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aaaahhhh ok... put this way, i'll have to say i did notice some unexpected body composition changes in the year immediately following rapid weight loss: - went from looking deathly skeletor-ish (gaunt and drawn and frail looking) to pretty healthy looking despite weighing less now than those skeleton days. - my hair is actually thicker and "healthier" and even slightly curlier than even before surgery (which was a very welcome surprise after all that hair loss from months 4-6 post op omg) - i don't get pimples anymore. like ever. - those weird dark little bumps on my upper arms are gone. - when i do any sort of sustained exercise it's immediately noticeable. for instance if i do like 30 situps or 60 bicep curls i look shredded right after. no joke. - my dentist says my gums have receeded faster than expected since the weight loss (dunno if this is related or a coincidence??) - despite probably being the most "fit" i have ever been since my 20's, i still feel unbelievably weak compared to my heaviest days. i swear i can't open jars anymore nor can i carry multiple bags or groceries at once like i used to. - i used to be bottom heavy (hips/butt was my widest part) now i am top heavy (shoulders/back are my widest part). - i no longer have armpit hair ...but this is likely due to my arm lift? so i never have to shave there...which has the side benefit of the skin lightening up in that area...no more dark armpits for me! yay! - i have no ass. like zero. looking at me directly from behind is semi-normal looking, but from a side view, its a straight line from the base of my neck to my knees. - the hump on the back of my neck is gone - not sure if this is related to my overall weakness, or because i just do wat more stuff now, or im just getting old, or a combination of it all, but i get injured ALOT. multiple sprains, torn ligaments, torn muscles, pinched nerves, tendonitis like everywhere, abdominal hernia, bruised ribs, carpel tunnel, ingrown toenails, omg. ive had more doctors/physio appts in the last 5 years than i've had in my entire life. times 2. ok...this post is getting too long. gonna stop now lol

I should have said immediately after losing a lot of excess weight vs when your weight settles. I think immediately post WLS my skin was thinner (in certain areas) but over time it feels thicker again.

I just had surgery on 4/2/24 and I had the same. It looked really weird. Like a dent in my fat roll. My doctor said that it was from a suture in one of my abdominal muscles and would eventually go away as I lost weight and healed up. It’s only been a week and mine is completely gone.

I’m not counting macros calories or even protein - I just know I’m eating not a lot - even if I’m having to eat out for every meal I’m trying to make good choices and eat protein first - I think I’m way way off 100g of protein a day though! My doctors did say not to stress the protein too too much though and aim for about 80g most days. I’ll be back in Paris to weigh myself for my 2 month surgerversary but haven’t been able to weigh myself since last Wednesday which was 6.5 weeks post surgery - I’d lost 12.5kg which is 27.5lbs - I’m happy enough with that as I had a lower starting weight. I have another 20 pounds to loose to hit a healthy BMI but I know things will slow down weigh loss wise fast for me and I’d like to loose another 44lbs total to be back at my pre Covid happy/non near constant leg pain weight. it’s hard not having access to scales here and not being able to walk as much as I’d like because Cairo at night isn’t the safest place for solo female walks at night and I’m basically screwed to a chair in a conference center from 9-5 and night falls here at 6.15pm !

Something I didn’t expect were the changes to body composition post op (not the planned body modifications of plastic surgery) I was surprised to see that my body didn’t look the same each year post op. How and where I carried weight fluctuated each year.

