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Honestly, I think both? It can become a vicious cycle where you can't even find the 'root' problem anymore. For me, how I got to my heaviest weight was due to my problems feeding unto each other (no pun intended). I was overweight for the nth time in my life, and had always struggled with both weight and depression. My anxiety about being judged / out in public kept me homebound (and morphed into agoraphobia). Being homebound and anxious made me more depressed and judgmental about myself, which I punished / soothed with food. I gained more weight, and was more depressed and anxious and made it harder to go out and function in public. Early on in my "mental health" journey, I had a psychiatrist that was determined to find The Root Cause of my depression and anxiety. It wasn't until decades later that more MH professionals seemed to acknowledge (to me, anyway) that sometimes there's no one trigger or root cause-- sometimes its how several smaller issues fall together, like a series of unfortunate events.

Hi Klare, I know of two people who went to Turkey for the surgery. First one was ok but second person had a shocking experience. The surgeon made her oesophagus too short and she cant keep any food down. She is seriously ill. She has had a bad time with doctors over here [ she says ] because she had the op outside the UK. I know in my heart all doctors can't be like this, they take an oath after all. Some who go get next to no pre or aftercare. They come on here asking for advice which is ok, its what we do but this is huge life and mind changing surgery. We all needed tons of help especially in the first months. Private hospitals over here offer a surgery package. I got two years aftercare. Monthly visits with a dietician and surgeon if I needed it, I did. They offer interest free loans. I wanted the surgery very badly, it cost me every penny I had. I don't know if I could have gone the overseas route if I didn't have the cash. There was so much I didn't know about what this surgery does. There are people who have posted on here that going from a Lap band to Gastric bypass was two surgeries. Surgeons wouldn't do both surgeries at once. You have a lot to think about. Good luck with your chosen journey.

Not gonna lie, it's been a rough month so far. I was doing okay heading into May. On May 1, I reached 203lbs, which officially was the lowest I have been since my 20s. The next day it bounced up, but then I lost steadily, down to 201.6. And then yesterday morning, when I was heading to my 3-month check in with the dietician, I was back up to 203lbs overnight! What the heck?!? Nine days into the month and all progress erased! And then my dietician said everything I'm doing nutritionally is good, but I've only lost 19 lbs since surgery according to their office scale. I go back on the 21st to see the nurse practitioner and am going to ask what can be done if it hasn't improved by then. My loss of momentum tracks almost exactly to when I started taking my doctor's advice to get regular exercise. It was supposed to speed up my progress, according to the surgeon. Instead, in the past 3 weeks I have lost a total of 1.4 lbs. Color me unimpressed. Finally, my dietician said I should try to reduce my reliance on protein powder, which I have in my morning smoothie and at night before bed. She wants me eating more "real" food (though, in my defense, I do not rely on soft foods and have chicken and vegetables and such every day). So I had scrambled eggs and fruit this morning and it all made me really sick. What a start to the day. Smoothies made me feel good and I'm seeing little reason to give them up. I had smoothies all the time pre-op. I'm hoping they'll run some blood tests at the next appointment to see what's up. Like @RonHall908, I have also been exhausted lately and can't concentrate.

It causes gas bubbles, you chew..you produce saliva, you swallow saliva with air - you get air bubbles in your new smaller stomach taking up valuable room for nutrients. Plus, you're healing - air in your stomach can when you add liquid and food cause pressure on your sutures when you're trying to heal! Add to this that when you produce saliva you start to produce stomach acids for digestion, this acid and enzymes can cause heart burn and ever ulcers.

oh that one time was enough for me, I have never done that again and plan to never. that was the day that I realized my food addiction and realized that I did my sleeve for a reason and to get outta this habit. Now I eat till I am satisified and make sure to drink my water plus some. I have been working my ass off and never want to go through being obese and how I felt before. As you said "this is my second chance at life"!

