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Today is day one of my liquid diet after a two week LSD. I guess I didn’t realize how much I was doing physically until I felt like I hit a brick wall about 6:00pm. Apparently 3 shakes is not enough calories to be spring cleaning all day. For me anyways. I am glad I don’t have much that I have to have to get done tomorrow because I feel like it’s going to be even worse. Anyone else have a hard time with all liquids? I really hope it’s just that and I’m not coming down with something. Surgery day is Wednesday. That would be awful. I just added it up and I had 510 calories with the three shakes and I just had a yogurt which makes it 600. Zero carbs though and I was working pretty hard.

Hi- I had surgery on 5/15/24... so I'm 5 weeks out. I struggled getting water in this weekend and ended up needing fluids. My mouth has been killing me and I thought fluids would help but nope! Now I'm struggling with get in protein because the only way I like protein is with hot coffee. I just feel like I'm failing! Support/suggestions... I'm all ears!

Oh yes, be careful & stick to your portion recommendations. (They may be smaller when you begin purées - mine was 1/4 - 1/3 cup then). Remember to sip, sip, sip, and wait between sips & when you begin more solid foods (from purées) to eat slowly. Besides all the cut nerves you have lots of stitches & sutures holding everything together inside. It takes 6 - 8 weeks to fully heal so don’t expect to get any signals until after then. Or the signals you at get are distorted or different to what you know. Full signals can be sneezes, runny nose, hiccups, etc. Your restriction is like a tightness across your upper chest. You may want to thump or rub your chest to relieve it (it doesn’t help lol!) Try not to eat until you are full though. It takes at least 20 minutes for the full message to get through so by the time it does it’s easy to have already eaten more than you need & are over full. Try to work out when you’ve had enough. Five years out I still ask myself do I need this next bite or do I just want it - big difference between need. & want. Hope your recovery continues to go smoothly.

Do you track (weigh and measure) everything you eat and drink? Are you following the plan set by your surgeon and dietician? Are you meeting your fluid (alcohol doesn’t count) and origin goal every day? Are you focussed on eating protein rich and nutrient dense foods? Yes, alcohol will slow your weight loss. Did your surgeon really say live your life? Did they mean alcohol? Did they know how much you drink? Did I drink alcohol while I was losing? Yes. I had a gin & tonic at around month 3 (nursed it for hours) and then a couple of single glasses over the next 6 or so months after that. This first 6 months to a year or so are a gift. You want to embrace this time to lose the majority of your weight. So yes, you will have to make some sacrifices but for these few months it’s so worth the lifetime of future benefits. Doesn’t mean you can’t go out and socialise. It just means you have to make best choices you can in whatever situation you’re in and put yourself first. The reset diet of returning to the liquid stage is an old wives tale. You’re not trying to reset your tummy but reset your head, your thinking. You can do this.

It sounds it! But also seems like you have coped as well as you could have and you have made it to the end of the week! woo! Yeah - it is like carrying the weight of a baby on my chest at all times 🤣 I don't THINK they have gotten any smaller just yet, but I know it is to come as I am still not even 3 months post-op yet! How are you feeling about the surgery? I am the same haha but I am so impulsive and I am always like "treat yourselfffffffff" so maybe I will get lashes...you should too! 😂

I was thinking the same thing as @catwoman7: the rising levels could be a result of your weight loss so far. It’s very common to have rising liver function levels while you’re losing. Also worried me a bit because I had a glass of Prosecco at lunch on Sunday and then had a liver function test Monday in preparation of a surgery I’m having next week. Hope the glass didn’t throw my results out at all. Considering I was asked lots of questions at the pathologists, they didn’t ask when was my last alcoholic drink and how much and often I drink. Hmmmm.