Sorry to hear about the struggles. Only issues I'm having so far is how slow my weight loss has been since surgery. I'm going to eat two meals and add protein soups and shakes for my other meal and snacks. I've been getting at least 1000 calories and 100 grams of protein a day. Along with doing exercise daily. My Dr said it's expected to lose slow. Just seems odd to me.

i had the loss-of-fat-butt pain, as well as the mid-back and hip pains as a result of my body re-alignments to adjust for my new centre of gravity (or whatever the weight loss reason for musculature aches from body size shrinkage is!) those pains became non-issues the between the 1 and 2 year post op mark. however since losing all my stomach bulk/fat i can no longer sleep comfortably (unassisted) on my stomach...ill wake up with pretty bad lower back pain if i do. the lack of stomach no longer props my middle up makes my back hyper-extend when i lay on my front. i even have to put a pillow under my stomach when i get massages to keep the discomfort at bay. this was definitely unexpected. i mean never-fat people sleep on their stomachs all the time and they're fine. so we came to the conclusion that i have a weak back and need to strengthen it up. still a work in progress though...am 5+ yrs post op and it's still an issue.

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.

I’m sorry you’re feeling this way. Break ups can be very hard. I had a bad one when I was about your age & went through a period of depression & anxiety. Ended up leaving my job & moving back home. The depression coloured everything in my life. It may be doing the same for you too & causing you to regret the surgery & a change of behaviour that has bought you many benefits (weight loss, health improvements, more active, fewer restrictions, etc,). Yes, I’m considerably older than you & that means I can look at things differently than you so I don’t mind if you think I’m talking rubbish & don’t understand. 🙂 My friends are big eaters & drinkers & the first couple of times we went out after my surgery I felt a little uncomfortable & conspicuous because I sipped one alcoholic drink for hours, took a while to eat & ordered small plates. Then I realised, I wasn’t going out with them to eat & drink, I was going out with them to spend time with them. What I ate or didn’t eat & what I drank or didn’t drink was irrelevant. It was our friendship that was important. We socialise often (though likely not as often as you). At each others’ homes, bars, fine dining restaurants, etc. My surgery & food choices haven’t stopped us or slowed us down once (oh, except when they wanted to go to an high tea with unlimited champagne - I rarely eat sweet & one glass of champagne would be ample so not worth it. We did dinner instead.) Actually one of my friends decided to have surgery the year after me though she is more flexible in her food & drinking choices than me. Another one wants to have the surgery. And the fourth in our group, has slowed her eating & is making better food & alcohol choices. Not for anything I’ve said. I guess I’ve become a bit of a role model for a healthier life. LOL! Maybe have a chat with someone, like a therapist, about how you’re feeling to help you work through this.

Certainly don't think less of you. This is major surgery. You are normal to be scared. Then again think of what life would be like long term if you didnt do this. Maybe that is more scary? I know at that time before I had my RNY I didnt want to go on living entombed in my own body. I had this surgery in May 2022 and the surgeon also repaired a hernia at the time. (A few years prior I had another hernia fixed and that was very painful on it's own). I woke up in lots of pain (so maybe some of the pain was from getting the hernia fixed) but I was given lots of pain medication. The staff dont want you to be in pain either. So yes it was very rough but pain meds and heat packs eased the intensity. High end pain killers were needed for the first few days and then less and less over the next few weeks. And for the record I would rather be a little sleepy if it eases the pain. I needed to remind myself that it would get better and it did. Short term pain for very long term gain. Truly your journey will be yours and your alone. You may be in pain or you may not. You may have complications or you may not. I would also hope that the medical profession have learned more in the time since your mom had this operation. You wont know how it will be for you until you do it. PS - I would go through this again in a heartbeat. There is freedom again,

Hello everyone, I know that you've all seen a post like mine before. I'm exactly 9 days away from getting gastric bypass surgery. I've tried so many other things and have failed over the long term to keep off my weight. I'm at 436 (was 445), but the diet they put me on helped me lose a few pounds. I'm very, very anxious about the surgery. My mom had the surgery years and years ago when it wasn't as perfected and it didn't go well for her. She lost weight but had a ton of complications. My fear isn't really surrounding post op activities, but rather going through the surgery itself. I hope none of you think less of me, but I'm terrified. I'm even having nightmares about it. My wife got the sleeve a year ago and she didn't have outrageous pain or anything. She was quite doped up lol. I'm scared of going to sleep and waking up in immense pain. I guess that's the jist of it.