Oh wow. I wish I had a Whole Foods. Those would be perfect for me because it’s just myself and my hubby who also eats smaller portions. I need to actually go into the grocery store and look for something like that. I know that places are carrying more of the healthy options but I have been doing pickup and I don’t get the chance to really see what’s out there now.

I had two weeks of a modified liquid diet (the shakes all day and a small, lean meat and veggie meal at night), and then another week of pure liquids, no snacks, no pudding or yogurt, just shakes! It was SUCH a marathon... Then I had 2 full weeks of strict liquids post-op, no puddings, no yogurt, and I couldn't tolerate any protein shakes or jello. But post op it was easier in a way because my body was telling me very clearly it didn't want any of those things! Pre-op the diets are a serious head game. LOL

Hello everyone!! I know I did a bit of a vanishing act, but I have things to report in. First of all - I hit a really frustrating plateau that lasted about 3.5 weeks from around weeks 7-10. That had me feeling pretty bummed, as it was post-two month check in and I had been feeling great about my progress before switching from purees to solids. I had last posted about hearing somewhat contradicting information from the nurse and Nutritionist. I had been told that I didn't need to really worry about staying on keto because I wasn't eating much as long as I hit my protein goal and by the nurse to try to stay Keto because eventually I'd get this great burst of energy from going into ketosis. WELL -- After doing some research I found out that the thing your brain tells you would be the worst thing to do - EAT MORE - was actually the solution. I started bringing in more vegetables and an occasional grains while sticking to mostly lean meats, plus using a protein shake for breakfast to keep me on track with my protein goals. I was already using Genepro; and I since picked up one of the Whey protein powders in a chocolate plus some of the PB2. That did the trick! I have started allowing myself an occasional 'cheat' type meal on days that I'm locked in on my protein, and find myself often meeting my protein goal and then some - more like 70g of protein per day rather than the minimum of 60g/day. The result of spreading my meals out - breakfast, three hours later lunch, three hours later 'dinner' and three hours later 'protein snack' if I'm still hungry - DID IT. My energy is up now that I've been walking more and giving my body more fuel. I am seeing the weight loss finally, and even when the scale doesn't show it right away I'm seeing my measurements shift and the way my clothing fits feeling different. I had purchased a cute pair of jeans about a week before my surgery and a button down short sleeve gingham shirt. At the time I couldn't get the jeans all the way up over my thigh; and now they fit loosely. My bras don't fit properly and I already had to buy one in a smaller size. I'm turning down plus sizes clothes I like that I find at the thrift store for pretty much the first time because - they're too big. I'm borrowing shirts from my Mom that I handed down to her previously and other friends handed down to her rather than me because she was a 2x/3x for a long time (mostly due to her chest) and I was a 4x+. I can feel where my arms have gotten smaller in the way shirts don't feel snug in the arms, shoulder, and chest area. I've gone down 2.5 ring sizes! All in all, I've found that portion control is still a big deal, but so is listening to your body and remembering that if it sends you a message about hunger, there is a reason. I DO have to focus on making sure I drink enough water, but the Baritastic app has helped me keep my sugar low. Even if I do hit over 30g of carbs in a day it's rare and because of something like beans, rice, or vegetables. I'm feeling more comfortable loosening the reins a bit on how strictly I adhere to my diet - although I still don't do anything carbonated, do minimal caffeine, and keep sugar very low. The idea to bring your own tupperware to restaurants along with a cooler is really smart. I'm not in an organized group exercise of any kind yet but I do have personal goals like trying to get in over 10k steps three times per week. I'm working my way up and have gotten to an average of around 5k steps each day, which I'm very proud of. My calorie deficit is usually 800+ calories less taken in than what I'm burning via exercise per day, and this week I have lost almost 6 lbs due to exercise and losing the bloat from my first period post surgery. I wanted to mention that - I did miss my first month's period and my second month's was late. As to exercise - I feel the activity in my back and as a low ache across my lower abdomen mainly, which I think is a result of using those core muscles and the way my figure is redistributing the weight on my joints. I'm shopping Marketplace to add weights to my exercise and still use my exercise bike when the weather isn't nice enough to walk. OH! And Old Navy has an amazing 50% off sale on their website right now and I just finally ordered myself some pants in two sizes below my pre-surgery size! I'm so excited for them to get here. Best wishes all, keep up the amazing work and be kind to yourselves!

