said if it was her she wouldn’t wait for that option to become affordable since my numbers are creeping up. Anyways, your surgery is getting really close. Are you excited? Nervous? I am already a little of both. Mine is Aug 7. I keep on questioning if I am crazy to go with the newest option just because there isn’t as much help out there for me post op. At least I haven’t found it yet. I already spoke with two nutritionists and both of them claimed to know beforehand about the procedure then both of them pushed the same information on me as they would for a bypass. Total waste of money. I have an appt soon with the NP at my office, though. I’m hoping to get some answers about the regular diet and the supplements that are specific to the SADI. Have you started your pre op diet yet??

For those recommending medication over surgery: I am having the SADI surgery on July 25th. I considered medications initially, however, most of them aren't covered by insurance; and if they are, the insurance approval process usually requires a diabetes diagnosis. While I have a BMI in the 50s, my A1C is extremely health, which means I would pay out-of-pocket. The medications are intended as life-long commitments. Stopping them can have serious impacts including weight regain. Out-of-pocket for the cheapest meds I encountered was $900 a month. Out-of-pocket for my procedure is one-time $19,000 (unfortunately, not covered by insurance) If we look at the impact in 5 years of both... Meds = $54,000 Procedure + Vitamins = $19,000 + $3,800 = $22,800 How about 10 years? Meds = $108,000 Procedure = $19,000 + $7,600 = $26,600 The financial impact was a huge consideration for me. Please understand that the decision to move to surgery is not quick or easy. The financial impacts and health impacts are serious and really should be discussed with a trained medical provider. The purpose of this forum is to help guide others. We should be focused on the questions they're asking instead of offering an off-topic alternative. The OP made it clear in her posts that conversations with a trained medical professional led to the decision for another surgery. Shaking her confidence in medical guidance from her surgeon is not our place. We should accept that surgery is her path and give our own anecdotal experiences as references to help her understand what she might experience.