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DogMom2Doodles replied to DogMom2Doodles's topic in PRE-Operation Weight Loss Surgery Q&A
So I am a USNavy Veteran. I am getting help through the VA Hospital. They don't offer injections for weight loss help due to the need for those medications to go to Diabetic patients which is what they were made for initially. So not having a larger BMI, the only option available to patients like me is the bariatric balloon. They do not do lap band or anything else similar here in the United States anymore with the VA health system. They offer gastric sleeve/bypass to patients with higher BMI- they said if I was just 10lbs heavier when I was referred to the specialist, they would have approved it 😕 which made me a little upset- if my primary would have known....maybe I would have waited for those extra 10lbs ? Well, any who- I am willing to try what's available to me- so Gastric Balloon it is So they will insert surgically a balloon filled with blue dyed saline solution. Basically, a breast implant in my stomach this will take up a majority of the stomach space- leading to feeling full and staying full feeling for longer. Basically, it is like the injection medications results, but not needing the injections monthly. -
26 Months since Bypass and my appetitie is out of control
Possum220 replied to Possum220's topic in Gastric Bypass Surgery Forums
Really appreciate your kind words SemperVeritas. It is good to hear that taking semaglutide was a helpful and positive experience for you. Yes, being obsessed with thinking about food is horrid and is driving me battier. I just want the thoughts to stop. Even now I think that my doctor will say no just because he can. I am still classified as obese (Loathe that word) and doubt that I would lose any more weight but maybe if it can help you it can help me. Kinda scared to try it and scared not having it too. Crossing my fingers for tomorrow - about 12 hours from now. Thanks again. -
Need suggestions please!!!
SleeveToBypass2023 posted a topic in POST-Operation Weight Loss Surgery Q&A
So as you can see, I'm well below my goal weight. I'm not super excited about it because I'm looking really boney and too skinny. I'm normally getting 70-90g of protein per day, but I can only work out on weekends because I work all week and don't get home until 6 or 6:30 at night. I eat 3 meals and 2 snacks normally, although for the last 3 weeks I've added another snack in there. I started adding a protein shake in with my lunch because that's usually my lightest meal of the day, and I want to make sure I'm hitting my protein goals for the day. But it looks like I'm losing muscle, and I REALLY don't like that. I tried reaching out to my nutritionist and she said to add more carbs, but I'm SUPER sensitive to them, and if I eat too many, I get really sick. I can push it to about 35-40 per day, but after that, I get HELLA sick. So I've been trying to load up more on my protein and increase to 80-100g per day, but I'm STILL dropping weight and STILL looking boney and too skinny. Not only that, but I feel like I'm losing strength. I'm REALLY upset by this. Anyone have any suggestions on how I can reverse this???? I'm starting to look and feel sickly, and I don't like it at all. -
Compliments
Bypass2Freedom replied to Bypass2Freedom's topic in General Weight Loss Surgery Discussions
I always find myself thinking after I have received a compliment: "why did you not just say thank you and leave it at that?" . I have noticed this thing that I do, and I don't know if anyone else can empathise with this - but say someone compliments my hair, I will say something like: "ah I need to dye it again though", or if they compliment my weight loss, I say: "still a long way to go!". I struggle to just say thank you, to just accept it. Like I am always putting a negative on it. I wonder, if like you, I just am doing my old style thing of wanting to avoid comments on my appearance. But, I shall take a leaf from your book, and I shall try to smile and reflect fondly on compliments in the future! -
Reminders of why I want to do this surgery
NickelChip replied to NeonRaven8919's topic in General Weight Loss Surgery Discussions
100% with you on fashion! And I don't know about in the UK, but in the US, so many of our department stores hide the women's plus section on the top floor, behind the children's department, next to the toilets. It's always the part of the store with not enough heat or A/C and clothing strewn everywhere because the workers never get back to that area to clean it up. Although, I'll caution you now that whatever size you happen to be in when you go shopping as you lose weight, that will be the size they are out of. I used to struggle to find a 2X in things and could only find XL. Now I'm looking for XL and there are only 2X. Like, where were all you 2Xs a year ago? -
February 2024 Surgery Buddies?
