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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.

Thanks everyone. The hunger is not a welcome feeling after almost a year of making myself eat. My one year is May 1 and I'll have a body composition test at that time. I'm curious where I land. I re-weighed myself this morning in my birthday suit and I was 133. On a crazy note, at 131 I'll have lost half my starting weight... Basically, my current weight lost. 😳

Hi! I have only spoken to them once since my surgery as I told them I was not losing weight and kept having issues with low blood sugar after surgery which I never had before. they advised I upped my protein and then stopped responding. im 5’5. Daily calories unknown I eat whatever I want whenever I want as it makes no difference to the scale and hasn’t for over a year. I calorie counted back in January this year, I track everything down to oils when cooking , weighing out everything etc I was between 1600-1800. Would still be hungry on these calories aswell. before surgery when dieting previous years I was on 1800 and lost 5 stone in 4 months. Now no matter what I do or track or eat nothing works?!

Is anyone out there like me? I had VSG surgery feb 2022. Started at 21.9 stone pre LRD diet. 20.9 stone after LRD , lowest after surgery 17 stone.  I lost weight the first year and then gained 2 stone currently sitting at 19 stone. Since jan 2023 the scale has not moved once , up and down by maybe 1 or 2 pounds but the scale is not moving. At all. I can count calories for a whole month and nothing. I can eat **** for a whole month .. and nothing. nothing makes my scales move and hasn’t for over a year. You can only imagine my frustration. is anyone else having this issue and if so PLEASE tell me how I can start losing weight and making the scales move again.

a couple weeks ago i remember your post about your struggle to stop losing...are you still losing while this hunger appeared? perhaps its your body's response to the weight losses...? if thats the case, then perhaps listen to your bod and eat more? i can imagine that eating more is in itself a struggle...it took me 3-4 months to get over the mental block to actually stop diet mode (and like 2 years to get over the mental block of eating bread/rice/pasta lol) if im not mistaken you just recently reached goal? (congrats again btw), my suggestion would be to give yourself a bit more time (ie several months) to find your happy spot, it usually takes a while before you get to the autopilot of maintenance...great suggestions above...experiment with (small amounts) of (preferably nutritious) foods and amounts and see what help with the hunger. keep an eye on the scale in tandem to determine any causal relationships with certain foods. but yeah, i know, "easier said...". good luck, and it CAN be done! ❤️

I unfortunately only spent a few months following surgery without being overly hungry, but after about the three month mark it came back with a vengeance, so I decided to do some research. I now consume Non digestive or Resistant meladextrin. Its a corn fiber that your body can't digest so; no calories, good fiber and probiotics purported to help with the following: Resistant maltodextrin is believed to enhance gut health by [19, 29, 30]: Promoting the growth of good gut bacteria Improving stool weight, consistency, and bowel movements According to some researchers, resistant maltodextrin has potential against obesity, diabetes, and heart disease because, in various studies, it has [31, 32, 33, 34, 35, 36, 37, 38, 39]: Reduced belly fat and body weight Decreased food intake Increased satiety hormones (glucagon-like peptide-1 and peptide YY) Lowered the production of the “hunger” hormone (ghrelin) Reduced blood sugar levels and insulin resistance Blocking the growth of cancer cells and tumors ** hasn't been proven** Decreasing endotoxins, inflammatory cytokines and oxidative stress markers (TNF-a, IFN gamma, MDA) Increasing protective antibodies and anti-inflammatory substances (IgA, butyrate, IL-10) In clinical studies of over 200 people, resistant maltodextrin enhanced the growth of good gut bacteria, including [19, 29, 44, 47, 48]: Bifidobacterium Ruminococcus Eubacterium Lactobacillus Lachnospiraceae Bacteroides Holdemania Faecalibacterium As a resistant starch, this type of maltodextrin will help keep your blood sugar level stable after meals. In a meta-analysis of over 900 people, resistant maltodextrin blocked the increase of blood sugar after meals (postprandial glycemia) [37]. resistant maltodextrin decreased blood glucose and insulin levels. It increased a weight-loss protein called adiponectin that blocks glucose production. 3) Obesity In several clinical studies of over 300 overweight people, resistant maltodextrin reduced body weight, body mass index (BMI), and body fat. In one 12-week clinical study of 30 people with metabolic syndrome, it decreased waist circumference and belly fat [31, 55, 35]. In clinical studies of over 160 overweight men, resistant maltodextrin decreased feelings of hunger, increased satiety, and reduced and food intake. In another study on 32 healthy people, it decreased levels of the “hunger” hormone (ghrelin), lowered feelings of hunger and improved satiety [31, 32, 33, 34]. In rats, resistant maltodextrin reduced body weight, belly fat, and suppressed excess food intake [56, 6, 50 I found numerous research studies that pretty much said the same things above..so I figured I'd give it a try. It has no flavor and desolved completely so I just add it to my water plus it has no calories and helps regulate Ghrelin (hunger hormone). It really seems to help! I just make sure its non GMO etc etc. Perhaps it can help you, I figured it couldn't hurt and I do feel less hungry...still by try but less.

