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Had a productive visit with my doctor today, and there's some good news as well as a few adjustments to make. She was happy with my weight loss progress so far, but made it clear that it could be better. Her main concern is the calories I'm consuming, so the goal moving forward is to cut down a bit. One key suggestion was to start considering protein snacks as meal replacements, which makes sense to keep things in check. Since these are my "honeymoon months," she emphasized that it’s essential to get this right now to avoid hitting a stall by the 6-month mark. My workouts, on the other hand, are spot-on, so the primary focus will be on tweaking meals—specifically reducing carbs and being mindful of snack choices. On the health front, I’ve started taking iron supplements and will be getting my vitamin levels checked this Sunday. However, one piece of disappointing news: the counselor is no longer available, so if I need support, I’ll have to look for external options. Overall, I'm feeling a mix of being a little down but also more motivated to fine-tune my food intake and cut back on calories. I’m determined to make the most of these critical months and maximize my progress.

Had a productive visit with my doctor today, and there's some good news as well as a few adjustments to make. She was happy with my weight loss progress so far, but made it clear that it could be better. Her main concern is the calories I'm consuming, so the goal moving forward is to cut down a bit. One key suggestion was to start considering protein snacks as meal replacements, which makes sense to keep things in check. Since these are my "honeymoon months," she emphasized that it’s essential to get this right now to avoid hitting a stall by the 6-month mark. My workouts, on the other hand, are spot-on, so the primary focus will be on tweaking meals—specifically reducing carbs and being mindful of snack choices. On the health front, I’ve started taking iron supplements and will be getting my vitamin levels checked this Sunday. However, one piece of disappointing news: the counselor is no longer available, so if I need support, I’ll have to look for external options. Overall, I'm feeling a mix of being a little down but also more motivated to fine-tune my food intake and cut back on calories. I’m determined to make the most of these critical months and maximize my progress.

I didn't bring the scales with me and I am glad I didn't as it turned out there was one in the hotel room. I am frustrated though, the day I left for my holidays I reached my target weight (home scales) and when away I checked a couple of times on the hotel one and was still same or a bit less but got home last night and checked my scale this morning and it has me back up 1kg again and therefore above my target. I feel like it is 1kg forward, 2kg back at times. I walked so much over my holiday, D.C. is a very easy city to walk, but did find it hard to hit my protein goals but tried to make sensible choices as much as possible, I had to ask the hotel to only serve me a half portion of pancakes for breakfast 😉. I am hoping my system just has to settle again after plane food etc.

Thank you! I'm looking forward to hitting my goal weight just to see how it feels and if it will be my maintenance weight. I will post pictures again when I hit my goal.

Hey everyone, I was on here talking before about some comments that my partner's family member made, and how it kind of upset me. Yet again, now more comments are being made but this time from my own Grandma. I had a dessert with my sister whilst we were out and she proceeded to call us 'piggies'. I know this is just a phrase that a lot of people make, but for some reason it just got to me a bit. I struggle a lot with being perceived in public, always worrying that I am taking up too much space, or if someone is looking at me, thinking it is for a negative reason around my weight. It is a really destructive pattern of thinking, I am aware, and I am trying to change it. I just feel really heavy with it all at the moment. But I think I just needed to rant about it. I am just feeling quite low about a lot of things, and unfortunately, unless you have struggled with your weight, I think it is hard for people to understand the why. x

So, I went to my primary doctor today and I will be going on to the next step Monday and get my bloodwork done. She will also be in contact with my other doctor, and I have to say I so love my primary as she told me that minus my weight that I am actually pretty healthy as in my blood pressure is not high or low; my lungs and heart sound great so unless my blood work comes back with something that we can't see she will be clearing me from her end for surgery. So one more step closer or at least a half a step.

