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What are you taking your MV with. I always take mine in the morning AFTER an ENtIRE protein shake. Anything less and I vomit immediately. It’s the iron. If you are only 3 weeks it’s likely you are not yet eating enough solids to stomach it. Try it with a shake if you haven’t and if that doesn’t work see anoint getting one with a lower iron content and taking a separate iron at a different time during the day to make up for it. For the waking try breaking it up into smaller spurts. Just five minutes at a medium pace ks like a quarter of a mile. It adds up quick!! That’s why I love my Apple Watch. I already had it but hadn’t worn it in forever but I updated it and other than the battery which means I have to charge it in the evening if I’m still exercising it works. Thinking about asking Santa for a new one 😉 Anyways it logs any little spurt of exercise and it shows you how quick it adds up, helps you track your heart rate and tells you exactly how many calories you burned based on that heart rate and your personal info if you enter it.

Very happy this week! The London gain of 3.5lbs has gone plus another 6lbs has joined it this week so I’ve hit my 2stones loss target 😊 Hubby has documented this by taking pics and I can definitely see a difference - my backside isn’t as much as a shelf now 😉 I will post pics when I gain more confidence but they are definitely worth doing for your own records, even if you hate and despise your photos being taken. I’m sat here with my feet on a circulation booster, with my feet and calves twitching away. I’ve got it for both me and hubby in the hope that it will help both of us with our circulation and start helping me strengthen my muscles around my knees. We had a chat yesterday and agreed to rejoin our local gym. I know I won’t be able to do cardio like the treadmill etc but I certainly do need to spend some time on the resistance machines and hopefully the free weights. I want to try and get some muscle tone going and avoid masses of sagging skin if I can. I desperately miss going to the gym so I’m definitely looking forward to it. I’m due at physio next week for knee exercises so we’ve said we will begin 1st Sept (helps with keeping monthly finances straight too) Lots of NSVs this week…can now take my wedding/engagement/eternity rings off when in the bath. That certainly hasn’t happened for a long, long time. I’m finding more clothes to wear when ‘shopping in my wardrobe’. I’ve actually had to buy a BELT for my jeans 😮😮😮 I bought 3 pairs in the sales some time ago. 1pair fit fine, 1 I could just about fasten but not breathe, 1 I couldn’t fasten for love nor money. Fast forward to Saturday and it’s now 1 too big, 1 fasten easily and 1 fasten but can’t really breathe!!! Hopefully a belt will let me get some more wear out of them before they go off to the charity shop pile. It’s our wedding anniversary in September and I’ve set myself a target of wearing a dress that I wore for our wedding anniversary dinner 2 years ago. It’s a lovely dress and I felt fantastic when wearing it so hopefully it will fit again. I would like to lose another 10lbs or so before trying it on so fingers crossed 🤞🤞 Hubby knows what I’m aiming for and is all for it. Need to remember to record my food diary next week, ready for the dietitian appointment the week after. I record everything now but not the moods pre- and post- eating which they need. I’ve already recorded a dietitian diary just before I began my weight loss journey so hopefully she will be able to see the differences. Have a fantastic week everyone 🤩 Onwards and Downwards!

I posted this as another thread but has anyone tried to vacuum at a week post op? I have a light vacuum and it’s cordless so no bending. Just lifting it off the charger in the wall and then the expected pushing and pulling. I can probably just tell my hubby it’s really bugging me and I shouldn’t and get him to do it but I hate to ask him to do everything. I am kinda itching to get back to some sense of normal to be honest.

I ate eggs without an issue for four years then suddenly tummy said no. Was annoying because if I went out for breakfast I’d have scrambled eggs and often made an omelet with lots of vegetables for lunch. Worse went to a new restaurant for breakfast and they do a scrambled eggs with crab - drool. Keep saying it’s been more than a year & must try eggs again but haven’t got around to it. I still have odd times too when I eat something easily one day & the next night I’m eating the exact same thing & nope not tonight & then next week it’s fine. So does it happen? Yep it does, even years out. I know there are some (not all) people here who also continue to struggle with certain foods. You’re relatively early out so it’s even more likely to happen - fussy & still sensitive tummy.

