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Hello - I am having doubts.. I am scheduled for surgery on Monday 6/24. I have struggled my whole life with the constant fluctuation of weight. Had high blood pressure, then didn’t. Had sleep apnea, then didn't. Anyways.. at my initial appt I was 245 (BMI 44). As of this morning I am down to 208… (BMI39) Worried I am jumping the gun by having surgery…. AHHH

How are you doing now? Have you started back to some form of movement. I know that when I had the sleeve I tried to do the treadmill and that did not stick no matter how many times I tried. To me, that was like torture. This time with my revision I am walking around the neighborhood instead. Talking with a friend on the phone who is also walking or listening to music and seeing the various houses and people is just a great deal more enjoyable for me than the treadmill even with the television on I still felt like a hamster I am still early out and I definitely wouldn’t call it a habit yet but I can tell you for sure that I do not dread it each day like I did the other and I’m really hoping that I can keep it up I know for sure that the endorphins are great for my mood and my energy I go until I fall into the bed and sleep like a baby. In fact that’s why I’m up right now, because I did so much yesterday I feel asleep at 9pm 😂 I agree somewhat about the fact that if you must choose one place to put your effort then the nutrition is definitely the most important in terms of weight loss BUT, having done this before and been less successful, I can tell you that last time I did not exercise and it felt like less of a huge life change for me as it does this time Again, I am only 5 weeks out so it’s possible that this is temporary, though I hope not because I feel fantastic with all of my choices my point is that adding in exercise, for me, makes it feel like more of a lifestyle change and after I come home all sweaty from my walk I don’t want to put any junk into my body. I am even starting to buy things that are grass fed and organic when they are available and trying to cut back on salt as well as rethinking my artificial Sweeteners (although that’s going to be the toughest for me to give up) because my body feels so good and healthy and I want to feel this way for a long long time. As others have said it doesn’t have to be a specific exercise. Just move your body more. Maybe dance lessons, or Pickleball, something like that. My library had a Belly Dance teacher at one point about a year ago and now that I’m losing a bit I am going to look into whether she is still there because that sounds kinda fun. I also did some research on the weighted hula hoop and it is cardio for most people as well as a bit of strength training so I may try that. It brings back memories of competitions with them as a kid so it could be fun. Something that my PA said at one of my pre surgery support group meetings keeps ringing in my mind that helps motivate me too he said that just 90 minutes of exercise a week in zone two heart rate (which I achieve with a brisk walk) decreases your risk of “all cause mortality” by 15%!! You can even break it into 15 minutes a day- 6 days a week (although it’s really 25 with your warm up and cool down added) but weight loss aside, a 15% decrease, thats pretty incredible. I was afraid of some of the complications from surgery that may or may not kill me and that was once like a 2% risk. So my goal is 30 minutes of exercise a day (I rounded up) and anything beyond that is just a bonus. That has seemed to work for me so far 🤞