Finally getting round to putting on my measurements 🤣 01/05/24 - Just before I started my liver reduction diet. HW: 20 stone 1lbs = 281 pounds =127.4 kg Neck: 16" Upper Arm: L: 19.5", R: 18" Chest: 53" Waist: 45" Thigh: L: 32", R: 33" Calf: L: 17", R: 18" Stomach: 56" Hips: 56" 26/08/24 - not the MOST recent, but close enough. Weight as of 13/09/24: 15 stone 6.3 lbs = 216.3 lbs = 98 kg Neck: 14" (-2") Upper Arm: L: 17" (-1.5") , R: 16" (-2") Chest: 45" (-8") Waist: 36.5" (-8.5") Thigh: L: 28" (-4"), R: 29" (-4") Calf: L: 16" (-1"), R: 16" (-2") Stomach: 47.5" (-8.5") Hips: 49" (-7")

Below is a recap of the positives and negatives of my gastric surgery one year after the surgery. Positives: I am no longer a diabetic after 15 years of being a diabetic. I do not take any anti acid medication, I was on daily anti acid medication for 20 years. I no longer have GERD or Barrett’s Esophagus. I look good, I feel good, I lost 100 pounds and I am able to do things that I was unable to do before. Negatives: Lactose Intolerance: I inherited a lactose intolerance after the surgery and will never be able to enjoy dairy products like ice cream. Alcohol Abstinence: I will never be able to have a beer or a glass of wine, due to the high alcohol concentration in the body, so I have prohibition of alcohol consumption for life. Medication Absorption Issues: Significant Challenge: Post-surgery, the stomach processes medications differently, resulting in varied absorption rates. This issue is under-researched and poses a significant opportunity for further medical studies. Example: Treatment of infections such as UTIs can be complicated. Ineffective antibiotic absorption can lead to persistent infections and increased risk of complications. I had severe challenges with antibiotic absorption. I had repeated UTI incidents due to ineffective medication absorption that necessitated trying multiple antibiotics before finding an effective one that absorbed appropriately. Due to lack of research in this area, doctors have almost no knowledge of this and you have to become your own subject matter expert. Reduced Immunity: Increased susceptibility to infections, including: Cold Sores: Post-surgery imbalance in lysine and arginine levels resulted in frequent cold sores. Daily lysine supplements were recommended to manage this issue. This is one additional supplement I need to take daily. Fungal Infections: Significant weight loss altered skin physiology, leading to recurrent fungal infections in skin folds. Preventive measures include having antifungal prescriptions on standby. Nutritional Imbalances: Vitamins and Minerals: Maintaining a balance of essential nutrients is a constant challenge, truly a daily full time job. Taking vitamins, minerals and being able to change the amount based on blood test results is a life long commitment. Anemia: Despite taking supplements, anemia can still occur, this is a constant struggle for me. Mineral Toxicity: Excess minerals like phosphorus can lead to osteoporosis, indicating the fine line between deficiency and toxicity in nutrient management. This has been a challenge for me, my blood tests have consistently showed high phosphorous levels and nobody has an answer to this. I consulted several physicians including endocrinologist, nephrologist and my family doctor, with no answers thus far. Severe Hunger: Increased Hunger: Somewhere between 6 months and a year post-surgery, hunger pains became more intense than pre-surgery. The luxury of not being hungry all the time went away. Nobody talks extensively about this but lack of hunger goes away for all gastric surgery patients, hunger comes back and it is up to the individual to eat properly and not gain the weight back, which is very easy to do. Inability to Fast: Unlike before the surgery, fasting for even a day can cause severe physical reactions including shaking and an overwhelming feeling of malaise. I was unable to resolve the Atrial Fibrillation. This was the main reason for which I had this surgery since Australian studies were showing promising results curing AFib with weight loss. While the episodes are less frequent my AFib is still there. Conclusion: Gastric surgery offers weight loss benefits but comes with lifelong challenges that require constant vigilance and management. Thorough consideration and consultation with healthcare professionals are essential before proceeding with any gastric surgery.