Hi, my name is Krislynn, Kris, or just K., I'm new to this forum. I found it researching more about the duodenal switch. I turned 42 in July this year, and my highest weight before my first surgery was 536. I had the gastric sleeve in June 2017. The first year was a great learning experience in learning about healthy foods, changing my mindset, and what I needed to do to get healthy. That first year, I lost 221 lbs. But, then when I went back for the 2-year check-up, the surgeon that took care of me, had left the hospital and program and they informed me they had no one for me to see. But, then Covid hit shortly after that-- then I lost my job and ended up sitting home 2 years and gained close to 200 lbs back of what I lost and that was crippling to me because all my old health problems came right back. during all this happening, my mom and I chose to move from California to Indiana to be closer to my sister, I decided I couldn't take care of my mom who has declining health because of her weight too, has been type 2 diabetic for more than 20+ years at this rate with my health starting to decline again too. So I reached out to the weight loss doctors here, I spent 6 months Feb-Aug '24 taking off 70+ lbs by following their 1200 calorie diet, getting back into a healthy mindset. It's a struggle at times, and sometimes I take two big steps forward, and then I end up taking a big step backward, it's a daily walk. once I completed the mandatory 6-month medical weigh-ins, things moved quickly, I got approved by the psychologist, and then the insurance approved me to have the Duodenal Switch or SADIS surgery quickly, within a week I heard back. My new surgeon who's great, got me scheduled quickly after I finished all the required testing, and preop classes, this Monday, the 11th at 7 AM. I am feeling nervous because even though every test they've made me do has come back normal and negative, I am 7 years older and worry that something might possibly happen. I keep reminding myself, that I've already had the sleeve, so I won't be under that long, just long enough for him to do the switch. so basically, I'm going to go to sleep and then wake up on the other side of it. Can anyone who has had this surgery, give some advice or maybe just let me what to expect after this kind of surgery? The last time I woke up the only thing I remember is the immense pressure I felt on my chest from them feeling my stomach with gas to do the surgery. And The surgeon told me unfortunately I would be dealing with that again because it's something unavoidable. So, I'm prepared for that. Love to everyone, Krislynn☺️💜

I was supposed to be three months nicotine free prior to surgery. I stopped smoking cold turkey two weeks ago. I don't have a date yet but they are submitting everything to my insurance soon. I am unsure if they will make me take the blood test before submitting everything to insurance? I was a pack a day smoker, do you think three weeks quitting I will be ae to pass?

So i had my surgery last month. I am self pay as insurance will not cover. I paid around $18-19K. I had to pay before i could have the surgery. A couple weeks after surgery i notice there was a claim from the hospital on my insurance for that same surgery for around $40K. Which they denied since its not covered. I called the hospital to find out what the heck is going on. So i gave them my receipts showing i paid the Surgeons fee, Surgeon assistant fee, Anesthesiologist fee, Hospital facility fee, complication coverage fee, Pathology, psychological exam, and nutritional evaluation. all coming out to about $19K. So they told me they would figure out what happened and why my they did my insurance instead of self pay. Today i get a email from the hospital that they switched me to self pay and that i am owed a refund of over $3,000 which was odd because i am not owed anything. So i called and they checked and checked and said they gave me a discount since I paid cash lol. So i was like... ARE YOU SURE... Because once i get this money i am paying off my credit cards and you wont be getting that money back... and they checked and said i am good. So i should be getting some moolah back here in the next couple days lol. So thanks for that mistake haha.

I did tell my husband that doing laundry today was too much bending. So he knows that if laundry is getting done again in the next few weeks, it's on him to load and unload. I can pour in the detergent and get it going, but I just can't bend over to move the clothes around. I've been using alcohol swabs to try to get the sticky stuff off, but some of it is absolutely being hardheaded and wanting to stick around. Oh well, it comes off a little bit at a time lol. The grabber thing is a great idea. I hadn't thought about that. For the allergy tests, they do keep medicine in the office to reverse reactions. So if you want to play it risky at home, just make sure that there is someone with you in case you go into anaphylaxis. In office, ambulances are only called when even an Epi Pen doesn't cut it.