Alright guys, 6 months is upon us!! This pic is from the morning of my 6 month post op visit. I weighed in at 232 in office. That is 88 lbs since my highest weight, 75 lbs since surgery! Weirdly, I am smaller now that I was last time I was at this weight. The surgeon found this funny and said the way our bodies lose weight can be really entertaining. LOL I startled myself the other day because I pulled out my smallest clothes (the smallest I have ever been as an adult was 195) and my size 16 jeans fit, zip easily, and are huge in the waist!! That means my smallest size, a 14, will probably fit now snugly, or comfortably in another month. How insane is that?? How can I fit into clothes I had to be 30 lbs lighter to wear last time?? Magic, that's how. 😂 The surgeon estimates I'll be at around 200 lbs by my year mark, though he said if I don't get quite to 200 to not stress it. We each lose weight at our own pace and with my common channel length I can expect to lose weight (albeit much slower) through the second year and possibly into the 3rd year, though at that point it'll be 1 lb here and there. This is the upside of the duodenal switch, it is a long, slow burn. Most stabilize around 18 months to 2 years, but there are always outliers. I feel pretty great! I had a hiatal hernia repair in mid April after I starting having issues choking on my food and pills not going down (I even ended up in the ER with it, which was awful, they don't get bariatric patients at all!!). I gained 15 lbs overnight and it took 2 weeks to get it off, so that on top of my stall for most of March really slowed my weight loss down. But that's okay, I'm reminding myself I have faith that it will come off in its own time. But man, it is hard to remember that when the scale goes up!! In other news, my GP and bariatric surgeon both think I have POTS. I've had issues with it on and off since having a bad case of Epstein Barr Virus (mono) that put me in the hospital a few years ago. It seems every time my body gets stressed it reverts back to having symptoms and it seems it counts any surgery as a major stressor (understandably). She referred me to a specialist and my appointment is October 24th, 2025. Uhuh, 2025, not a typo. He's booking 1 1/2 years out. There are only 2 doctors in the state that specialize in it. So I'm not a happy camper... Meanwhile we are trying a low dose of a beta blocker to see if it helps with the dizziness when I change positions, the racing heart rate when standing/exerting myself, and the exercise intolerance... And doing the lifestyle things like compression leggings, increasing salt and fluid intake, etc... It seems that a lot of Long Covid patients end up having POTS too. Have you looked into this @SomeBigGuy ?? How are you doing? How is everyone else doing??

August 7th isn't too far away! You're close to the preop diet. I started mine a few days ago and it's testing me, but I knew it would. If I were a smaller person, I don't think it would be such an issue. If I weren't having appetite issues even before the diet, things would be easier, too. What's helped has been sipping on broth or slurping on sugar free Jell-O all day. I go slow with those so it feels like I'm eating/taking in more than I am. I'm only nervous about one thing: the gas pains immediately after surgery. I've never had surgery before, so I am not sure what to expect. I want to have a realistic expectation of pain before experiencing it. I know I will handle it better that way. Luckily, I have a few family members who have had laparoscopic procedures before and we willing to be honest about the experience. I've been avoiding stories online of others' experiences of that moment, because we all have different pain thresholds and it's too easy to go down the rabbit hole of scary stories. Especially with AI/algorithms thinking we want to see the worst of the worst. I want to share why I made my decision to have the SADI-S vs a sleeve or bypass. While I cannot speak to what things will be like after surgery, I am confident I'm making the correct decision for myself. I'm in my 30s with no kids, but would like some. I have been struggling with my weight ballooning up and down for the last 20 years. At my heaviest, I was over 320 pounds. I hit that as I made the decision for surgery. I didn't know what surgery I wanted, so I started doing research into the best bariatric surgeons in my state. I read through their websites and looked at reviews for the surgeons through my insurance provider, google, yelp, and other such websites. Then I asked a few friends in the medical field which doctors they would want doing surgery on them. All of that narrowed my list down significantly. I ultimately went on gut instinct and don't regret it at all. My surgeon is amazing. Her teams is extremely supportive. Here's some information she gave me on my options: -- Gastric Bypass: She does not recommend the procedure to any patient. It has more points for potential surgery complications and, in her medical opinion, the highest chance for weight regain. -- Sleeve: potential to lose 70% of excess weight. Less than 1% chance for complications. -- SIPS/SADI-S: potential to lose 80% of excess weight. Less than 1% chance of surgical complications. I want to have children, and she advised that the SIPS/SADI-S (there really needs to be a better name for this) is the best choice to allow me to get pregnant a year or so post-op (depending on how I'm doing) and reenter weight loss when appropriate post-birth. I will have to work very closely with my weight loss team throughout the entire pregnancy, but it really feels like a bonus to have more support. My surgeon's office also recommends patients to very talented specialists for all surgery clearances. They all treated me like they were part of a huge team dedicated to helping me get through surgery clearance. It was amazing. I was given a packet with all the possible issues I might encounter post-op, what can be done if they happen, and how to avoid them in the first place. When I read through it spelled out in black and white, it's easy to see what my life would need to be to avoid a horrible experience. The most embarrassing ones are noted as being most common with gastric bypass than sleeve or DS. Most of these complications can be avoided by chewing well, not drinking during meals, and not overeating. One of my doctors said I am going back to being a baby again, digestively. I will need to reteach my body how to process what I eat and not be afraid to push back milestones if I'm not ready to start the next leg of the journey. I'm definitely anxious. The unknown is always scary. I'm confident at the same time because of the team I'm working with. And because of the support I have at home. I know I'm extremely lucky to have the surgeon and support I do. It's definitely a burden to afford this surgery right now, but I don't believe I will feel that way in 5 or 10 years.