LOL The food rage is real!! I did 2 weeks of a modified diet pre-op (shakes and a small meal at dinner of protein and veggies), then one week of full shakes only before surgery. And then 2 weeks of liquids only post-op. Needless to say when I was finally allowed food I wanted to cry. LOL I was also a little afraid to eat it! But I did and everything was fine. In retrospect I'm glad I stuck so strictly to my surgeon's guidelines. I healed VERY well and that time on fluids only really taught me a lot about how I react to being hungry and how to manage being hungry. It also helped me understand true hunger from head hunger---they are not the same thing, but man can they feel like the same thing! But for real, I was really cranky at times during those fluid weeks and there were some short tantrums... 🤣

I take a lot of vitamins, more than that list. My advice is to buy these containers, enough for a month, and dose out all your vitamins for the month. https://www.amazon.com/gp/product/B08QR78YP3/ I spend about $200 every other month. You could do it a bit cheaper depending on the brands you buy (for instance, Citracal Petites are more cost effective than the bariatric calcium chews and both are calcium citrate) and which ones you take. I take a lot because I had some deficiencies pre-op. But they all fit in those cases! I just grab my little container for the day and carry it around with me. I set alarms to remind me to take them. I put my meds in with the vitamins. The way I look at it, my junk food budget is now my vitamin budget, and I feel a lot better taking those vitamins than I ever did eating junk food! LOL

Welcome @draikaina8503! I'm on in 3 days!? How is this sneaking up on me? Breathe, breathe... @Hiddenroses - Congratulations on your surgery! What you're dealing with in telling others sounds perfectly normal to me. This is not the easy path. The process is rough, but no matter what and no matter who reacts, we're going to come out of this stronger. I'm still going to be me, with or without the weight. Unfortunately, I've always been treated differently because of my weight - Heavy friends with a "one of us" mentality, slimmer people that want to look better next to me, others that just discount me. I'll be alienating them all. It shouldn't matter, but I was raised to please others. Another bad habit I am fixing. If random people question me, I guess I'll just refer them to the weight loss clinic that I went to that started me on this path - they do everything from diet and exercise to bariatric referrals. Other than that, it's no one's business what I do with my body. But I still have to figure out the social food thing. @Mandalynne, I am so ready to be done. So many nerves, so sick of worrying. So tired of the LSD and hunger. Whatever happens is going to happen, let's just get it done already, haha. @ShoppGirl and @Greekmom4, I'm so sorry that the surgery was rough and that you are in so much pain. I hope things lessen up soon and you can start thriving. The fact that we can even do this is amazing to me. Our lives and our health will have a fresh start! When I hit my weight goal, I'm going to travel, and not worry about fitting on the plane. What are your plans for your new life?

Ohhhhh, totally gonna try this. I’ve made it with Greek yogurt but going to try this version. And with French onion soup mix also like @LisaCaryl. Yummy! If you guys like chip like things, if you take hormel turkey pepperoni and microwave them for like 1 to 1 1/2 min the microwave they get crunchy like chips and are salty. I eat a serving of them with tzatziki (cedars brand in only like 35 cal per serving) or now will try the cottage cheese dip. Gives you a salty chips and dip like snack and if you do the turkey pepperoni (I’ve used both turkey and regular and they taste the same once you microwave them) it’s only 70calories and 9 gm of protein for 17 “chips” . then you could still do some veg for healthier food but get another bump of protein in. 😉