Yea. I don’t eat all three either. I eat the meat and veggies And save the fruit for a snack later. I thought I said that, maybe I wasn’t clear. Anyways, it sounds like I still can eat a little bit more than you because I can eat all the meat and you would eat half. But still we are not nearly as different as I previously thought. I thought I could eat WAY more than others with the surgery. When I say Veterans I’m talking mostly about the people still posting on the food before and afters that we’re posting when I had my sleeve 3.5 years ago. It seems ljke their portions are still pretty tiny. But maybe thats Just what they limit themselves to and not what makes them full.

Sooo I am over 8.5 months post-op, and want to ask the veterans what their thoughts are on carbonation? I was a big diet soda and coffee drinker pre WLS and I knew I would never cut coffee out and I've had it since the second week post WLS with no issues, but carbonated drinks is a different story. My surgeon has encouraged me to eat anything and everything except for diet soda. He has been adamant that I don' take it up again. Another friend who's had WLS and has lost and maintained her weight loss and eats everything has told me that she occasionally drinks diet soda but only started having it 2 years post op and advised against it at this point for me. My brother who's been sleeved for almost 4 years drinks it and is the definition of slim. I really really like diet soda, and I only want to have a small glass once a weekish, is that so bad? My restriction is fierce so a little loosening up doesn't bother me much. What are your thoughts?

I bet what you get in the hospital was same as I got which was heparin for blood clots. The two day nurses I had both said they were supposed to do them in the belly but didn’t want to torture me with my already sore belly so they did them in the thigh.i still baxe bruises so I can only imagine they were painful in the belly. At the time I was in pain so that sounded good. In retrospect I should’ve said I will deal if that’s where they are supposed to be I’m guessing it’s for a reason. Fortunately it worked out okay. The NP at the surgeon who ordered the B-12 just said it’s not uncommon to need it post SADI but because if the gall bladder removal it would be way more likely. (I actually know a couple of people Who had bypass who are in if so it didn’t shock me). She wants me to do them in the thigh. She said it’s a little short needle but I was taking it with me to my family NP tomorrow morning to let her help me the first time. They gave me an instructions sheet for the injection but I have no clue how to use that sharps container anyways to get the needle off. The surgeon said to schedule a follow up with them and I may as well actually do something while I’m there. I am not on any meds that she can decrease which is why I assume they tel everyone to schedule it between a week and two weeks out. I will let you know how it goes.

My win is I haven't had Red Bull or either type of energy drink for a week and I don't even miss them! I'm sleeping better as a result. It was a vicious cycle, couldn't get enough sleep, needed large amounts of caffeine, couldn't get enough sleep!

I'm supposed to get down to 111kg (244lbs) I started at 123KG (271lbs). I've currently lost 4kg (9lbs) since July 15th. My weight has been fluctuating between 118kg and 120 kg for about a week now. I think the other thing about the 12 week diet is I am an NHS patient so it's taxpayer funded and it's a teaching hospital so they are more strict on guidelines before surgeries but also I think they are trying new techniques. I was also asked is I wanted to take part in a trial about dental health on this new pre-op diet which requires everything from blood to a stool sample. I don't mind taking part except now the pretty Spanish periodontist knows I poop!

Two weeks is the usual length of the pre surgery diet. But there are difference in what format the diet actually takes. Some are all liquid like yours (can be shakes or milk based drinks or other liquids) or two shake meals & one meal. Mine was keto. It, as @ShoppGirl said, can be influenced by your staring weight & how much weight they want you to lose to reduce the size of your liver before the surgery. It may be your general health status. It can also just be your surgeon’s preference. My two friends & I were each on a different pre surgery diet but all were two weeks long (2 of us had the same surgeon .) Each of us were in different places (health, weight) when we began.