OK - opinion from the other side of the track. I have had reflux for 20+ years and was always tied to a PPI. When I lost a lot of weight it always receded. When I regained it recurred. I took the chance and had a sleeve procedure. I wanted to maintain my anatomy as far as possible. I took a gamble that my reflux would not worsen and I won. The sleeve does work out for some people. Also it doesn't work out for others. I really hope you can weigh up all the experiences we have to share here and find the right path for you.

so I started looking and booked a consultation with one for next Friday. I wont get surgery till my weight has settled but I want to get an idea of pricing, what can be done, and possible book someone I like in a future date. But I am excited!

I am 22 pounds from goal weight and the only exercise I have done for the past year is walking 2-3 miles a day. Casually. To be honest, I joined Planet Fitness since everyone kept telling me I needed to lift weights to avoid too much muscle loss from the rapid weight loss. I went a few times then stopped during flu season and never went back. I had a few different stalls and of course the weight loss slows the closer we get to our goal weight. But on the average, I lost 1-2 pounds per week since RNY WLS in April 2023. I plan to amp up my workouts after I get below my goal weight with resistance training. I used to body build in my 20's so I'm counting on muscle memory to kick in for me. LOL I also knew that weightlifting would increase my appetite and eating more when our bodies can't build muscle during our honeymoon phase didn't seem logical. According to bariatric surgeon, Dr V, we are in a catabolic state for 1 -2 years after surgery. Meaning we cannot build muscle while our body is breaking it down. (losing weight) Makes perfect sense to me. I'm curious if you have gotten a bodyfat test that shows increased muscle mass 9 months after surgery coupled with weightlifting?

Some nights I definitely struggle. I have been pretty low on energy; I'm usually getting my protein and am taking all of my vitamins. I know that my goal of 64 oz a day of fluids has been flagging, though, honestly. I'm drinking a lot of Gatorade zero but plain water has not been tasting good, even filtered, unless it is REALLY cold. I mean, from a bottle in the fridge then poured over ice. I feel like it got harder as I moved into phase 3 of trying to eat more real food as opposed to drinking most of my meals. I do know that I was told to expect different back pain as I lost weight, and I feel like maybe the magnesium has activated my digestion so much that it sometimes keeps me awake? It isn't really pain, but more like gas pressure. Not sure if that part is SADI exclusive. Sorry I've been so silent lately, I have been skimming and still hope to respond to a few more posts.

It looks like I may have to have a revision to Bypass now. I will know for sure next month after they scope me but I’m curious how much of the excess weight is lost with the revision. My surgeon said his experience is it’s only about 70% but I’m hoping that some people experienced a greater loss. Also, when computing excess loss, what is the ideal body weight we calculate from? That’s never really been clear to me.

Yeah, my "optimal healthy weight" is between 145 - 155. Absolutely not. No way. I weighed that back in high school and people thought I had an eating disorder. I looked sickly. I liked how I looked when I weighed 165. But I'm older now and I've had kids. I'm not trying to look like I did in high school. So I'm thinking 190 may be the final, optimal weight for me, as well.

Yeah €150 is expensive but I get a small contribution from work towards gym membership so I think I will try it out, plus if it is too cheap I may not turn up! I have a free introductory personal training session at the end of Sept (have to wait until I am back from holidays) and then if I like it I can start membership from Oct. and they include personal training in their price so that should help me. It is a small gym, only 10 people allowed at a time and no-one from my work is a member there which is a bonus as my boss is a member in the cheaper gym near me. I really just need to be shown the correct way to use the weights to try to tone up arms and legs but any tips from you @AmberFL would be great and much appreciated for at home use. I have 3lb and 6.5lb dumbells at home but no idea where I am on fitness scale, I would think medium - I do pilates and aqua aerobics (but not for August as everything in this country closes down for the month!) and walking but nothing high energy.