Good afternoon all! I just was thinking of all the surprises I've experienced since WLS...and I wanted to ask others what's surprised them about their weight loss/surgery journey that they weren't told by their bariatric team?! I'll go first: 1. All the aches and pains in my hips and butt. My butt hurts now when I sit since I'm missing my butt padding! Also, since losing weight my posture and gait have changed so now I'm in PT for hip abductor pain. 2. The ever increasing and changing locations of skin irritation. The skin now droops in places I wasn't told to expect and I get red irritation under my butt creases from over lap - sorry for the unpleasant visual! 3. I've shrunk..so driving I now need extra padding to be at my former "sitting height" I feel like a kid driving my parents car now. 4. I've had to buy new glasses, mine were stretched out from digging into my fat head 😋 and now they keep falling off when I look down. 5. I've had to buy new shoes, all my old shoes no longer fit. They just flop around. I was expecting new clothing..not shoes. 6. I feel more clumsy and weak despite working out. My manual dexterity is horrible now. 7. I still feel hunger 😔 These are just a few of the changes I've experienced that my bariatric team never mentioned. Do you have any to add that can take the surprise out of it for people just starting their WLS journey?! I eagerly await your responses!

Good afternoon all! I just was thinking of all the surprises I've experienced since WLS...and I wanted to ask others what's surprised them about their weight loss/surgery journey that they weren't told by their bariatric team?! I'll go first: 1. All the aches and pains in my hips and butt. My butt hurts now when I sit since I'm missing my butt padding! Also, since losing weight my posture and gait have changed so now I'm in PT for hip abductor pain. 2. The ever increasing and changing locations of skin irritation. The skin now droops in places I wasn't told to expect and I get red irritation under my butt creases from over lap - sorry for the unpleasant visual! 3. I've shrunk..so driving I now need extra padding to be at my former "sitting height" I feel like a kid driving my parents car now. 4. I've had to buy new glasses, mine were stretched out from digging into my fat head 😋 and now they keep falling off when I look down. 5. I've had to buy new shoes, all my old shoes no longer fit. They just flop around. I was expecting new clothing..not shoes. 6. I feel more clumsy and weak despite working out. My manual dexterity is horrible now. 7. I still feel hunger 😔 These are just a few of the changes I've experienced that my bariatric team never mentioned. Do you have any to add that can take the surprise out of it for people just starting their WLS journey?! I eagerly await your responses!

hello im 23 years old and all my life ive been battling my weight it was always fluctuating. Started at 280 and now I’m down to 180 I’m 5’8 and im definitely noticing muscle definition and loose skin is bouncing back. But as of lately ive been feeling super depressed and my recent breakup was what set it off. Just recently started going out with friends and having to eat small portion completely ruins it for me i wish i can cram in just a little more to enjoy food with friends. I feel like its a chore now to make sure im hitting my daily macros and im starting to have regrets. I feel good in my own body but i feel like i could’ve done this without surgery with the love i grew for the gym. I go 3-4 times a week with a split. Is there anyway to combat this depression and regret i have i just wish i can eat a little more to socialize and im scared of losing more weight

I'm 7 months or so out. I do weights, but you'd have to watch the eating style. 2 or maybe 3 protein shakes can give you up to 90 grams of protein. That would be in addition to what you eat.

Hi everyone, I had gastric bypass on February 27 of this year and I am down 53 pounds. My goal is to lose 100-120 pounds. While I am happy with the weight loss, I am losing muscle just as fast. I started going to the gym and hitting the weights this week. Of course I’m not as strong as I was before (I used to lift weights 10 years ago). I’m concerned that I won’t be able to get the nutrition/protein I need daily to start growing muscle again. Anybody on here bodybuilding months or years after surgery? Any tips or suggestions? Thanks