I have tons of respect and empathy for those that have went through WLS and had complications. I am not one of them. My procedure, recovery, and stages were textbook. I was very lucky. That doesn't mean that every day was rainbows and puppy dogs, but it was typical. I was sore for days post-surgery, but back to work one week after the procedure. I immediately began to force myself to walk after the surgery. Short distances, then adding more as I started to feel better. March of 2023 my steps were 48299. August of 2024 my steps were 206084. Not going to break any records, but a nice improvement for me. To this point being active with life has been my only real exercise, so it is definitely an opportunity for me in the future to develop a better gym routine. I struggled with fluids and protein for months. Slowly, focusing on it and sticking to the plan I eventually got there. I never let it worry me, and just let me body adjust. I am not a scale watcher, so that was never a problem for me. At checkups I got weight updates, so I was never stressed about the scale. Now I weigh weekly, to make sure than I not gaining. I have had all the NSV that many have seen and shared. Less pain in my knees is my personal favorite NSV. I have arthritic knees, so they will never be great, but the less weight has helped a lot. Honestly, some of my NSV's also came along with some shame, that I had let myself get so big that these were NSV's, if that makes any sense. My worst times since the procedure were dealing with constipation (for the first time in my life). Took me several painful months to figure out a system for me. It is different for everyone, but I encourage everyone be aggressive with your plan to deal with it. For me, I take MiraLAX every third day and stool softener every other day. I am now better equipped if I notice I am not as regular, then I adjust the timing. The other problem I have now is seeing a big spread of food and wanting it all! It's just not possible now! Always protein first, but I try to have a few bites of everything I want, then cut it off. I eat healthier than I ever have. Staying focused on lean protein and vegetables. Working in fruits to help with my sweet tooth and provide some variety. In general, I am low carb, but I am not no carb. No more fast food for lunch or on the ride home from work. We meal plan, but nothing overboard, but I always pack healthy for work. Last week was salad week, so I had a salad with fat free dressing every day for lunch. Today, I had boneless skinless chicken breast, peanuts, blueberry, apple with peanut butter, and my protein shake spread out from 6a to 2p. I have also got down 48-ounces of water with a plan to get another 32-ounces of water in by the end of the day. Carbonated drinks bother me slightly, which is one of the few things. When I overdo it, my new overfilled feeling isn't in my stomach, it much higher, almost like in my throat. Not comfortable, and a good reminder to slow down, chew more, smaller bites, and stop eating! I hope this long overshare is helpful to someone and gives everyone a better idea of how my journey has been. Lastly, I have mention how great my wife and kids have been over the last few years. By my side the whole way and always supportive.

You've gotten some good advice already, but reading your post, a few things stood out to me. These are in no particular order: 1200 calories sounds high for 15 weeks post-op, but if that's what your plan calls for, who am I to question it? I think the bigger question is does this 1200 number include all the alcohol? One of the reasons alcohol is not recommended post bariatric surgery is that it's got a ton of calories and will definitely slow weight loss. The other huge concern on alcohol is that a substantial number of post-op patients develop alcohol use disorder. (Some estimates are as high as 20% or even 30%.) You didn't actually specify how much you drink, but when I see "active social life", I interpret that as "I drink a lot". Maybe try drinking non-alcoholic drinks when you are socializing? If you find that you can't give it up the alcohol, this is a major red flag and you really need to seek help. Taking another approach here, I noticed that you are being more active, which is fantastic! I did want to make sure you knew that changing your activity levels like that (starting a couch to 5k plan), will cause your body to retain more water. This means you may not see the results you are expecting on the scale, even if you are still losing fat. Keep in mind that the your weight is made up of lots of things other than just fat, so variations are normal and are just part of the process. If you are eating less than you burn in a day, then you are 100% burning off fat reserves, even if the scale does not show it. Best of luck.

