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You are not a failure, obesity is a complex disease. It often requires many tools to tame. There’s no shame in that. As a person who has had both VSG and RNY, I can tell you first hand that If you are relying on further restrictions to help you *may* not get that. Almost always the pylorus is bypassed so no there will sphincter holding food in your sleeve creating that classic VSG full sensation. However there are a lot of behind the scenes biological changes that *may* happen but you won’t know how you will respond until after surgery. The new class of obesity med may help immediately (if you can afford them). They are spectacular. In the time it will take you to go through referrals, appointments, testing and waiting for a date, you may lose the weight. They work that fast. Of course there are risks, some who cannot tolerate them or are very slow responders but the beauty is you can decide week by week if it’s worth it. If not, nothing permanent has been done. That’s the other issue. These are permanent use meds just like HRT or TRT. Maintenance doses are still being fiddled with by individuals so what permanent use looks like may not be weekly. Do a ton of research and ask your Bari/weight management team (if you still have one) what they think. Good Luck!

Well, it was a liter and a half of fluid and I started the day before. I had to get down 3/4 of it that day and evening. Save a 1/4 of it for the next morning and drink the rest. I had to get up at 4 am in order to finish that 1/4 of it since my procedure was at 9 am. I had to stop drinking fluids by 6 am. I've not had any issues with liquids, so I'm not a good gauge on that. I typically get 96 ounces or more a day. So, I really didn't have any issues. Though, the taste was odd but they had a lime powder pack i could add. Which didn't help much. The last time I had colonoscopy I was given a choice between having to drink more liquid and it being cheaper in cost, or I could take the 32 oz stuff that cost A lot more but not as much to drink. However the other drawback is that it was super charged how fast and violent everything moved. But this time I didn't have that option.

Don't get back into junk and empty calories... that'll snowball fast. Compensate with healthy fats complex carbs, and the occasional treat. I like to add the occasional bread, pasta,or rice to a meal if I want more. But that's after I eat my healthy stuff first. If you're going to the gym, maybe more protein.

So I'm home! I'm 72.5kg (159lbs) this morning so I've made it halfway to my goal like a true @NickelChip twin. I'm home until Thursday when I fly off again but It's going to be a hectic few days ( and I don't even want to think of all the laundry I have to do!). Thats means that in the last ten days since I was home I lost 1.7kg or 3.74lbs which is less bad than I thought. @NickelChip The travelling is hard, I'm usually in hotels with client meetings and lunch and dinners most evenings - I tend to tell them I'm intermittent fasting so manage to skip one meal. I'm not against eating in my room in the evening but do prefer to be out because I just hate the amount of time I spend shut in hotel rooms and prefer to profit from the ambiance of wherever I'm staying. It's just such a massive change for me because I've always been a social butterfly out and about where ever I go ... I went to an international school ( well multiple international schools - I was an "Expat Brat / Third culture Kid") growing up so tend to have acquaintance to visit most places too, or have a random packet to give someones cousin/friend/old neighbor and food and alcohol have always played in a big part in that for me. Eating alone inside isn't really my thing. I've actually got an airbnb for Athens because it's a longer stay so should be able to cook in the kitchen there, and I reckon there will be better salads, but it's a good idea to keep a tub of hummus and crudités in the fridge, I'm not a great fan of yogurt berry combos, but might try... I have perfected my smile and head tilt for when people I meet say "oh my god thats so lucky you get to travel so much" 🙂 @gracesmommy2 I'm not a fan of chips but could go for edamame! I come from a family of tall thin women with massive boobs - I'm the shortest ( and fattest) by quite a bit, I'm 5 ft 6 and my sisters, aunts etc are between 5ft8 and 6ft and probably have BMI's round 20.... So even when I was skinny I've always had massive boobs, I was a already a double F at 14 when I was 110lbs. When I was up at 200lbs and over they got to ridiculous proportions and I'd have deep dents on my shoulders from my bra straps digging in the whole time. I'm happy they're getting a bit smaller but hope I don't loose too much and that they don't head too far south .. but if they do ..that's what good bras are for. That said I am lucky because they've never caused back pain! Do take pictures if you feel up to it - they are good to look back at to see progress, you too @LisaCaryl ... I'm sure one day you'll like to look back at them! @Briss72 @Noelle74 @Eighmmie How are you getting on?

@Briss72 I don't have pain after one bite but when I eat too fast I deffo feel very very uncomfortable for the next 30- 45 minutes. I can't wait to start swimming again, the pool next to me is closed for maintenenace which is boring!