Did you go with a company/ nhs hospital in the UK ? I am surprised to hear you are getting no help if that's the case. If your surgery was abroad then you need to tell them if they don't respond to your questions then you will be leaving them a truthful bad review. People are really searching these sites for honest feedback and will take note of yours. If its a UK company you need to email the hospital director and ask why you are getting no help. No one can do this without the help of a team, its a huge change for all of us to master, both body and mind. I am maintaining now on 1500 calories a day which I log every meal. I lost weight on anything around 1200 - 1400 calories a day building in 60 grams of protein a day. To loose now you may struggle because your hunger is back. I would imagine that it will be hard to go back to protein and vegetables when you are hungry, leaving the filling carbs off your plate. Keep us posted, you are not alone.

I will definitely get onto the team and surgeon! Start weight before surgery was 21.9 , 20.9 after LRD before surgery. Lowest after surgery 17 stone, currently at 19. After surgery total loss was 3 stone 9lbs which I think isn’t great surgery was feb 2022 got to 17 stone august 2022. Then gained now stalled at 19 stone for nearly a year.

My maximum weight was 303 lbs. I am currently 133lbs. I got my gastric by pass on May 7th 2019 in Pennsylvania. Since then I have had so many issues and I do not know where to turn to anymore. I feel the dr and I have gone through every option there is to go through and it is still not enough. Immediately after surgery I was having issues with eating. I followed all the rules took all the vitamins and meds I was supposed to. Still could not keep food down. I ended up having to take my gallbladder out in Oct of 2019. I was with a horrible person and she left me because of my issues with my stomach. I moved back to my home town of Peoria Il. I had to go on a search to find a new Dr. that would take me as a patient. I found this to be a rather horrible task as some Drs do not like to do that because they don't know all that the previous Dr did with the surgery. I finally found one and he is a great Dr. He has kept me alive. After the gallbladder surg. I was still having issues with keeping food down. This started in February 2020. The only thing i could tolerate was broth. At this point I had to take all my meds in a liquid form. Finally The dr. sent me to a gastrologist for an endoscopy. It was shown that I had some scar tissue covering the entrance to my stomach so they did a dilation. There was also an ulcer found. I was put on 2 diff acid reducing meds to get rid of it along with nausea meds. To prevent a tear they had to do this several times. I had dropped down to 118lbs. very malnourished. My health was becoming a huge concern. One of the times that they went in to dilate the Dr ended up putting a hole in my intestine. I had to have an emergency surgery for repair. I spent 2 weeks in the hosp. When I woke up in recovery i had a wound vac, drains and a feeding tube. i went home with the feeding tube. This is now Sept 2020. My new Gastric bypass dr was trying to get me healthy enough to do a revision to help me tolerate food. I had a revision scheduled for Dec. 2020. Since this was during covid I had to be tested before surgery. Yes I tested positive. The surgery was postponed until Feb. Finally i had my surgery and was hoping that this was going to be the last and all would be good. The feeding tube was removed and I had to start over from scratch with eating. Clear liquid on up. At this point I am weak and thinking the worst that it is all over for me. I kept up the fight and it kept kicking me back. I was able to eat a little better for a few months after surgery. Then it all started over again. Every time I tried to eat i threw up. I called the dr. He said probably more scar tissue and that meant more dilation like before. So that was the plan more endoscopies. There was also another ulcer found. Upped the intake of the acid reducers and still not going away. I just kept dealing with this and eating what I could. I put up with this for a long time. Then in Oct. of 2022 it got really bad again. I was in and out of the ER for pain so many times I lost track. The dr. went in to check things out and the ulcer was back. There was no Rhyme or reason for this to keep coming back. I was referred to a Thoracic Surgeon in 2023. I finally was able to get in to see him. He scheduled me for a surgery to have my vagus nerve removed. (vagus nerves produce the acid in our stomach and mine was producing to much there fore causing the ulcer to never heal. When i came home I was still not able to eat food it made me sick. I wasn't in anymore pain but still could not tolerate food except for soft foods. Then it would be next to nothing. Somedays i could eat a bit more than others. I was released to go back to work on 4*12*24. I have been to the er once again for pain and not keeping food down. I was given a gi cocktail and felt better. I called the Dr and was told when it hurts drink Mylanta. I am now to the present day and have no answers. Please tell me there is solution for this. I cannot do this forever. I don't wish this on anyone but I hope someone else has been through this and can help.