Thank you @FifiLux, @ShoppGirland @Bypass2Freedom 🥰 I managed to shove a cotton bud up my nose (hate the sneezing and ‘scratchy’ feeling at the back of my throat 🤢) and I’m now clear of Covid - hurray! Hubby is still in its thrall though: headache, sick, generally feeling out of sorts. Amazing how it hits people differently 🤷‍♀️ 3lbs of my gain off this morning - thank you water weight! Just over 2lbs more to go and I will be back on track. This morning I went through my underwear and nightwear drawers and binned lots. All the too big and/or tatty items have gone. I do have some really nice things that I’ve not worn due to sizing so hopefully I will be wearing that at some point in the near future. I am enjoying getting on top of things once again as I think I really lost my way for quite a while. All down to a lack of interest in pretty much everything I think. No gym this week but hope to get back to it next week when hubby feels better. I have missed it and my knees are definitely stiffer for not going. I’m on with the circulation booster in the meantime, just to get the blood flowing in my lower legs. Can definitely feel a bit of the autumn chill now ☹️ I received an email from M&S saying it’s Christmas food stuff is now available to order and it feels quite strange not to be bothering with any of it because I don’t know where I will be on my WLS journey. All that stress, gone!! 🥳 Has anyone done the LRD over Christmas, just out of interest? As it stands, I’m not bothered if I have to do it then, be nice to have a festive season where I actually lose weight 😉

7 years out this November (I can’t believe it’s been that long!) 1. The surgery did all of the work. I didn’t wake up hungry, I didn’t feel like I could eat more than recommended. I didn’t have any (initial) complications that slowed the weight loss process. 2. I was really strict and followed every rule pre and post op. I was super serious because I absolutely needed this to work. My motivation remains for medical reasons first and aesthetics second. 3. I limited calories from liquids. 4. I am finally ready to admit that I have a narrow palate. I don’t like most food and definitely not most fast food but in a pinch I will eat it *some* things. I cook the vast majority of my meals and most are very boring by foodie standards. 5. I was converted from VSG to RNY at my goal weight (GERD etc) and I’m sure the durability of RNY has made a difference in maintaining. 6. I was given a higher BMI range by my surgeon and thank goodness because getting any lower would have been a real struggle without added benefits. 7. I invested in plastics. I shouldn’t make sense or a difference but I didn’t want to mess up the work I had done plus removed skin and fat cells are gone forever. 8. I address the smallest regains IMMEDIATELY adjusting behavior and intake. I’m not ashamed of it or ignore it, I weigh often to stay accountable to myself. 9. I found what works for me and focused on that, adjusting as needed. I try very, very hard not to compare myself with anyone else. I never attached self worth or morality to weight (gained or lost). I think it helped immensely that no one ever bothered me about weight. I realize it maybe a different story if this wasn’t the case. 10. I check in yearly with my bariatric team.

Everyone’s post op plan is different. At five weeks I was on soft foods post SADI revision but it’s important to follow the plan your surgeon set for you. It goes by pretty fast. You will be able to eat again soon. For soups, if you get a good soup and strain it (like from a restaurant) that can be a little treat because the broth is more flavorful even if you can’t have the noodles. If you are on soft but just can’t have the noodles, try having just the broth with the veggies (celery can cause some people issues, though so be mindful of that). Honestly the longer you can go without having processed carbs the better. Carbs make you crave more carbs (or that’s how it works for many people anyways).

First: All because you can doesn’t mean you should. It takes around 8 weeks to fully heal. That includes all nerves that were severed or damaged to be back firing again & sending accurate messages to your brain around, hunger, satiety, damage and your restriction. It’s why sticking to the portion size recommendations you should have been given is so important during the healing stage. (If you didn’t get them ask your team for some guidance.) You don’t want to damage your healing tummy either (all those sutures and staples holding your tummy together). Secondly: Do you need the next bite or just want it? There is a big difference between needing to eat and wanting to eat. Stopping to think about each bite you take is part of mindful eating and reflecting on your eating vs. mindlessly shovelling food into your mouth. If you just want the next bite (to make you feel better, out of habit, or other head hunger related desires) put your cutlery down & sit back from the table. Sometimes you may take another bite after a few minutes, other times you don’t have any more. The goal is not to eat until you are full but until you are satisfied and have had enough for your needs (for your body to function effectively). It takes at least 20 minutes for the message you’re are full to get through. If you are eating quickly when the message gets through, you’ve eaten more than you need and are over full. The goal also shouldn’t be to eat until you feel the restriction. If you feel your restriction you’ve eaten too much, or too fast or food that is too dense. The restriction fades in time so you can’t rely on it as a long term maintain e tool. The two axioms have been very important to me and helped me stick to the plan I was given in the losing stage and then to maintain in the years after. I’ve often shared them & I hope you may find them helpful too.