I heard it! I was intrigued, and honestly I think that any treatment that helps people improve their body and/or mental health is worth investigating thoroughly -- so I'd like to see how it develops. But that said, my question is, how do these studies take into account the people for which depression, eating disorders, etc all go hand in hand with being or becoming obese, low self worth, trauma, etc. Mental/emotional health and obesity / physical health & ability can easily boost each other up positively or send you into into a vicious downwards spiral when things are going bad. How many people on GLP-1s who attempted/considered suicide were already suffering from depression or suicidal ideation, etc? How many people who lost weight through GLP-1s had their mental health and self worth so intrinsically tied to their body image or the side effects of obesity that the resulting weight loss improved that aspect of their lives almost as a side-effect? Either way, the potential for improvement in both areas upon taking GLP-1s would be worth it, in my eyes, but I'm always a bit skeptical about how studies like this are framed.

I am still basically stalled too. I fluctuate up and down the same pound over and over again but everyone keeps saying “you’ve lost more weight, haven’t you?” Ummm, no. It must just be shifting around. I know how discouraging it can be for the scale to not move especially after the quick initial weight loss right after surgery. I try to tell myself it’s a good thing because my skin seems to be bouncing right back and if I was losing too quickly it wouldn’t and then I would have the added problem of loose skin everywhere. I have about 25lbs left to lose so if we have a year to lose our weight I have 9 months to lose that weight. If you look at it that way it’s more bearable. Hang in there

Are you logging your food? If you end up working with a dietitian, I can almost guarantee they are going to ask you to do so. You might as well start ASAP so they have something to work with. Specific amounts matter, so be sure to weight and measure everything. The reality is we just aren't good at determining how many calories we actually eat. Most people underestimate calories, but overestimating isn't unheard of either. You mention a couple of times that you're eating a lot. What you need to understand is that the amount of calories you are currently eating just IS NOT ENOUGH for you. You need to be consuming eating even more calories and logging your current intake will often be the first step. Once a baseline is established, a dietitian can help you find ways to increase your caloric intake to where it needs to be, even if you feel like you can't physically fit any more food in.

If my math is right, you're already at 12% total weight loss. My program gives a range of 22-30% total loss in the first year or two (for gastric bypass/RNY; for sleeve it was lower) You're well, well, well on your way at only 2.5 months in. Be proud of yourself. And honestly? Even when the weight loss slows down and you feel like you're fighting for the next pound to come off? Be proud of yourself then, too. Cause it's your choice every morning when you wake up to continue making the healthiest choices for your own body and health. And you're doing it. There are gonna be stalls, and the first few months weight seems to come off a lot easier -- so it will likely get slower. But you'll get there -- we'll get there. We're all on similar journeys here, but each one is going to be different. ...And as other have said, while comparison can be good when you're looking to find support for stuff we're all going through, when it comes to exact numbers (inches, pounds, etc) it's not really healthy to compare. Everyone's starting from a completely different place, with different programs, different comorbidities, different ancillary health issues, etc.

Ooh yea. I am doing fine now. Thank you for asking. I haven’t needed any more NSAIDs. I gained my weight back and I’m facing revision to a surgery where even occasional NSAIDS are not okay though so this is on my list of questions to ask about.

For me, I initially set my goal weight to 200 because it had been so many years since I was even close to that weight, so I thought it would be good. As I got closer to it, I moved the goal weight to 195. Now that I'm just about there, I'm thinking about moving it one more time to 190. I feel like that's attainable for me, I look healthy and a lot thinner but still have my curves, and it allows me to have a little bit of regain room and still stay under 200. Everyone has their own reasons that make sense to them why they choose the goal weight they choose. And it's not set in stone. It can always be changed. So think about what you're wanting. A certain size clothing, a certain weight, a certain goal...then try to see what initial weight you need to be to get there. And then adjust accordingly.