I think stalls are pretty inevitable, regardless of intake! I have been eating things like, chicken, shrimp etc and stalls still happen! Your body is just recalibrating

@MrsFitz Thank you! I was so so nervous as I had failed 4 times in a manual pre-covid, so it was definitely a long time in the making! I shall make sure to get one up asap! Hope you are having a great start to the week!

Hi y'all, I am new to this forum and just want to first acknowledge and commend the courage and strength y'all have in utilizing this fortunate tool in your journey to a healthier life. I am at a crossroads. I am a 6'2", 275lb, 39-year-old man with VSG scheduled for Jan. 16, 2025, and I am having serious doubts--some caused by my health practitioners (chiropractor and non-WSL-related psychiatrist). I am on five different maintenance pills for blood pressure and cholesterol. My highest weight was 330lb. I lost 50 lbs in 2022 for a wedding, gained 30 in 2023 and lost 25 lbs from October 31st, 2024 until now (extreme crash diet). The total down is 55. My ideal weight is 210-225, provided that weight encompasses an active lifestyle and dedicated weight training. Here is the rub: I am scared of the surgery, and that fear has really kicked my butt to get healthy. My liver no longer shows NAFLD or alcohol damage with enzymes in the normal range. That is surprising because I was (honestly) an incredible "alcoholic" from 2013-2023. It may be hubris, but I am in no way concerned about addiction transfer as I have fully recovered from alcoholism following a wegovy and booze and supplement mix that caused acute pancreatitis. Blood pressure and cholesterol are under control. Sleep apnea sucks. Mental health is good to great. Banned currently from GLP-1 ( aforementioned acute pancreatitis). I have kicked all the typical vices. Despite all that, I am cleared for surgery, and the surgeon thinks I am an ideal candidate because of the lower risk of chronic pancreatitis following the knife. My surgeon is located in America, and my insurance is on board. Meanwhile, I have had little trouble maintaining a 1600- to 1000-calorie fat-burning diet, especially since a surgery date made it a very, very real concept. My primary motivation for pursuing VSG was for my family and my 2-year-old daughter, coupled with a debilitating (but now manageable) back injury that left me sedentary for nearly 2 years, and, of course, to address my comorbidities. Now that my back is "okay," I can exercise 3 to 5 times weekly. But if I don't lose weight, spinal degradation and likely further stenosis around the sciatic nerve will continue. I was supposed to have surgery earlier in the Spring of 2024 but bailed because of a month-long family holiday to Asia and then a summer of the in-laws staying with us. Also, we are trying to get pregnant again, but my wife's self-imposed window is closing as she soon turns 40. So, what do I do? Given that my ideal weight is approximately 65 lbs away, would you pursue VSG? Would you delay it while trying to conceive (this is a big one)? Am I getting stuck on too many variables? Would VSG make global travel a different experience? Or do I buckle up and charge ahead? Should I try giving the "natural" way a shot for one more year? I have unflinching support from my family and parents to go for it, and I have little doubt that I would excel in a post-op life. But I am worried about travel, a change in taste, and, generally, pain. Pain makes me an unpleasant person at times. But I dread ballooning up to qualify for insurance if the "natural" way fails my goals. None of this was a concern until a surgery date made it real. I appreciate you reading this and thank you in advance for any comments, long or short. A simple "Go" or "No Go" would be appreciated. I am actively planning for the surgery and, regardless, look forward to the two-week pre-op diet challenge. However, I could see myself bailing like two days before. Digital prayers for all! Is anybody ever too young for a midlife crisis?

Oh that's really soon! Congrats! I felt the same way when I got called to arrange the surgery date so soon! I think I felt really thrown is becaus the first thing they did was out me on a 12 week diet very suddenly and I didn't have time to prepare and had to throw out good food and buy new things for the diet. I think also it was the fact that getting that call means it's finally happening! Especially as you've been on the NHs waiting list for a long time. It's not just a vague idea of soothing that will happen on the future anymore but a real thing that you have to prepare for. It's scary and exciting! I didn't think to ask any questions, but since my mother went through it back in 2008, I knew already about the surgery and the complications.