1. I just want to get more active to feel good. I don't want to lose muscle as I lose fat which is what I am sure is currently happening. I am sedentary all day while working from home. I do have a young niece and nephew that I would like to be able to do more with but just don't have the stamina now. 2. I don't like the exercises themselves. There's nothing I've found that I enjoy doing. I'm not a fan of getting hot and sweaty but I can deal with that. Boot camp classes are too aggressive. Spin classes require riding a bike which I didn't enjoy as a child. Zumba is dance and I don't do well with dance being uncoordinated. I don't have motivation to workout at home alone so classes have worked best for me in the past. 3. No one around here has "aerobics classes". They seem to have gone the way of the dodo bird and are extinct. I can find other types of classes but nothing like I used to take back in the 90s. I hope these answer your questions!

My doctor put me on 12 weeks! Not a typo. 12 weeks of protein shakes and broth. I have 10 weeks to go. The doctor will have their reasons for the diet so I guess it's just individual difference.

Remember it takes around 6 - 8 weeks to be fully healed so still experiencing some discomfort, spasms, cramping, etc. isn’t uncommon. However, if the pain requires medication, is increasing in frequency or intensity, contact your surgeon or go to your nearest medical centre to be sure everything is okay. Or just contact them to check.

Hi, I had surgery (Mini Gastric Bypass) in Jan 2023 and I am losing weight. Total weight loss is 50lb (in 23 weeks) . However most of this was lost in the early month and I have slowed to approximately 1lb per week, if that. The slower weight loss is fine, I can cope with this because its going in the right direction. What has be very anxious is that i find that I feel like i have no restriction and can eat anything. To maintain the weight-loss I need to tell myself not to eat. I am fighting with the 1lb weight loss each week to make sure its a deficit, terrified that it will go up. I don't feel like i have a tool. Are there any other MGB patients that can eat anything - bread, rice, chocolate, cereal, potatoes. I do suffer nausea if I don't eat sufficient protein but i am so worried that i have gone through surgery and i will spend the rest of my life 'dieting' with little help from my tool. Anyone else in the same position? Thanks Cals

So I have an appt with my cardiologist because of this very problem next week and when I talked to my gastric surgeon he said, that isn't a cardiologist problem, that is a dumping problem. I was like oh. But that was the only symptom I got besides dizziness when I stood up while it was happening. It doesn't happen all the time and there is no rhyme or reason because I have eaten the same thing for lunch all week and it only happened once. It has happened after breakfast and after dinner but again no rhyme or reason as to when it happens. Maybe it is the amount I ate. No clue. But I am going to check with the cardiologist anyway.

Definitely check it out. I just looked and it’s $49 a month for unlimited support. They have 25 plus different support groups every week and they also have individual ones but it’s not clear if they are included (you should be able to get most of your questions answers in a group one if not). I am actually thinking about doing it once I looked at the calendar which is jam packed with differnt groups and topics. They have some one demand stuff too. When you look you don’t have to do that quiz thing. Scroll down and you will see the info about the nutrition program and see where it says click to see the calendar.

I'm honestly not sure. Pureed stage is stage 3 for me, but I'm not allowed anything with firm shells until stage 5. Stage 5 is also when I can get canned fruits and things like that too. 9 incisions sounds like a lot, but I know you had a different surgery than I did. I had 5 incisions plus an additional one for the drain. 19 staples. They took the staples out yesterday and then put steristrips on then. But by the end of the day, the steristrips were gone. I don't know if it's just how they were placed or what, but they did not stay long at all. I just ate my first meal of scrambled egg whites. Here's hoping!

Almost 3 months post-op, and this is my face! March 2024, 20 stone 1lbs (281lbs) Literally just took this photo! Around 16 stone 7lbs (231 lbs)

No, I don't. I didn't think about that, either. I'm going to look into getting one of those next payday. Now that you mentioned it, I'm curious what my daily steps are. I hadn't given it a single thought. Now I wonder how much actual "working out" I'm doing 5 days per week at work....