When people choose a goal weight, many of us choose a weight we’d attained in the past & were ‘happy’ at. Others choose a weight they think might be okay for them. Others use BMI or readjust their goal as they progress. Most surgeons tend to recommend a weight that sits within the statistical weight loss range. You can choose any number as your goal weight but it doesn’t truely mean anything. You really don’t get to choose your final weight. It depends upon factors like your new set point (which is the main one), your lifestyle & lifestyle choices, when your calorie intake & activity levels align, age, health & medications. You end up where you end up. You can start maintenance early but you can’t easily force your body not to be in maintenance to lose more weight if it doesn’t want to (your set point). As you can see in my profile, my final weight is 11kgs less than my goal (which was the low weight I usually attained over the years of losing & regaining, it met the stats & my surgeon endorsed it). Before surgery, I would never expected to be this weight. I mean I was 12 when I last weighed that & was almost 54 when I had surgery. I would have thought too thin, skeletal, etc. I’m not. I certainly didn’t intentionally work at getting here, it was where my body wanted me to be & where my calories, my body’s needs & activity level aligned. This means it’s easier to maintain. I still work at it but never feel like I’m ‘dieting ‘ or missing out on anything. Let your body tell you when. You’ll likely find you naturally slip into maintenance. PS - Congratulations on your weight loss. Fabulous!

for most, it doesn't have to be this way...i am 6 yrs out and i still go out yo eat and go to dinner parties and have coffee and dessert. if anything, i probably go even more than pre-wls cuz i live to get dressed up and go out and socialize more now. and yes, its almost always centred by food and eating and drinking. i think the further out u get it gets a little less angsty cuz u have learned to trust yourself around food and know your limits in autopilot. i order whatever i feel for and generally just have a taste of it and the rest is generally eaten by my meal companions or becomes a take out box. or compost if it wasn't very good. i particularly like to go out with lots of people cuz then i get to taste all their stuff too. and yeah, we will rate the food in order of preference, critique them and discuss what could be better or left out, take pics for our IG, etc lol. i gave a bucket list of restaurants i am going trough locally and abroad. in fact i am on vacay right now and we came with a list of restaurants and bars and cafes and snack joints to try and have gone through almost all of them plus a few extra we thought would be interesting. i'd estimate we've visited (and ate at!) 40+ restaurants and bars in the last 9 days. and this doesn't even include the multiple food stalls we sampled at the 3 food festivals/night markets we went to. and for those that may be wondering, no, i did not regain all my weight back (i've stayed below goal weight since achieving it at 7 months post op, im 6 yrs out next month). aside: also may be worth noting that my travel companions are all normal sized and never had weight problems in thier lives (except maybe one of our group who is diabetic). i guess what im trying to say is that food and food-centred social situations and vacations can still be enjoyed (im probably an extreme proof of this) and we dont need to miss out and feel deprived if we dont want to. you can eat that burger (just maybe not the whole thing and definitely not 3 of them). and the beauty of eating less is you can have a taste of your friend's fries, a peice of your partner's steak, a sushi off ur kid's plate, a forkful of pie from the stranger at the other table...lol anyway, thats just my very looooooong speech on foodie-ism and food enjoyment years on the other side.

YES I was convinced that once I lost weight and felt better about myself I would be like a gym bunny but it still the same old (skinnier) me who likes to sit on the sofa with a book or binge Celebrity Masterchef, The Good Doctor or some other TV program rather than move. Hence I am going to buy an expensive gym membership as hoping that will make me go, not wasting money for nothing. Also I don't like heat and last few weeks have been too warm and energy sapping for me so I am hoping cooler autumn weather will get me out more. It is all down to me, I am the lazy one and I know I enjoy myself and feel better once I do exercise it is just the doing it that is the struggle.