On 1/22/25 I had surgery initially to bring my remnant stomach down from my chest and they said while they were in there, they'd repair a hernia.. It was done robotically, so I anticipated the dreaded CO2 shoulder pain. I was up & walking, doing what they recommended & was discharged the next day.. After about 48 hours, it had subsided but had occasional twinges.. Unfortunately, I wasn't informed that I would need to be on straight liquids, but I had a Roux-en-y in 2008..so piece of cake. What wasn't so simple was taking my various pills & having one get stuck 3 days post-op. I had no choice but to throw it up. Apparently that caused swelling, so I ended up in the ED... After about 10 hours, the swelling reduced & I was able to swallow again. After a few days of taking bare necessities, I flew home to CO. I will be doing my 2 week surgical follow-up via tele-health. However, I am now 10 days post op & I am having intermittent what I assumed was CO2 shoulder pain. It is excruciating and extends up my neck & radiates into my ear. I couldn't figure out why I was suddenly having shoulder pain again as the CO2 should be out of my system by now. After reading about everyone else's experiences, at least I know I'm not crazy but hope that the stress and swelling after the pill incident didn't mess things up. Needless to say, I will be calling my surgeon first thing in the morning. BTW.. Even though I had some complications after my bariatric surgery in 08..I would do it ALL over again. No regrets.. I was 333 pounds the day off my surgery and 169 today.. And here's something only a bariatric patient will appreciate.. At 5'8", I was no longer considered OBESE, just overweight.. That is until osteoporosis hit and I am now 5'3, still 169 but back to being obese.. It sucks cuz I have maintained my weight between 167-169 for over 15 years but I can't control the fact that I shrunk 5 inches in the past 6 years.. The joy of getting older 😁 Thanks to everyone for sharing and saving my sanity..

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.

The progress in your pictures is awesome. My scars are lighter, two of them are small but you can still see them somewhat. With you being normal BMI, I would say it's going to take time to get to your goal. Travelling a lot will have something to do with it as well. I want to get under 200 lbs. before my knee replacement in October. I know, once I have that done. Weight loss will probably be nonexistent for a couple months.

First of all congratulations on your loss. Everyone says that the first place you gain weight is the last place you will lose it when it comes back off. Do you remember being around this size before and gaining in your belly? I know that I first noticed it in my belly and face. Ab exercises may help because I noticed that my ab muscles are practically non existent and I think it’s due to not sitting up tall since I’ve put on the weight. Standing and sitting up tall and holding my belly in makes a huge difference in how my body appears.

I am not preventing more weight loss however I am not a fan of how thin I am right now. I work out to build muscle but I like being curvy and I am looking pretty flat now lol I felt really good and *think* I looked good at about 175-180 Not that I don't feel good where I am at, but I am would okay with where I am at. My surgeon said that same lol But like you said I am not letting my foot off the gas, still working out 6days a week, tracking my food and prioritizing protein which I plan to do for the rest of my life. Thank you I am loving joining this new life!

I am 4 months out. I had sleeve into bypass. I can’t figure had to change weight yet on this site. I lost 50 pounds. I can’t believe the hair I am losing. I’m freaking going bald. Taking vitamins but 65 grams of protein a bit difficult for me. I get around 55. I can’t force the food. I talked with doc and they said it’s common to lose hair but he said it’s a lot. Try more protein. Ugh! So frustrated!

Yes it’s a lot of lost weight! I really liked the movie, and it helped me. Thank you for the answer !