I realize this is an older thread...but it is still near the top of page and I suppose the "most recent" of it's type ? A pile of stuff has occurred in my life since I was active here on B,Pals. My 10th year sleeve anniversary is coming up later this year. Lost a ton of unwanted weight as a result of the sleeve. Daily trips to gym were the norm. no longer drank beer, but found that sugar free mixers and high grade tequilas and vodkas made for some FUN fuel for many adventures. Storm clouds loomed heavily over my marriage. Some unresolved issues resurfaced in a big ugly way. It appeared divorce was most probable. The storm finally broke....my ship hadn't crashed on the rocks... my wife still my first mate, ally, friend and lover....marriage was stronger than ever. 6 years ago she received a diagnosis for stage 4 breast cancer. Immediately stopped drinking when that diagnosis was delivered. 4 years ago she succumbed to the evil hell of cancer. She fought it with superhuman strength and courage. I will live the rest of my years in awe of her bravery and grit. It has been an incredibly tough go of it since. Her unshakable faith stoked my own faith. That is what I leaned on heavily....and will continue to do so. Early last month, the anniversary of her death was approaching. I was filled with this feeling of guilt in addition to the ever present loss & grief. The guilt was spurned by the realization that I had taken zero steps towards what she had told me to do...afterwards. She was clear that she wanted me to live. I was going to work every day and that was the extent of it. I'd maintained zero friendships and seldom contact my family, other than our son. The hurricane damage had been repaired on the house, yet I'd done nothing towards moving stuff back into the rooms that were repaired. Was living off take out and drive through garbage because I couldn't bring myself to cook...painful memories of meals made & shared together. ENOUGH. That was the word that hung heavy in the air. I could almost hear it as if she'd spoken it loudly. ENOUGH, GREG...IT IS TIME TO MAN-UP I began taking inventory right then. I vowed to not let another year go by with me still living in a bubble...not treading water, but sinking. I have remained alcohol free since quitting those six years. Clear headed and no monsters to address there. Good. Doctors appointment for annual checkup had revealed several things....top of which was my blood panel looked like trash...precisely because that is what my diet consisted of....pure trash. There had been some weight regain...but nothing that I felt like would be too difficult to lose....if I would get my arse in gear and make the lifestyle changes needed. Things were going okay on my job, simply because I'd let it be my focus...the only thing I rallied for. Spent way too much time there. Immediately scheduled some vacation time off and road tripped to visit family Visited my wife's grave....our gravesite and did so with a different feel....loss and missing her....but, feeling more stable for the first time since losing her. She'd forced me to sit down, months before passing, and listen to her on a certain subject matter that I was avoiding. told me to live...how to live....wanted me to continue on with all aspects of life and was very descriptive. She would make ongoing instruction in the months ahead. I couldn't speak in reply...just nod that I understood. She was so brave that she could accept things and love me enough to coach me how to live....afterwards. I was too much of a coward to discuss it....just sat there and listened and acknowledged. She would KICK my arse if she saw the state of low I'd been to. One day, perhaps, I will be able to show her that I heard her and rallied. That time will be at the end of my days, however. Until then, there is much life to live. RESETTING THE SLEEVE WAS EASY: I simply swapped over to strict keto. After two weeks I felt much better....after a month I no longer wanted the crap foods and I no longer wanted big meals. The smaller meals reset things for me. There is a noticeable restriction and feeling of full that occurs now. I haven't finished a meal in a month...unless it was a 1/2 sized meal. Sipping water all day...cutting off prior to meals and 30 mins after. Zero sugar intake an damn few non-fiber carbs. Supplementing with vitamins, iron, potassium and calcium. Moving more....but still not ready for the gym and all the people. Slowly feeling emotionally more "awake". Keto, with an eye on the overall daily calorie intake is how I live now. I don't see changing that. By the time that 10th surgery anniversary arrives, I suspect I will be at my all time lowest weight since college. The sleeve is still there. It just needed me to treat it right and not override it with trash food.