HI All! I had gastric sleeve surgery on 12/6/23. As of March 7th, I am 45lbs down. I stopped weighing myself after this date, though, bc I was becoming OBSESSED with the scale and would fall into a deep sadness each day I didn't lose at least a pound. So, I decided to put it away and focus on my feelings and habits. Anyway, lately, I've noticed I can eat much more than I was. I watched a YouTube video about a doctor explaining that after month 3, patients tend to notice they can eat more. He mentioned that it usually freaks them out at first because not being able to eat a lot at all was the major tool in helping the weight loss, but to not be alarmed because it's normal and to focus on healthy foods, working out, etc. Still, it's scaring me because I am scared I will fall into old bad habits and start overeating again. So I was just wondering, has anyone noticed this? I noticed I can eat more than I was 2 months ago. It's freaking me out a bit bc I'm scared I'll overeat, esp bc certain foods are easier to overeat than others. The other day, I got a bag of organic Doritos and ate the whole bag throughout the day. I know I shouldn't have, but I was weak. So, has anyone experienced this? Has it affected your progress at all? Please be kind. ❤️ Thanks!

I have been kicking off my day with a smoothie, and I think it's probably the healthiest thing I could do. I know the opinions on fruit sugar can vary, but for the most part, science seems to be on the side of reasonable quantities of whole fruit (not juice) being good for us and valuable for weight loss. I usually put about a cup (150g on the food scale) of assorted frozen fruits (may include banana, blueberries, raspberries, cherries, pineapple, mango, strawberries, blackberries, peaches, avocado), a handful of fresh baby spinach, 1 Tbsp each of chia seed, hemp seed, flax, and sunflower seed, a serving of beetroot powder, a scoop of Benefiber, 20g worth of unflavored protein powder, and top it off with tap water. This all fits in a 20oz smoothie blender cup, and usually takes me 30-60 minutes to drink as I start my morning. At around 425 calories and 33g protein, this is roughly half my calories and protein for the day! After that's done, I fill a 32oz thermal tumbler with 1 cup Fairlife skim milk and the rest decaf tea, which gets me another 13g protein, plus 24oz fluid. Since I can only get in about 15g protein at lunch and dinner when eating solid foods, it's really helpful for me to get so much in during the morning in an easy to consume format. I may try adding frozen riced cauliflower to the smoothie, too, as I hear that's good for the creaminess and I need another veg. Has anyone used any veg besides greens in your smoothies?

Sounds awful. We go through so much to have our surgery that we just expect that we'll get the results we want. I'm so sorry it hasn't gone as you expected so far. When you say you're having to eat the foods you have learned your stomach WILL tolerate, what kinds of foods are they? Can you share an average day's menu with us? I also wouldn't get too hung up on exercise - it doesn't contribute that much, honestly. Although it's good for us generally. Hopefully once you've lost more you will feel more able for that.

Perfectly normal. Things suddenly become disgusting - taste, texture or smell can be the cause. It lasts a couple of months +/-. For me the shakes became extremely grainy & I couldn’t tolerate them & other foods seemed overly sweet or salty. Some find foods they didn’t like before suddenly taste delicious. Good opportunity not to reintroduce certain flavours back into your diet (like sugars) & to try new foods. These first couple of months can be challenging. Trying to find foods your tummy will tolerate. Food you eat one day easily the next day your tummy is no way. Not feeling hungry or interested in eating. … I used to say my tummy was like a petulant, temper tantrum throwing 2 year old. I never knew what the day would bring.

That’s such silly advice. Make high protein choices. We make those choices every day. Okay up your protein but also up your calories. Your calories or volume of food you eat should be slowly but steadily increasing as you progress until you get to the point you’re maintaining. Until that time, you will keep losing but the rate slows & slows. Like many of the others above I kept losing for almost another year after I reached goal so about 18 months in total. (Wasn’t intending to lose more but it took time to increase my portions & calories to a point it the loss stopped plus it was obviously where my body wanted to be as I’m still there.) And the loss in those last months was grams a week (or none) not kilograms. It’s not over until it’s over.

I've been able to eat ground meat (ground chicken, turkey & some Bison) fairly easy. Three ounces of meat with a few bites of veggies and I start feeling full. I take 20-30 minutes to eat with a lot of chewing. I've been sick a hand full of times since I've started soft foods. Mostly from eating too fast or taking one bite to much. Good to hear that you were able to eat without getting sick.