LisaCaryl replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
I just got my blood work back online and am kind of upset about one number. Everything looks fine except for my A1C, which is 6.1. That falls in the pre-diabetes range of 5.7 - 6.4. Mine had mostly been between 5.6 and 6.1 before surgery, and nothing we were overly concerned about because of my weight. I'm quite discouraged to see it still up there after losing weight. I don't see the doctor until next week, so I will have to deal with it for now, but I wanted to put it out here and see if any of you have had this issue, too. My glucose is 75, but not sure how much that matters. Thanks! -
I can't believe I'm here again. Sleeved Jan 2013. HELP
Spinoza replied to funinthesun00's topic in Revision Weight Loss Surgery Forums (NEW!)
Totally agree. Nothing to be gained from beating yourself up. Life is hard enough. You did super well for a long time after your original procedure. MUCH better than most. If you can identify key points when your control lapsed then take them forward into your revision and embrace it? Even if you can't then do your best. That's all any of us can do. We're human, we live in an obesogenic world. We're trying. Every flipping day. Not to be obese. Please can you keep us updated? I'd love to hear your story moving forward. -
One week post op and feeling scared about never having favorite foods again
BlondePatriotInCDA replied to Cassafrass83's topic in Gastric Bypass Surgery Forums
I suppose I'm one of the few people after reading responses to the OP's post who haven't had their past food cravings or the food they love change. I still want pizza, phad Thai and Chinese food etc. No, grilled fish doesn't suddenly appeal to me anymore than it did before surgery, in no way is grilled fish comparable to fish and chips to me. I don't suddenly find a piece of fruit better than a brownie. There are times I'd kill for a roll or a sandwich with actual bread (not keto tree bark full grain bread) and yes I become resentful. I'm being totally honest, healthy alternatives don't taste as good (to me) and trying to change food I love/loved to a "healthier" version just isn't the same and doesn't taste anything close leading me to; 1. A waste of time and energy and cost, cooking/cleaning afterwards 2. Total disappointment and yes anger. I explain this because I found myself becoming upset because I wasn't and haven't experienced the sudden love of healthier food like others here on this forum leading me to be upset with myself. So, I'm being honest about my personal experience. There are some alternatives I have found such as Yasso "ice cream" bars and Wilde chicken chips, but that's about it. Unfortunately, I find myself just not eating opposed to stuffing yet another high protein non tasty food into my mouth. To combat this I stick to a few things I do like (you should know I've had food issues my whole life, in fact I almost died as a child because I'm an extremely picky eater - food texture issues). So, this is on me. I do get the required protein or close by drinking a fairlife protein drink. I say all this because the taste for healthier food doesn't happen for everyone and I don't want you thinking it most definitely will for you then if not wondering what's wrong with you!. I've only experienced dumping one time, but for the most part I can eat what I used too, the difference is I chose not too. Being thin to me is by far better than eating something I love and enjoy. Does it take a lot of joy out of my life? Yes, celebrations/holidays just aren't the same. I'm not trying to depress you, I'm sure you have enough of that as it is, but I am being realistic. You need to determine what your real priorities are; 15 mins of eating enjoyable food or 24/7 of being thinner and healthy? It all comes down to the mentality of it. Having your head straight on what you really want. I truly hope you're one of the lucky ones as all those who've responded thus far and you find healthier alternatives you like or you just don't like your old food loves, but be aware that might not happen and start getting it straight in your head now. Thinner/healthier/longer life/decreased co-morbidities vs. 15 minutes of food enjoyment and weight gain? Lastly, If I really want something I get it, take a few bites and physically walk away from it. I throw it away before I eat more or give it to my husband.. either way I get away from it. It all comes down to choices and what's really important to you. Good luck, you got this, you've haven't gone through all this just to throw away your opportunity for a healthier thinner life. It would be a tragedy for getting a few good tasty bites in. I really hope I haven't burst your bubble after reading others more positive your tastes will change posts, I wanted you to also read there are others who aren't that lucky but still do what's right for a healthier thinner life. Its all getting the mindset down and if all you read was just the your food tastes will change posts and that never happens you'll blame yourself like I did. I hope this helps you. Some may condemn me for my less than positive post, but I've always been a realistic no rainbows flying out my backside type and I would have appreciated both sides of it right after surgery so I knew all possibilities. Lastly, don't condemn yourself if you do cheat occasionally, just up step up and eat right next time! -
How do you know what your goal weight should be?