im retired and all my kids are grown so i've gots lots of time on my hands lol. i recently took up (indoor) rock climbing regularly earlier this year due to Mr.'s influence (he loves to climb and goes maybe 3-4 times a week), so i go with him more often now. i dabbled in climbing and bouldering before, but more as a fun occasional activity...these days though its more "serious"...i have my own gear now: no more rentals for me! lol and yeah its a workout alright. but not just upper body, there's a ton of leg work involved too. really, its a full body workout, back, core, butt, jeez even my fingers and toes. but its super fun, and very accomplishment-feeling when you successfully hit the top. p.s. im actually on vacay now and will be climbing my first ever "real" rocks (i.e., an actual outdoor mountain lol) this weekend...and pretty excited!

I wouldn’t trust any signals now either. Simply because many nerves were cut during the surgery, so signals either aren’t getting through, aren’t the same or maybe off. You won’t start to get these signals again until you’re fully healed (about 6-8 weeks). This is why it’s so important to follow your plan in regards to portion sizes and frequency of meals. Many do find their signals change. Well may be not change more you learn to identify and recognise what the signals really mean. Like a signal for being full (or had enough) might be sneezing, hiccups or a runny nose. We also learn to differentiate between head hunger (which usually used to drive us to eat ) and real hunger .Generally if you are craving a specific texture, flavour or food. Like many want to eat something crunchy during puree stage - that’s head hunger. Your desire for coffee is head hunger. Like @SpartanMaker said real hunger has different and unusual signals. I get restless and think something is wrong and then I realise I’m hungry. And yes, most times a grumbling tummy (hunger pangs) are just your digestive system working properly. It takes time to learn what these things mean to you. Just tread slowly and stick to your plan.

@Averdra I don’t know much about Istanbul but is it a place that you would want to go to just visit? Perhaps if you get postponed you can make a trip out of it. Or can you change the place you go with the tickets. Sometimes things are not refundable but you can changes dates and itineraries. Also, check to see if it’s too late to purchase the travel insurance. I actually just learned that with cruises that you can still purchase it up till like two weeks out. Doesn’t have to be with the initial purchase. Certainly worth asking about.

I have always been a whole milk user. I can't say drinker cause before surgery I would rarely drink milk. Since the surgery I have been using it to make my protein shakes and overnight oats. In the last week I have been having tummy issues after drinking my shake or having my oats. Has anybody else developed an issue with milk after surgery. Now I need to figure out what to use instead of whole milk for my shake and oats. I am hoping this will be an easy fix.

Thanks @FifiLux, @SleeveToBypass2023and @NeonRaven8919 for your posts. Some excellent questions which I will note down because I have a mind like a sieve at the moment and information falls out of my head as soon as it enters it! As you said @FifiLuxI have a lot of information from the team already so it’s putting it in to some sort of sense for me now - LOL! I’ve received an electronic copy of my appointment letter with the name of the surgeon I will be seeing and so no hesitation - straight on t’internet to find out what I could. From what I’ve read, he is experienced in all things gastric and Bariatric. Hubby seems to think that he whipped out my gall bladder last year (same surgeon team) but I honestly cannot remember, what with writhing around in pain at the time of seeing him 🙄 Anyway, his CV seems very impressive so that’s reassuring. @SleeveToBypass2023- exactly that - nervous, excited and freaking out a little! @FifiLux- my new, pretty scales are here. I’ve got the basics set up but not the all-signing, all-dancing bits to them just yet. I definitely like the bigger, light-up numbers on them, saves squinting while trying to make out the numbers (don’t wear my glasses obviously because that 50gms or so that they weigh will make all the difference when weighing in 🙄) @NeonRaven8919 the LRD I have to do is 3 weeks. I did tell the dietitian that as long as I had 3 weeks plus 1 days notice of any last minute cancellations for surgery then I was good to go. Thankfully hubby will hoover up any foods that I won’t be eating so there won’t be any waste. I’m just hoping that the surgeon is happy, the MDT all agree and (a bit of wishful thinking I know) I’m able to have surgery this side of Christmas.