Good morning, good night for me teehee! First off, I totally get how frustrating this can be. It’s tough when you’re doing everything right and the scale isn’t moving as fast as you’d like. But trust me, this is completely normal after surgery. Our bodies go through phases of quick weight loss, then slow down a bit to adjust. You’re putting in so much effort—walking extra hours, doing yoga, eating super clean—and that’s amazing. Even though 1.5 to 2 pounds a week might feel slow right now, it's still progress, and it’s the kind that sticks! Remember, slow and steady weight loss is healthier and more sustainable in the long run. Also, don’t forget that with all the extra exercise, you’re probably building muscle, and that can make the scale misleading. Plus, little things like water retention or digestion can hide the weight loss for a bit, but that doesn’t mean your hard work isn’t paying off. As for carbs, since you’re following what the nurse suggested, I wouldn’t stress too much about changing it just yet. Carbs are important for fueling your body, especially with all the activity you’re doing. But if you're really worried, it never hurts to check in with your provider to make sure you're on the right track. You’ve come so far, and I know it feels like it’s slowing down, but your body is still adjusting, and this is just a phase. You’re doing all the right things, so trust the process and focus on how great you’re feeling. You’ve got this!

I agree with the others. You’re just not ready yet to eat solid foods. Your symptoms of discomfort, vomiting, hiccups, burping are evidence of that. It takes at least 6 weeks for you to heal ( all those sutures and staples holding your digestive system together) which is why we’re put on the slow, usually two week cycles, of progressing from liquids, to purées, to soft foods to regular solid foods. Even following this schedule, many have to go back a step simply because they haven’t healed enough tolerate the denser food yet. And that’s okay. You may have to do this too. There are even solid foods that some people take even longer to be able to eat without experiencing side effects. Foods like chicken breast & steak. Some foods can be too rich like eggs or they’re too dry or coarse (sauces & gravies are your friend). Your tummy is very sensitive and can react to any food (texture, flavour even smell) and this can continue for a couple of months. I used to describe my tummy as a petulant two year old who throws random tantrums. Unfortunately there’s no hard and fast rules about this. You just have to try things and see how you go simply because of our individual differences. Never give up on a food you struggle with initially though. Give it a break for a couple of weeks and then try again. Glad you’re on a PPI (sumac) which will help with the excess acid your body is still producing (it hasn’t learnt you don’t need as much yet). Will also help with the hiccups and burping. Actually many people find hiccups are a signal they’re full. Make sure you’re eating slowly (take 20-30 minutes), small bites and not eating too large a portion yet. Out of curiosity what are your portion sizes at the moment?

Gastric Sleeve Surgery is October 28. I've waited over 25 years for this. Finally doing something for myself. Self pay and by myself. (My husband is supportive but is a junk food/fast food junkie and "can't" change that. He's 5'11" 180 lbs. Eats enormous amounts of food daily. It's not always easy to watch. (Like the two huge plates at my son's wedding, two cupcakes, and doughnuts." I'm forced to use a restroom at work that is through the kitchen, constantly heavy ladened with junk food and snacks. Yet here I go. Started the process April 11, 2024 at 314 pounds. HW: 350 SW: 314 CW: 262.8 GW: 120 Surgeon requires a 14 day liquid diet. 4 protein shakes a day. 64 oz of water or other liquid (broth, SF popsicles or jello, etc). Haven't had food since Monday and the days of hunger pains have been the same amount of days. I'm tired. My son's "wife & kids" aren't speaking to me. The wedding was a lot of mutual acquaintances staring and whispering without speaking to me. My husband and I sat alone with everyone else as far away as they could get from us. His one childhood friend got drunk and was belligerent towards me. I felt so alone. Kept it together and got out as soon as I could, without eating. Took today off because I'm just struggling to get through the day until surgery. No one knows it's coming up except work, because they have to know. I feel so alone in this. And just want to be past the hard stuff and eat again.

Kristen... Most of my life I heard people say how they felt full. I never really did. I am 23 years post-op and I still struggle with the not feeling full issue. Unfortunately, this struggle led to my over eating and putting my weight back on plus some. I am now on a journey to lose again to repair hernias and improve the quality of my life. It's hard though! I was a teacher for 33 years (now retired) and eating fast was a necessity in order to finish before the kids returned and class began again. It's a tough habit to break, but a necessity for me to keep from over eating due to not feeling full. It has taken me MANY years to learn to eat slower so I can be more conscious of filling up. Different things work for different people, but if you eat fast, you can try eating slower and giving yourself time to feel full. Just know you're not alone! 😊

Double check with your team before incorporating any weights. My team said no intense exercise till 6 weeks and 8’weeks for any weights. I am a month out and called today and asked if it was okay to go up to an hour walking around the neighborhood (which I actually did last night but then read about waiting until six weeks and got scared). She said one hour collectively is fine but she would rather see me break that into two or three shorter walks so today I did 15 minutes in the morning and planned to do 30 tonight but I judged it wrong and it was 45. It’s a leisurely walk though. Not at all fast so I think it’s fine. in terms of the drinking an eating, some peoples pouches are more inflamed and it takes a little longer for the swelling to go down. You will be able to drink and eat bigger sips and bites eventually. Never the same as before but bigger. It can feel like a bit of a full time job to get In all the vitamins, protein and fluids for a while but it gets easier. As long as you are not drinking or eating past when you feel full, it sounds like you are doing fine!! And tell your husband he is awesome too for walking with you!! Mine encourages me, and like tonight he made my Salmon on the grill while I was gone but he never offered to actually go with me.