KarenLR75 replied to AmberFL's topic in POST-Operation Weight Loss Surgery Q&A
This July it will be 5 yrs out since my gastric bypass. Originally I wanted to put goal weight at 150 but even when I was 16 and on the swim team and burning calories like crazy, the lightest I ever was, was roughly 145. As a teen I even did VERY UNHEALTHY things to try and get down to what at the time, according to the notorious insurance standards, was a medical goal weight of 114 -135 lbs for my height at the time. I never managed to get down to 114 despite going on under 600 calories a day (again, with no medical guidance..I was a teen and listened to peer pressure and society tell me what was 'ideal'). So to think that in my 50's that I need to even try for that kind of weight, I figured I'd just disappoint myself plus I'm older and my body has changed. I finally set my goal at 170. Fast forward to THIS year (year 5) - I had consistently been tracking between 169-175 (and been THRILLED) and for some reason I hit a rough patch about 7 mos ago where I was hungry all the time, scary hungry considering I had been more at ease with my life and not feeling like I had to monitor anything. Things felt like there was a natural rhythm to hunger and how I addressed it. I didn't feel desire to overeat and my family said I still 'ate like a bird, but I realized I had let bad habits creep back in and it was more a boredom thing and honestly, extreme stress. What I was doing that let calories creep in was I was eating more frequently. You can overcome any 'restriction' at some point by eating frequently. I gave myself 'guard rail'/target weight zone instead at the end of my first year post surgery. If I'm in my 'zone', then I'm not actively trying to gain or lose, I'm content. If I get up towards the high end of my zone, I re-evaluate what I'm doing. I ended up in 1 month blowing past the high end of my zone to a weight spike that I had not had for 3 solid years. I had been consistent AND happy with where I was at. Thankfully I've course corrected and with some help I'm at my lowest weight ever since I was...er...18? I'm 165 right now and as I am also considering plastics, I'm going to re-review the valuable info on the plastics forum/threads as I know I want weight 'stability' for sure. I knew when I did the surgery that I personally wanted to wait until a few years out because honestly, I was afraid I'd find some way to tank the surgery even though I waited 5 yrs before having the surgery to work on myself mentally/emotionally. I also knew I'd have to pay for it out of pocket so I would need YEARS to save so I figured I could lose the weight and tone what I could so the plastic surgeon, if I was fortunate enough to find one I could trust, would know what they had to work with. I'll let them tell me if they also feel I'm ready. I have SO much loose skin that I honestly don't know with it removed if I'd weigh 5 lbs less than what the scale says. I also learned my watching my 1000 lb life that loose skin doesn't weigh as much as I THINK it should..LOL. That is why I'm only attributing 5 lbs to my loose skin I think you are doing AWESOME! I'm glad you are keeping your goal where it is. Just settle into your 'new fantastic self' which is just another facet of the already awesome person you were! We can both spend time researching the plastics info while you are in this new chapter of your life and I'm hanging out at 5 years hoping I win the lottery or at least a big payoff scratch off so I can put some money 'down' with a plastic surgeon..LOL! -
Hello, On 8-12-21, I had a revision from a VSG to a SADI ( mini bypass). My doctor did not adjust my sleeve and now I’m several days postop and I am left with the same hunger and food intake capability that I had before the surgery. I’m just curious, if anyone else had the SADI that didn’t include an adjustment to your stomach, and if so what was that Experience like for you? Were you satisfied with your weight loss? I’m starting to get concerned, did I choose the wrong revision or surgeon.
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August Surgery buddies
Hiddenroses replied to Averdra's topic in PRE-Operation Weight Loss Surgery Q&A
Hey all - I promise I'll get to responding to the previous posts that I haven't replied to a few pages back but I had a quick question - Has anyone else experienced tenderness from sitting in a chair that didn't previously bother you? It's weird for me, I haven't lost a LOT of weight (24 lbs as of yesterday at the doctor's office, their scale and mine seem to have about a 2lb disagreement) yet it feels like I get an achy bum sitting in a desk chair that was previously fine. That might sound silly; I don't mean in any particular region, just achy in general to the point I've taken to putting a thin pillow beneath me. Is that weird? Is it maybe just the overall achiness? Just curious! -
Is it the fat in the dairy that makes us go up? If so, maybe try skim or 2% dairy for a while and see if it goes back down?? I tried fat free cheese a long time ago and it was so gross I just assumed it all was awful but the reduced fat stuff isn’t bad at all. I get the block cheese and shred it myself and it’s really good and the skim ricotta was good. Not sure about cottage cheese because I don’t like it. Ooh and the baby bell light is delicious. One of my favorite post surgery snacks. I’m actually quite curious because mine was starting to go up and they always said when I lose weight it will go down but if it doesn’t I don’t know what I eat that’s so bad either I eat all lean cuts of meat and no real butter at all. I think my issue is honestly just dairy like you so keep us posted if you work it out please .