I have 3 kids 12, 6 and 2. I did not tell them. The day that I went my mom stayed over and hubs and I told the kids that I had to go to the doctors because my stomach needed to get checked and fixed. Now all they see is that my eating habits have changed, and I workout every day. So they just think that I made a lifestyle change and got thinner that way. My oldest is my step son and his mom is very very body conscious and body shames? She struggles with her weight and has made comments how my daughter has slimmed down, or how the 12 has finally lost his baby weight and will barely eat. I nip that in the butt quick! I have to tell her that we cannot speak negatively in front of our kids, its going to cause a complex like we have. I grew up with my mom always talking about weight and she still does. I try my best to not surround our conversations on negative body image. I do home work outs 2-3x a week and sometimes with my daughter who is 6 asks to work out with me to get skinny, I tell her its not to get skinny its to get strong and stay healthy. So I try to just surround our convos around that. Its tough with kids!

If you don't want to stay off the scale for a week, which I'll admit I can't do either, just remind yourself each day that the number does not define you and that it isn't the end of your weight loss journey. Plateaus and small upward movements are common and normal throughout the process. It's temporary. You're still eating too little for it not to be. You're only 6 months in, so you have at least another 6 months ahead of you to lose those last few pounds. It will probably get harder, but it will happen! And you've done an amazing job in such a short period of time.

He just had me work an elastic band and said to do that but I ended up not doing it. But I can walk probably for 2 minutes or so everyday and increase it to 3 minutes next week. Especially when I have to go to saranac next week for my last followup before my surgery. I kind of want to tell them I've been exercising. I don't have a smartphone my wife has one and brings it to work with her everyday but I have a computer that I can setup reminders on. I go on it every morning so it would work perfectly. If that doesn't work I do have a tablet that I can use for reminders but I'm not on my tablet very much. I mostly just go on my tablet to check my email once every few days. My team will be taking good care of me after my surgery yeah. Even if I choose not to have the surgery they want to keep me in the program because I'm overweight and eligible. But I want the surgery because it should be a good tool for losing weight. Next Wednesday is just around the corner and hopefully I'll get all of my questions and concerns answered. I think even if I'm hungry though as long as I fill up fast I don't think I will eat as much as I am now. My problem is I am NEVER full even if I eat 3k calories in one sitting. It's ridiculous. The surgery should definitely change that.

There isn’t really a hard & fast rule about how much weight you will lose at certain points along the way. The calculators, advice from your surgeon, dietician, etc. are all based on averages so not what you WILL lose but what you MIGHT lose. At about 5 months you’ve lost 63lbs (plus the 40lbs before your surgery). It took me about 6 months to lose 60lbs & I lost at a pretty good rate. Yes, I started at a lower weight than you & we say, the more you have to lose the faster you’ll lose in the beginning, yet again this is a generalisation based on averages. I’d say you’re doing well - congratulations! My test always was what did my surgeon say. If he was happy I was happy. (My dietician to a lesser extent.) What does your surgeon say about your weight loss to date? Focus on getting in your protein. It’s essential as is getting in your fluids. It will help you get the most from your surgery. Eat your protein first, then your vegetables & if you are able any multi/whole grains you are allowed. This helps ensure you hit your protein goal. In the first months it wasn’t unusual for me to just to eat my protein & nothing else for a meal. Drink all day - in the car, out doing chores at the shops, etc. I found drinking through the night helpful too - still do. Enjoy every one of those pounds you’ve lost. Remember there’s no time line for when you have to have lost all your weight. You’ll get there in your time & there’s only right in that.

I'm sorry about the stalls. No matter how much we know they will happen, it doesn't make it any easier. I know in the past, the closer I got to my goal weight, the slower it would come off. @BlueParis this could be the case with you? How are things feeling... your body? Your clothes? My dietician told me that these things will continue to change even during stalls.

I’m 6 years out & if I tried to eat a “normal” meal I would throw up. I can only eat about 3 1/2oz at a time. This means I have to eat 5 times a day. My surgeon even made my pouch a little bigger because I didn’t need a by pass for weight loss but because my esophagus was in an L shape & this was the best way to correct it. Try eating smaller portions.

Ask to see their medical degree, after all your medical doctor says you are right where you should be and since he/she's medically trained their diagnosis has more weight - perhaps if they disagree they should debate them about (my - you) your healthy weight...and ask them if they'd like the doctors number!?