Yay for approval so fast!! You'll have a surgery date in no time!!

what are you bingeing watching???? Need new Ideas.... Currently watching, Little Fires Everywhere....... Already seen: The Handmaid's Tale, Tiger King... lol, GOT, The Walking Dead, Outlanders, Unorthodox (don't watch if you can't read subtitles fast), The Marvelous Mrs. Maisel, Mad Men, Stranger things, Sex Education, Shameless, Schitts Creek, How to get away with murder, American Horror Story, Good Girls, Waco, The Stranger, Self Made, Orange is the new Black, Anna of Green Gables, Siren, The Act (this crazy woman was from my town in Louisiana), Ask Dr. Ruth (pretty good), The Path, Salam, Quickdraw (so freaking funny), Secret Diary of Call Girl..... So many more

I had bypass, but from illustrations posted on here it looks like the stomach gets smaller in the switch operations too. There is a healing phase which takes a while. It seems to take a 2-3 week longer process if you’re a person with reflux issues. Some of that process is testing what your body can tolerate at different stages. I had a hard time getting eggs or chicken down. I still have trouble with turkey 3 years out but it may be a sensitivity at this point. Mostly all foods are fine now. The funniest/cute thing is the regurgitation is like a baby burp. The new stomach is so small! Seriously, a baby burp that’s quick and fast and tiny. The yuckiest for me was a communion wafer. It’s made of wheat. It’s hard and dry, and Covid was still on so no sharing the wine. I still hold it in my mouth until it’s thoroughly wet, then swallow. It got stuck and I had the “foamies” which is basically like dry heaving for a long length of time and it was painful. The whole problem of foamies can be avoided by taking small bites, chew thoroughly and try to use some sauce type thing to help food slide down. Stick to the stages and extend them a week or two if you’re worried, but talk to your team about it first.

The stalls keep hitting me as well. Losing weight after Gastric bypass is a lot slower than I expected. Only fast food I've ate was grilled chicken nuggest from chic-fil-A and chicken protein bowl from subway. Both last a couple meals. Instead.of trying to eat any meal. I just eat a few bites of protein and veggies. At 4-5 times a day.

Literally, same!!! I clicked so fast..... lol

Well I got Approved! That was super fast. I am so excited. 😉

Hummm. I was thinking that maybe if they do change it then it would be smaller for me because I swear my sleeve was left too big from day one. The surgeon thinks I just have fast gastric emptying and that’s why I feel like I can eat more but I hope we will know for sure when he does the scope in a couple of weeks. It will be nice if I do finally get an answer as to why I was always able to eat more than everyone else. I was just thinking that even though statistics say I will lose more with SADI revision that I may be differnt if one involves changing the stomach and the other does not.

Hellooooooo So I'm one week shy of being 7 months post op, and for those 7 months I have avoided sugar like the plague except for some rare occasions where I was traveling and the European country I was in was famous for desserts that I would order and only have a miniscule bite of. On one occasion I got excited and had 3 bites and thought I was fine. 10 minutes later I started feeling extremely nauseous that I was almost dry heaving, I started walking back to the hotel and after 1 kilometer I felt much better so I guessed that was dumping! Not fun Yikes! So fast forward this week, and it is that time of the month and I was craving some chocolate, so I picked a 72% dark chocolate square which I had with a few roasted cashews (to manage the blood sugar spike) and guess what? 10 minutes later I am extremely nauseous and queasy that my skin was crawling. I was at my desk and got up and walked back and forth but to no success. It lasted a good half an hour/40 minutes and it only fully subsided midway through my Pilates class. Does this happen to anyone? The chocolate square barely had any sugar! Will I ever be able to have a little fun? A tiny slice of cake for my birthday? Ice cream? Anything? I don't crave sugar anymore but I like to taste things and take bites here and there especially when I'm travelling/out for a nice meal (which is often).