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Meowdy, friends! 😸 I had VSG on 11/22/23 (the day before Thanksgiving here in the USA 😂, almost 5 months ago), and I have not been a very fast loser. While some people may have dropped 20 lbs in each of the first two months post-op, I'm just at almost 40 lbs down since surgery. My Physician's Assistant (we don't meet with the surgeon at all post-op in our program) said I'm definitely a "slow loser" and am about 12 lbs higher than they'd expect me to be right now. Anyone else out there only losing about 1-2 lbs per week? Anyone who was in this situation and managed to kick things up a notch? And also, anyone who was a slow loser who eventually met their weight loss goal? I've always been awesome at getting in my water, protein, and vitamins each day. My program pretty much refuses to give us macro goals other than protein, but I know I'm generally under 100g of carbs daily (sometimes much less). Protein, I'm usually at 80g+. Calories, I float around 1000 per day. Water, I get a MINIMUM of 64oz. I took a week off of exercising (elliptical and weights) when I was sick with a cold, and I actually lost the most in that week, so I laid off the exercise for a bit, worried it was slowing me down. I'm going to start back up on it, just because it's a good habit to get back into. When I do the elliptical, it's usually pretty vigorous for 30 minutes, sweating profusely and burning ~400-500 calories. I put on some very loud heavy metal and take out all my frustrations on the machine 😅 I'm worried I'm going to be stuck at this weight and that I'm "wasting" this tool and opportunity, or that maybe I chose the wrong surgery. Granted, my current weight is way better than where I was before starting the pre-op diet, and my mobility and endurance are IMMENSELY better, and my IBS-D has basically disappeared (THANK THE LORDT), but it's still not where I'd like to end up. The PA told me that sleeve patients can lose for at least 18 months post-op, so hopefully it's just a slow-but-steady race for me. I guess I could just use some encouragement or advice or anecdotes from others who were slow but successful, or if someone sees something glaringly "wrong" with what I'm doing.
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Is this the same if you’re on HRT I wonder? Pre-HRT I would have quite happily stabbed hubby just for breathing too loudly and I honestly thought I was going mad - anger, tears, emotions all over the place. Really weird when I’ve generally been relatively sane previously! HRT has calmed all that down but I’d be interested in hearing from menopausal weight-droppers 🤔
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Report Your WINS ..What is your today's win??🥇
BlondePatriotInCDA replied to Mspretty86's topic in Rants & Raves
50% of bypass patients reach at least 166 lbs 18 months after surgery. Based on my starting weight of 271. I'm coming up on my 12 month surgery anniversary (Aug 21st) and I'm already below this statistic as of today! I even did a happy dance (my pups thought I was nuts). 😆 I'm hoping with 6 months until 18 months that I'll be in this category: 20% of patients reach 149 lbs 18 months after surgery. If the above isn't enough, I met up with another friend I haven't seen in 6 months for breakfast this morning, she walked right past me twice looking for me! -
Yea well I’m not going to say that exercise is as fun as your favorite pasttime to start. It took motivation on my part to get started. Even at a smaller BMI than you I started by just going to the end of my street and worked my way up, But seeing the progress of being able to do it without being out of breath or my knees hurting as bad as I went further and further motivated me to do even more. Exercise is never going to be fun for most people. Although at this point I am doing different group classes and I like the ladies that I get to do it with so it’s about as fun as it can be. The surgery will help with losing weight and that makes it a bit easier to get around. You may also find you have a bit more energy. You will start with just getting around the house better, but if you try to do a bit more as your body can do it safely, you will see that it’s up to you at a certain point. . Everyone starts in a different place, if you are pretty much couch bound, talk to your doctor about a physical therapist to help you get started. I actually asked if they could have one help me just to do some of these exercises safely so I didn’t hurt my knees or my neck, but they said they are not trainers. They will help if your doctor thinks you really need it, though. If you just need motivation, Hopefully whoever you have as your support system will cheer you on if that’s all you need. I know that my husband sees how hard I am trying with my food choices and even the exercise that I do at home so he is doing everything he can to help with it if I have a late class for aerobics and he makes dinner or he got me some headphones so that I could listen to music while I’m walking. My friend helped me to get started by talking to me on the phone and she was walking at her house while I was walking around mine. Also, if you have local support group, i have been going to that and it really helps. But I don’t want to overwhelm you thinking about doing exercise that sounds unattainable right now. I was only trying to let you know that his surgery is life-changing and give you something to look forward to. You don’t have to think about all of that right now just focus on small goals Just being able to get around the house better will be a really good start. Some people choose not to ever really exercise. And of course that’s your choice too. Losing weight will still make you healthier, even without exercise.