You’ll find your rhythm, it might take a while but you’ll begin to understand what works for you and what doesn’t. When I first started working out I was doing 2 hours of cardio a day. When I knew better I cut it to 50 minutes a day and lost more fat that way. I would train glutes twice a week if I could but I get too sore because I don’t eat adequately to recover and for them to grow hence the once a week. If you can train glutes twice a week and rest well between the sessions (say beginning of the week and end) and eat well then go for it, nobody minds a juicy perky booty lol. Shoulders are not large muscles so I would limit it to 3 exercises a week (shoulder press, upright rows, lateral raises) and 2 bis and tris exercises as these are smaller muscles. I didn’t meet my protein goals for over 4 months post op. At 6 months I upped my calories to 800 and at 7.5 months (now) I’m averaging around 1000 calories a day, give or take. I have some fierce restriction so my portions are very small but I eat frequently (every 1.5-2 hours when I’m not busy or distracted). On weekends I forget to eat and can go 6 hours between meals but on weekdays I try to stay consistent and eat every 1.5-2 hours. It’s very unlikely that you’ve messed up your sleeve, you’re losing weight and keeping active so it sounds you’re doing it just right. You might be surprised to find out that you might need to eat much more (1800-2000 calories) to maintain your weight! My brother was sleeved 3 years ago and to maintain his weight (mind you he’s really slim) he’s eating around 3000 calories and he’s not active lol. Not saying you should jump to 1800 calories overnight but maybe gradually start increasing your calories until you hit the sweet spot and your weight stabilizes. Track everything and keep a food journal and note down your weight changes (loss, gain, maintenance). Remember you are very active and you WILL feel more hungry than someone who isn’t. Your body is new to weightlifting and is trying to build muscle, and building muscle requires a lot of calories. At 4 months post op I started serious weight training again and I was able to up my calorie intake when I was failing prior to that, I am just much hungrier working out than when I am not. At 3 months post op I was barely getting in 200 calories a day. Don’t doubt yourself, you’ve done amazing!

You have to keep on them. Tell them if they got “pre approval” then you want the pre authorization number to call the insurance and give to them so they can pay it. Ask for the BOD or whoever is the higher up at your hospital. They don’t want to do more work rebilling but you only have so much time to appeal things before it’s too late. Also ask insurance how you can get to start an appeal on your own. I had a bill that my local doctor didn’t get prior approval for the procedure so it wasn’t covered but should have been because it was medically necessary and I had to fight for like 6 months until they finally wrote it off and that was only like 5 grand. I called three times a week to see what they were doing to rectify it. I actually used my headset and walked back in forth in my house while I was on the phone to get my exercise in when I was post surgery. Keep detailed notes of everyone you call, email, leave vm, etc with dates.