See, when I don't lose, it messes with me so much. From Feb to March 7th, I only lost 8 lbs, which messed with me so much. It triggered a binge where I just ate crappy foods for like a week until I came to my senses. But now I am terrified of the scale bc I don't want to fall into that horrible mental state again. So, for now, I am just keeping it away until next month. I do agree with everything you said and feel I can definitely lose much more if I just stay consistent and on track. I appreciate your kind words. ❤️

Thank you all for your input and help! I don’t feel hunger or crave any foods right now. I just want to be left alone and just drink water when I wish to, eat something when I think I may want to. I’m not getting my calorie intake and no where near my protein intake. My parents are forcing again and again that I need to drink more and take all my meds etc. I know I need to but I have been taking them spaced out given o can’t just swallow everything at one time, it makes me sick. So anyway, it’s nice to know I’m not the only one who has no “hunger” out there. Thanks everyone.

For me, I am cautious with every food I have been trying. Thankfully, with the exception of chicken, I am not finding myself adhering to that rule, again cautiously. It all depends on how your body is reacting, everyone is different.

was sooo hungry last night...i dont normally eat past 8pm, but i was hungry, AND i was determined to binge watch Bridgerton season 3, part 1 (spoiler alert: i did lol) so i fixed myself a plate of leftover thai food and ate it over 3 or so hours: clockwise from top: thai basil crispy pork belly, chicken massaman curry, deep fried taro tofu with chili oil sauce, coconut rice and a piece of roti. im totally guessing maybe 600 cals for the plate? imma also gonna guess i ate about 2/3 of it (i didn't like the curry so left most of that alone, and just had a taste of the rice and roti. pretty much ate all of the rest. p.s. am now waiting impatiently for june 13, when the remaining episodes of Bridgerton are released!!! i love me a period show.

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.

I LOVE these cottage cheese cups (they come in other flavors). A bit high on sugar, but I haven't had any issues with it making me sick since my RNY. Also, Dannon Light and Fit makes a yogurt brownie sundae that is epic. It's basically vanilla yogurt with these crunchy chocolate bits you can dump in for about 110 calories and 10g protein. I'm not sure the sugar content right off. They definitely help the dessert cravings. I just wanted to share the yummy things I have found the last few months. I'm down 132 lbs since May 2023, which puts me a 130 lbs and about a size 2, sometimes a zero. I'm still struggling to stop losing despite the extra calories; though, I have only lost 10lbs since the end of February. I'm holding right now between 130-135. My original goal was 140. And no, I haven't had any plastic surgery and yes, I could use a tuck here and there, and definitely some new boobs (those are completely gone... pancakes with nipples) Anyone have any yummy food ideas?

Hi ShoppGirl, I replied to you in the DS forum. You'll probably find the answers you need in the Facebook group I'm in. It says it is for the Duodenal Switch, but we also have plenty of SADI patients in the group and we have veterans of both surgeries in there. https://www.facebook.com/groups/1799552573392212 I highly suggest joining that group and posting your questions. Regarding gas, yes, the SADI can have gas issues if you eat too many simple carbs. And eating too much junk food may make your bathroom visits rather unpleasant. I had the DS done about 4.5 months ago and I don't usually have any gas issues and my bathroom visits are pretty normal except my stools are pale colored now due to the fat malabsorption (perfectly normal). But I stay below 50 total carbs per day and eat about 120 grams of protein a day and about 100 grams of fat. With the SADI or DS surgery you are more focused on your macros than calories because we malabsorb a portion of everything but simple carbs. If you keep your carbs low after the SADI you will lose weight better and maintain weight better...and you should minimize the side effects. You'd also want to stay away from sugar alcohols and you might find that some foods digest differently, like lettuce or other leafy greens. Usually most SADI or DS patients learn within the first year what their trigger foods are and learn to eat them at home at night or not at all.