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So i ended up in the ER (storytime)
ShoppGirl replied to Dchonlee's topic in POST-Operation Weight Loss Surgery Q&A
I was almost scared to open this this morning as I’m headed to hosptal on 25’ minutes. 😆 That is the absolute worst. I had one near what going on down there so my primary sent me to gyno. He said that wasn’t necessary but it was more comfortable knowing he looks at that All day long. Mine had to be landed and then packed with something soaked in antibiotic several times while it healed it was really bad. He said it just happens in a perfect storm of unlucky events that can bappen ti anyone. This was long before any weight loss surgery. Anyways, I hope it heals real quick and your back on to living your best life real soon. -
How to pick the right plastic surgeon!
catwoman7 replied to AmberFL's topic in Plastic & Reconstructive Surgery
I wanted the best surgeon I could find that wasn't too far from where I live (within two or three hours). Although I would have been open to traveling if I couldn't find anyone in the region. I don't think he had the best bedside manner of those I did my consults with, but he specialized in plastic surgery for massive weight loss patients and had been doing this particular type of surgery for years...and years. He had excellent reviews. Of course, it's great if you really connect with the person, too - but you'll only be seeing this person a handful of times - if that - but you'll be living with the results of your surgery for the rest of your life. You might want to schedule a couple more consults before deciding. I found realself.com to be somewhat helpful when I was coming up with my list of potential surgeons. you're in California - Dr. Katzen is nationally known and specializes in massive weight loss patients, I believe. EDITED to add - looks like he does all kinds of plastic surgery, he doesn't specialize in massive weight loss patients. However, he's very well known in the bariatric community. -
Hi there! Newbie here. Been reading a lot of the threads and already feel like a lot of you are my friends when I haven't actually spoken to any of you 🤣 I had my surgery on the 17th of December 2023 and my stats were: Height: 166 Cm (around 5'5/5'6?) Weight: 90 KG (198 lbs) I didn't do the liquid diet because my surgeon doesn't believe in it. Also, my surgeon specifically said "I will be very happy if you lose 20 KG (44 lb) but it's quite unlikely".I wan't heavily overweight and I was very athletic with a lot of muscle mass. Fast forward 18 weeks post surgery I have lost around 28.4 kgs (62.48 lbs) and my surgeon's mind is kind of blown lol, he wants me to stop losing but I do not think I am done yet. I get these comments that I look "stick thin" but mostly get many compliments as there is no sagging or loose skin (due to muscle mass pre-surgery). My problem is that I have hit my first stall ever this past week where I didn't lose anything (I was losing quite rapidly) and I am low-key freaking out. I still want to lose another 7 Kgs (15.5 lbs) just to have a wriggle room if my body decides to gain a little rebound weight later. I have started some heavy lifting the past week and man I am SO SORE so I think it's due to the inflammation? I am quite sad and disappointed to have not lost any weight the past week and I need some emotional support. I eat around 800 kcals a day with 65 grams of protein - give or take- (starting the past 2 weeks as I was still on a 300/400 kcal a day prior to that). Could that be another reason? Was anyone done losing at 4 months post op? While I know my weight is currently good/slightly under what is good for my height, I really want that wriggle room and I really don't want to be done so soon. Any advise?
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Rapid gastric emptying. Possible treatment.