I hope this finds you well and you are okay. From my understanding, the upper GI series your surgeon has recommended is a crucial diagnostic tool. It can provide insights into various post-surgical changes, such as alterations in the anatomical structure of the gastrointestinal tract or potential issues with nutrient absorption. This non-invasive test is instrumental in identifying the underlying causes of unexpected weight fluctuations following weight loss surgery. It’s a key step in ensuring your ongoing health and well-being.

I've never heard of such a draconian measure. I drink coffee and it hasn't affected my weight. Of course its an 8oz cup with monk fruit sweetener and some cream not a high calorie specialty drink from a coffee shop. Also don't try to eat around your restriction. Since my 2017 surgery I still have a very good restriction. ( I thank the gastric sleeve god every day) Prior to surgery I lived to eat. After surgery I needed to learn to eat to live. It was very very difficult but I realized I'm not getting a second chance. Insurance will not pay for a redo and to be honest, what would I accomplish with a redo if I didn't learn to eat to live. Food was my drug of choice as it is with many others on this site. We need to realize we don't have to love food but just like it a little bit to stay healthy.

Since my surgery in 2017 I've lost my weight loss powers. I'm a mere mortal when it comes to weight loss. That being said I do the following: 1- Weekly weigh in and log it in 2- Stop eating at 7PM and start again at 7AM (I usually go to 9AM) 3- Eat the same thing every day. For me, Breakfast greek yogurt and hard boiled egg, cup of coffee Lunch, tuna fish, sardines or salmon from a can (no additives such as mayo) dinner broiled or baked seafood with a salad. I will also eat a costco protein bar if I need it. 4-Excercise, for me 3x at gym nothing too strenous just 30-45 on treadmill 5 degree incline with a brisk 3.5 mile speed walk Very Very difficult to stay within 5-10 pounds of goal weight then try to get back down. Vigilance and sorry to say obsession are my keys. It's a struggle every day.

Heya! I think every Dr/Surgeon must do things with a slight variation, but it is always best to follow the advice given by your own Dr/healthcare team - it is often tailored to you e.g., in terms of weight, health conditions etc. I had my dietician appointment today and we went through when I am starting the LRD, which will be for 2 weeks, and then went through the different food stages which for me are: Week 1 - Liquid Week 2 - Puree/slush Week 3 - Mush (thick/lumpy foods) Week 4 - Soft foods Week 5 - 'Normal' foods

Life just throws it all at you some times & I’m sorry you’ve been through a lot. Unfortunately the pouch reset is a fairy story/old wives’ tale. What needs to be reset is not your tummy but your head. Remember all that head work we had to do in the beginning? The stress, emotions & changes you’ve been experiencing has likely meant those old bad habits have snuck in again & you’ve been turning to food to comfort yourself. It’s easy to become complacent too. All completely understandable. Don’t know if you were a food tracker or not, but tracking even for a couple of weeks like @Spinoza suggested will help you identify what you may need to adjust - food choices, protein & fluid goals, portion sizes, nutrition. Then start by making one or two changes & another one or two a couple of weeks later. Small changes are easier to adopt & adapt to. Probably aim to get back to about where you were when your weight stabilised & how you initially maintained. Maybe contact your nut/dietician to help you get back in the right mindset. Therapy may help you manage & better cope with the stress you’ve been experiencing too so you don’t turn to food. You’ve been successful for ten years. You can do it again. All the best.