In soft stage, I tried chicken breast too early and with not enough liquid/moisture. And then I kept repeating the same mistake. Chicken breast in soup would be fine, so I'd think I was good to go forward and each time I had a horrible reaction and it took me a good three weeks to learn from my mistakes -- aka give up for a while. XD The first few days of soft stage, definitely keep your portions lower than you've been able to handle at the puree stage. For example, if you're up to 3/4 cup puree maybe start with 1/2 cup soft for the first couple days. Don't rush yourself -- either with the eating itself, or by pushing forward too fast. Only introduce one 'new food' at a time if you can, to make sure you're doing okay with it. Avoid tough skins for longer than you think you need to.

A sip isn’t a mouthful. Think about 1/2oz (15ml or about a tablespoon). As your body is able, you’ll be able to taking larger sips. How much & when is individual. Some can take several mouthfuls at a time in a couple of months. Me I’m 5 years out and two swallows is it for me. Your body will tell you if you’re drinking too much or too fast but certainly in that 8 week healing period best to keep to sipping. They insert a breathing tube which can cause swelling which hinders breathing & swallowing. It usually passes after a couple of days. Keep trying to do some slow deep breaths throughout the day. It will help you breathe out the surgical gas. Watch not being able to not breathe deeply especially if you have heart palpitations, chest pains or coughing. If you have that as well go to your nearest medical centre as it may be a clot. Try some biotin for your dry mouth/thirst. I found green tea soothing & refreshing. Any warm or hot drink can help too like herbal tea & soups & broths. Try warm water though some say cold water is easier.

As you know, I had the sleeve to bypass revision. They do make your pouch a little smaller, but it will stretch out a little as time goes on. I noticed I have more of a hard stop with the bypass versus the sleeve, and I definitely have to make sure I chew thoroughly and eat slowly way more with the bypass. You can lose weight with a revision, but not nearly as much and not nearly as fast as with the original surgery. You also have to take accountability for what you eat and how much. If you're eating slider foods and stuff not compliant with your diet, if you're grazing all through the day, if you're not watching your salt, sugar, protein, carb, and fluid intake.....no surgery is going to fix the problem.

I did not get a very detailed plan, and my program advances quickly so that in theory you can have no restrictions at 4 weeks. For me, that has been way too fast. I have found the Bariatric Diet Guide and Cookbook by Dr. Matthew Weiner very helpful. Now that my own program says I can have anything, I'm appreciating his stages (which vary from the typical phases you see in most programs).

Hello everyone. My name is Tom and I have been a lurker for years. I had my surgery 11-22-22 at 471lbs. I weigh 214, for the moment, as I continue to lose. What a powerful tool this has proven to be! I am so blessed and thankful I couldn't possibly articulate it. With that being said, I feel I could help anyone that needs it just based on my own research for years into nutrition, fasting, and the many diet plans out there. I would be happy to give my own anecdotal experiences as well through losing the 255 lbs so far. But the point of this post is for me to lean on some of the vets of duodenal switch. I am approaching maintenance phase in around 35-40 more lbs. Does anyone do low carb in maintenance? If so what does that look like? Am I right to assume for us keto is out correct? The fat would be an issue or maybe someone has tried it? My concern when asking about low carb, for me specifically, I have protected my pouch size. I can still barely eat a few ounces of meat or whatever. I could, and may consider, actively stretching it a little when I get to maintenance, but as of right now I am not sure I could sustain on just meat once I am down to maintenance. I have Bilateral knee surgeries coming starting in Jan. I have lost all this weight in the recliner due to health issues. I am lifting, once I hit 300lbs weight, hard 4 days a week. But 0 steps for the most part. That's important because my exercise will skyrocket once I am healed from the surgeries and I will need more calories eventually. Carbs and fat are obviously the most calorie dense so.. Any thoughts or advice would be appreciated!

I've been trying to eat food to get my protein in without relying on protein shakes. I don't mind them, but food is more filling. I haven't tried steak yet. I've grilled chicken breast and tried it in the Instapot and I can get about half of it down. It fills me up fast, mainly the reason I've been sticking with the grounds meats.

I am only 6months out and I eat more than the average sleever..so my doc told me. I also workout 6 days a week and am active. I cannot eat 1.5C of food. if I want to add a veg or carb to a meal then I will eat 2C of protein and then some veggies and if I have room like 1-2 TBLS of carbs. I eat around 1200-1300 calories but my protein is around 130-150g. I fear that I have stretched out my sleeve but I never eat to being full. ok ok maybe once or twice. but I don't feel sick or miserable just like I might eaten too fast. Anywho, For lunch today I made a jalapeno chicken salad with bacon bits and I was able to eat 4oz of that with 1/2 bag of quest chips. and I am good for about 2-3hours. So I think that equates to .5C? its a constant worry I think for all of us to not mess this up. I know for me I fear that I will wake up and be 300lbs again and that fear makes me stop eating shi&&y. I think my comment mightve been a tangent...Ill get off my soap box LOL