Jalapeño replied to ShoppGirl's topic in POST-Operation Weight Loss Surgery Q&A
For me, I can't really have another decent sized meal until I've used the toilet... This is coming from an RNY patient. Everyone's anatomy and post surgery results will be different. This is the reason why weight loss surgery results can not be replicated for each patient. One patient may have problems with one thing while another patient who underwent the same surgery won't. -
August Surgery buddies
ShoppGirl replied to Averdra's topic in PRE-Operation Weight Loss Surgery Q&A
That’s awesome that you got some cleaning done. I said I was going to clean my bathrooms and kitchen yesterday but hubby was home and kept me distracted. I probably should do that today. The energy is kinda crazy for me because I wake up so wide eyed and ready to go but then I get tuckered out just as easily. I guess it’s probably the exercise giving us the endorphins but the low calories still limits it a bit. Either way, I’ll take it if I’m at least getting the exercise in and still dropping weight. Sorry to hear about the bathroom issues. I really think once we get to where we can regularly get In a bit of fiber In our diets that will balance out. I know that we are not alone though because they even have a tracker for bowel movements in the Baritastic app. I laughed at first but now I’m actually using it. -
When did you start indulge or give yourself a "cheat meal"
SleeveToBypass2023 replied to AmberFL's topic in Gastric Sleeve Surgery Forums
I really don't, and that's because it's a very slippery slope for me. I have found so many alternative foods that taste good and don't leave me feeling deprived that it's not worth the inevitable guilt, the possible weight gain, and extra work it'll take to get me back to where I am now. I'm 2 years out from my original surgery and a year out (at the end of this month) from my revision surgery. I'm so use to how I eat that I can't imagine trying to eat any of the stuff I use to eat. There's keto bread, keto bagels, keto English muffins, keto brownies, keto blueberry muffins, Legendary pop tarts and cinnamon buns, mashed cauliflower (works beautifully in place of mashed potatoes), crustless pizza, pizza with cauliflower crust, riced cauliflower instead of regular rice, monk fruit sweetener instead of sugar, sugar free tropical popsicles, Real Good Foods keto protein chicken nuggets, Atkins 1 person meals, Real Good Foods 1 person meals, the list goes on and on. We get creative with what we cook (still have steak and chicken and stir-fry), chocolate milk has now become almond milk, 1 tbsp cacao powder, and 2-3 packets of monk fruit sweetener. Use a frother and it's AMAZING. There's chips you can get at Whole Foods that are made with soy flower or almond flower and tastes EXACTLY like regular chips (I love the BBQ and the sour cream cheddar ones). For ice cream, I get Rebel ice-cream. Low to no carbs, nearly no sugar at all, low calorie, lactose free. Tastes AMAZING. I just have no need for any cheat meals. -
Does your pre-op diet weight loss "count"?
NickelChip replied to NickelChip's topic in General Weight Loss Surgery Discussions
Thought I'd update this post because I just had the chance to attend a live Q&A session with Dr. Matthew Weiner. I talked to him about my weight loss so far and concerns about how slow my progress has felt post-op. He asked me about pre-op weight loss and what my highest weight had been, and explained that even though I was 223 going into surgery, I had started at 251 and lost 12 lbs from nutrition changes over 6 months, plus 16 lbs from the pre-op diet, so that all factors into the final weight loss expectations. He suggested in terms of what my final weight loss from the surgery might be that using the 251 starting weight could be more accurate, and that the pre-op diet weight loss would definitely help explain the slower weight loss post-op. Bottom line, I feel so much relief hearing this explanation from him and really appreciated him taking the time to ask so many questions to get to the answer! My surgeon really hasn't given me an estimate of what I should expect to lose, although I plan to ask at my 3-month appointment next week so I can compare. -
Mid-week Checkpoint
Bypass2Freedom replied to Bypass2Freedom's topic in General Weight Loss Surgery Discussions
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! 😂 -
So I agree with everyone else and should definitely be asked of your team for clear answers. However my slight insight to the SADI is that it really limits fat absorption and what your body cannot process leaves your body rather quickly by way of BM. At least from a few people I've heard say they really cannot handle high fat or high sugar foods for that reason. So I would caution against trying to get more fat in until you have the answers from your team. *side note - (not in any way making this related to the surgery ) - but do you remember when they came out with those chips (lay's i think) with olean? the fat that couldn't be absorbed and people were complaining about bathroom runs. Oh the things we do in the name of weight loss.