I had RNY rather than sleeve, but it's probably similar. I'm nine years out and can eat a "normal" amount of food, but my "normal" now is a lot different than my "normal" was when I weighed 373 lbs. Which means, no one now would guess that I had WLS. At. most they'd think I'm a "light eater", if they even notice at all. If I go to a restaurant, I'll often order an appetizer or a salad or maybe soup & salad. Or if I order an entree, I'll eat half of it and bring the rest home. If we go out for pizza, I'll have 1-2 pieces, whereas before I'd eat half a large pizza. This really is no different than most of my female friends who've never been obese. So it's "normal" eating. The way I was eating before surgery was not normal. Maybe that's what your doctor is trying to say. of course, it's possible for us to scarf up a lot more calories than that. Surgery basically restricts how much you can eat at one sitting. You will probably not be able to eat as much as you used to at one sitting. You will likely be stuffed after eating 1-2 pieces of pizza, for example. BUT...nothing but you will stop you from grazing all day. For example, you could eat 1-2 pieces of pizza at 5:00 pm, and 1-2 more at 7:00 pm, and 1-2 more at 9:00 pm - so in the end you would have eaten just as much as you did at 400 lbs. So that's why some people end up gaining a lot of their weight back - it they can't control their grazing. That's where the head work comes in. P.S. years ago when I was first contemplating surgery, the two choices were lap band or RNY (it took me ten years to finally get surgery - by then, the sleeve was on the scene, rapidly replacing the lap band). Anyway, at first I wanted the lap band because it was reversible. Some of the WLS patients I talked to said "why would you ever want it reversed? You'd gain the weight back". True. So I decided maybe that wasn't such a bad thing (although RNY technically IS reversible - it's just that it's a very complicated surgery, so they only do it in extreme situations). Anyway, I love my RNY and would never want it to be reversed, so I'm fine with the fact that it really can't be (or in my case, only in an extreme medical situation)

I absolutely LOVE to pull out my historical spreadsheets! thanks for giving me an excuse to do so!!! 1. Pre op weight, BMI or measurements 2. Surgery type VSG (Sleeve) October 24, 2018 3. Lowest post op weight, BMI or measurements and when it occurred 4. Maintenance weight, BMI or measurements and when it occurred Stabilized at about 115 lbs (BMI 21) around June 2020 and stayed that way for about a year or so. Unfortunately i don't have measurements for that time but i think they were similar to my lowest post op weight above. 5. Bounces (up or down) in weight, BMI or measurements and when they occurred around year 3 i averaged closer to 120 lbs (but rarely ever above 120), and have stayed that way until today (almost 6 yrs post op). This morning I weighed in at 119.4 lbs. 6. Methods used to maintain and what has/has not worked i track my food intake almost daily i weigh myself daily when i have access to scale (i also take my measurements once a month) i engage in regular exercise. i try to NOT eat to fullness (don't always succeed) if i want to eat something, i do, but i generally limit it to tastes/bites, vs full on meals. i generally ONLY eat things i really want to, and skip the stuff i deem "not worth it", as i consider it a waste of valuable stomach real estate. 7. How your life has changed (losing vs maintaining perspective) i eat carbs now lol (i avoided them like the plague during weight loss phase, and a year or so afterwards). its been a while for me know and i do notice that i am not as worried as i used to be about regaining weight. i think i've learned to trust myself in that i can make good decisions about my health and weight maintenance, and that i know i am flexible/resourceful/confident enough to make changes and adjustments WHEN things change. i guess that is it really, i am exponentially more confident than i was before: in terms of decision making, self-image, relationships, dealing with stress, all of it. I am so much more CHILL. Life is really good (plus im super HAWT, lol) 8. Words of wisdom/cautionary tales/stories of beating the odds Don't give into the angst. Don't try to do stuff that is beyond your abilities or desire. Don't compare yourself to others. Exercise. Drink water, Wear sunscreen.