Yes, I had sleeve 3.5 years before I started my journey to revision. It’s considered fairly “new” In the medical community but finally got endorsement by the ASMBS so it should become more prominent now but finding info on it as a standalone procedure was tough enough, nevermind as a revision. Like @Arabesque said I had a really difficult time making my decision between the SADI and bypass but i did finally land on the SADI and I am happy with it. This week at six weeks out I was down 40 pounds (including the weight I lost on my two week preop diet which was basically two shakes and a low carb dinner). With the sleeve I felt like I was on a diet. The reduction of the hunger hormone helped me to keep my portions small and get down to 167 (i’m 5’8”) but I was able to eat more than expected from day one. Not a lot more but enough that once the hunger came back and I was eating several times a day I was gaining from even healthy food. The fact that I felt like a failure for not reaching my goal and that I was gaining in spite of my best efforts discouraged me and bad habits started slipping in bit by bit but rather quickly I gained it all back plus some. Things that have been different with the SADI. For one, my level of commitment. I quit going to my follow up appointments at the Dr and stopped posting here when I regained a big chunk of weight post sleeve because I was so embarrassed and I never went to the in person support groups to begin with. After I started my journey to revision I began posting again and committed to doing the in person groups when they meet monthly. I also have made even more than the minimum required appointments with my team to acquire as much information as I can and I asked to do my follow ups more often which helps for now with my anxiety over healing but also will help to keep me accountable In the future. In terms of the surgery itself it seems to have made more metabolic changes for me. For one thing I was actually a salty snacker before my sleeve but post sleeve I craved sweets. I actually woke up from my sleeve surgery craving various desserts but with SADI I was craving Fish Tacos (a meal I never even enjoyed pre surgery) and I have been eating all kinds of stuff I had to force myself to eat pre surgery and I’m actually enjoying them. I mean not like pizza but still pretty good I am back to regular food now and I may have a sugar free popsicle once a week. Other than that I don’t really want sweets and my food cravings are very quiet and good choices are really good. In terms of motivation and energy I have a ton more. Part of that may be due to my exercising this time compared to the sleeve in which I didn’t do any. This time I started out a little shy of a month just walking to the end of my street and back and now I’m up to over 15k steps a day (sometimes 19k) and I’m getting ready to try YOGA at my community center (waiting for my 8 weeks post op just to be safe). I feel fantastic. It’s not just he honeymoon phase either. I actually wake up hours earlier eager to start my day and at night when I hit the bed I feel accomplished and I sleep so much better. Everyone I talked to said fat was okay with the SADI and carbs were the enemy but that has not been my experience. Maybe processed carbs are bad but in things like veggies, fruit and oats or brown rice are okay for me. I actually do lower fat because I had my gallbladder out so think almond milk and 2% cheeses or non fat yogurt (surprisingly not bad tasting though). In terms of carbs if I remember correctly she started me at. 60g and then increased me to 80 because of my activity. They did not resleeve my stomach so my return to food progressed a little slower than yours will if your getting re-sleeved though so that will not be the case this early out. You won’t be able to eat the volume of food that I do at this point. I can actually eat every 3 hours. Most times I’m already up but I have an alarm set for 8 and I wake up and have my proffee which I finish by 9 with my multi vitamin and then every three hours (12,3 and 6) I have a small meal with my three calcium chews. My last meal being a snack at 9pm and I take my magnesium and hair vitamins. I seriously have so much energy. I care so much about what I put into my body. I make everything from scratch and before it was all about convenience (hated to cook) and I won’t lie and say I love exercise but I want to do it. In fact I’m nursing three blisters now and they just weren’t healing with the continued training so I’m having to force myself to slow down today. It’s so weird. I haven’t exercised in over 20 years. I have avoided it at all costs!! I mean I had to make the decision to get started of course but the surgery gave me the energy to do it. Ooh, the recovery was a bit tougher for the SADI, well a lot for me but they took my gallbladder too. I was okay without pain meds once I finally was able to pass gas (like 7 times one morning) but I spent five days in hospital because I couldn’t pass gas and my pain was only managed on meds they wouldn’t send me home with. Once I got home I took half of one pill because my husband forgot to get the Tylenol and I had to wait for him to get it I the store but after that i managed without it. With my sleeve I work up and refused pain meds and was fine the next day. In fact i almost forgot I had surgery when I was out front and asked my husband to pass the basketball to me. So night and day difference in recovery but it wasn’t horrible. Just not expected. Anyways, I’m sure that once I get closer to goal I will be tempted by less desirable food choices and it won’t be as easy as it is now but I honestly do feel like it will be different this time. For one, I have more support but also, I am actually changing my entire lifestyle this time. I am even looking for organic and cleaner ingredients in my food instead of just processed junk that’s diet friendly. I feel great and I want to continue feeling this way for a long long time. That got kinda long, sorry. I really hope some of it helps.

HI! Thank you so much!!! I started with walking around 2-3 postop, 20-30min and just built up to working out from home with light 5lbs weights. I follow Sydney Cummings or Juice and Toya work out videos. I would alternate 1 day upper body, 1 day lower body, ect...Then I would walk for 1 hour one day a week. Then I joined the gym when I was comfortable with the weights and that's when I really saw results. That was around 8-9 week post op. I cut down to 20min cardio and 30min strength training still alternating and still having 1hour walking days. Now that I am at my weight that I want to be at and not wanting to bulk up anymore just shred and tighten up my loose skin that I can possibly tighten up, I do 4 weight days 2 upper body, 2 lower body body with 30 min of cardio (usually treadmill at 12-13.5 incline and 3.3-3.7 speed) then 2 days I focus only on Cardio HIIT workouts. Now I do all my own workouts just from researching online and building my own workouts. I think they work? LOL I feel good afterwards, and my body composition is changing so I am rolling with it LOL I focus on high protein like over 100g, carbs I kept around 60g and fat around 20g. I have been fortunate where the weight came off pretty quickly, right now I am eating around 1400 cal 150g of protein 80-90g carbs and 25-30g fat. I am not actively trying to lose anymore, I want to more so maintain but I am still losing, so I am waiting till that figures itself out. LOL

You can totally DM me on here! Totally am down to help a fellow bariatric pal! I took 2 weeks off, just for my mental health too. I needed to get into the game with the foods and the meal prepping. I definitely had to work my way up, Lots of tears and sweat. Even still ! LOL I did greive clothes, I still have 3x tops and dresses in my closet that I have not been able to get rid of. I wear them tthe tops to bed now..For the most part I had to buy all new clothes. Still working on building it up. I went from an 18/20 to a size 4. 2/3x to a Small top. No you do not need to add the quote lol