It takes more calories to run your body at a higher weight & fewer to run your body at a lower weight. So yes being able to lose at a similar calorie intake at a higher weight but then being unable to lose still eating the same at a lower weight is to be expected. It’s like reaching maintenance. Remember too,1800 calories is 1800 calories regardless if it comes from a burger & fries or three nutrient dense healthy meals. The quality of the food matters for the health benefits & ensuring your body functions most effectively. I’d hammer your surgeon & dietician for help & answers. Maybe GLP 1 meds may be of help or a revision. If my maths is correct, you’ve lost 8 stone in total? That’s great! Don’t forget to celebrate that.

No there is no norm or standard plan for before or after surgery. Much like there is no standard for how you will recover, how much weight you’ll lose, what ‘fun’ side effects you’ll experience, etc. There’s just generalisations & averages. There will be similarities across plans & differences. Like in the pre surgery eating plan. Some don’t have any. Some do three shakes a day while others do two shakes & one meal. Me I had to do keto. Same with the post surgery stages. Differences can be around how long each stage is or even what foods you can or can’t have at each stage. For example potatoes are allowed on many plans but were a big no in my plan. I do know my surgeon adjusts his plan depending on the individual patient & their specific needs & situation. My friend who saw him was on the 2 shakes one meal plan. Her friend, also same surgeon was all shakes. Our ages, starting weight & general health were different. It’s why we say it’s always best to follow the plan you were given and if you are having difficulties to contact your team to see if & how you can tweak it to better suit you & your needs & experiences.

A protein shake is really a meal replacement so you are having more than a meal or two. And no, don’t load up on junky snacks or empty calories. Look too foods that will add additional nutrients: fruit, complex carbs i.e. whole/multi grains, good fats like avocado & nuts, boiled egg, cheese stick, etc. Keep the deli/luncheon/charcuterie meats intake low too - highly processed, high salt & high fat, lower protein. Better to buy a bbq/rotisserie chicken& package it up in single serves & eat that. Give your body time to settle. It takes time for your body to work out what it needs to function effectively & for you to physically be able to eat appropriate sized portions & meals. My hunger didn’t really come back until about a year so after I reached goal at 6 months & it played a part in my continued weight loss. And it took a while to work out the calories I needed. When my weight first stabilised at around 18 months I was eating 1300 odd calories - it took me all that time to eat that much. At 4 years I was eating 1500/1600 & still maintaining much the same weight so it took that long for my body to work out what it really needed. Your lowest weight may not be your final weight either. There’s the quite common 5-10lb bounce back regain around the 2 or 3 year mark. Or lifestyle choices may mean you settle a little higher. And finally, your goal weight might not be your body’s goal weight (your new set point). My new set point was 11kg/24lbs less than my goal.

I only drink water, body armor, and ensure protein shakes, so no not really drinking a lot of calories. I've been having pretzel crackers with cheese and eating a lot cheese but just unlucky in it adding any weight...

Hey, sorry for the late reply. I got the sleeve and my goal weight is 170-175, but I'm currently at 155. And to be quite honest, I'm hoping to add more weight so I can reach back to 170-175.

I'm currently having this issue as I'm almost a year (9 months) into it; I was satisfied with my 160 for a couple of weeks ago, but I'm currently at 155 and I'm starting to get worried. I know I haven't been eating more than a meal or two a day which can be the reason, but I'm having a tough time in going beyond two meals. Should I just load up in empty calories and junky snacks? I'm also trying to go to the gym more regularly so the muscles can gain more pounds.