My husband is thin as a rail and can only put on a few pounds back In the day by eating fry daddy for dinner and a dozen doughnuts every day. Even then he didn’t gain that much. The best way I could explain it to him how hard it is to not eat when I am hungry was to explain the opposite. I came home with five Big Macs and after he just ate I told him to eat them. I said as much as your body is telling you NOT to eat them Big Macs and it would be almost impossible for you to eat I believe that it’s just as hard for me to ignore my body when it’s screaming out for food. He isn’t superior or less lazy or a harder worker or anything else that skinny people like to think. He is just blessed with good genes. He did nothing to earn or deserve them anymore than we did anything to earn or deserve our bad ones. In retrospect maybe five was a bit of overkill but I really wanted to make a statement. But just like some of us are blessed to be naturally pretty or cute and others are less fortunate in the looks department or some of us have a higher risk for certain. Illnesses, some people are lucky enough to be thin. We may have a tiny percentage or control by dressing a certain way or make up for looks or good preventative medical care for illnesses but ultimately it just is what it is. Now there are others that work at it everyday who are a different story but my husband and it sounds like your neighbor are just blessed. i think i finally got through to him about that.

Thank you for sharing your insights! I completely agree that calories alone don’t tell the whole story, especially when it comes to the quality of food we consume. I also strive to focus on whole foods and keep my intake mostly clean, limiting processed options. Interestingly, I met yet another dietitian today, and she had a completely different perspective than the first one I consulted. It left me feeling frustrated, especially since my next appointment isn’t until May. After some reflection, I decided to take matters into my own hands and stick to a plan that feels right for me. With the help of my trusted ChatGPT, we crafted a fantastic meal plan that emphasizes protein while keeping my calories between 1000-1200. I’m really excited to start this journey, especially since I’m active most days and want to maximize my results. I just wrapped up day one of the revised plan, and I’m optimistic about the changes! They’ve been suggesting I should be losing more weight this early on, so I’m determined to make this work and see the results I’m aiming for. Thanks again

as others have touched on above, it depends on what you call a "normal sized meal". can i eat my "normal sized" pre-wls meal from my obesity heyday? hecks no. but, let's be real, those meals were bigger (and not as often-consumed) as the meal sizes of not-obese people. now...can i eat enough food to maintain my current weight, feel satisfied AND not feel like i'm depriving myself? yecks, YEAH. from the outside and to those not in the know, it probably looks like i don't eat enough, but its enough for ME. my restriction is still very much in effect, so i don't eat alot in VOLUME at one sitting. but i did* manage to get my 2300+ calories in by eating often, and choosing higher calorie foods. (NOTE: i exercise ALOT, so my caloric needs are probably higher for your average 5'2" person, but still) *clarification (and to go off on tangent): i WAS able to do this, but lately am not eating as often - for other reasons** - so my average calorie count has been dropping, but i'm working on it.... ** i got braces and my pure HATRED and annoyance of having to clean my teeth after eating ANYTHING has effectively stopped me from eating. it's in my head, i know. i'm working on it....

Do people think they've lost more weight than they hoped to, or are you happy with end weight? Any others who feel they didn't lose enough and what did you do, revision etc for example.

Sorry I haven't reached out sooner - glad to hear you are out the other end and you are doing okay ❤️ Congratulations! TMI!: I had to have the pessary when I was in the hospital as I just couldn't poo 😂 It did work but I ended up having this strange explosive bowel movement that had lots of old blood in it - proper freaked me out but a nurse told me it was normal and was just residue blood from the surgery. I wish she had warned me about this prior to it happened so I wasn't so concerned about it, but IF anything like this happens, don't worry too much! But either way, apparently doesn't happen to everyone. Definitely keep away from the scales for a bit as a lot of people find that their weight is a bit higher immediately post-op so just wait until you have healed! My surgeon didn't want me weighing myself until at least 8 weeks pot-surgery (I lasted about 4 weeks 😂) Hope you are well ❤️

there have been a few Europeans on here who've had weight loss surgery in Turkey. As long as you do your research, you should be OK. As is true anywhere, there are good surgeons in Turkey and likely some not-so-good ones. Read reviews, check with people who've had it done there, etc. And make sure your GP is willing to do your follow-ups (regular blood tests, etc)