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So I finally reached out my bariatric team and they said my post op appts "slipped through the cracks", So instead of having a 3 and 6 month appt I am have one next week (at 5months ish) that will combine my 3 and 6 month post op appt. ANYWAYS to my point! I got my blood work and everything is normal range! my A1C even went down from 5.6 to 5.3 which is pretty groovy! Also my iron is normal for the first time in my life! However my B12 is 1116 which from what I read optimal results are >500 for bariatric patients? So does that mean I am doubly good? My Vitamin D is at 119 and toxic levels are over 100. So my assumption is I could probably cut back on those vitamins lol. I feel great! I am down to 185 as of last week. Hair is still shedding but tis life. Thanks for coming to my ted talk!

That's 15 pounds per month, or 3.75 pounds per week. You're more than on track. And I'm glad to hear you're doing well. I know the feeling about being anemic. I've been fighting that since 8th grade. Thanks for updating!!!

I am actually not in a stall anymore but i did find out i a bit anemic so I am need to work on getting more iron and folic acid in me. That would explain why i been feeling so tired and no energy. Thanks for asking. Also yes I have lost 45lb already since my surgery and its been 3 months so i think i am on track.

Is anyone experiencing an intense hunger that feels very physical and very intense as if it may be Leptin levels are low or something hormonal. I explored with anti acids to see if it was a feeling from the mild GETD that I have experienced, drink plenty of water, eat adequate protein and fiber, small frequent meals. NOTHING IS WORKING… and I keep eating as it feels like hunger… strong hunger, but that does not alleviate either! HELP! 3 years post sleeve gastrectomy.

Great advice from everyone and I would second finding yourself a nutritionalist/dietician sooner rather than later. And maybe a therapist who has experience with bariatric surgery & disordered eating. Do you track your food? I’m not a tracker (didn’t have to) but I do random checks on portions sizes, nutrient content & protein to ensure I’m on the right path or haven’t got complacent. It might be idea to start tracking if you don’t even for a few weeks just to see where you may be missing some key nutrients, to ensure a balanced intake, etc. can’t hurt anyway. Check out some the you tube videos by Drs Matthew Weiner and/or John Pilcher. Dr Weiner has some great books too which may be helpful. These may offer some support while you’re trying to find a new surgeon & doctor.

I slept in a recliner for a little over 2 weeks, and then got a wedge pillow for my bed to transition. I also slept with a pillow next to me for a while to discourage rolling in my most-common direction. XD Like others have said, your taste buds can be really all over the place after the surgery. I found a brand on Amazon called ProtiDiet -- their chicken protein soup was a godsend in my early weeks. I still like it now tbh. My team allowed sugarfree puddings during my liquid stage, and stirring some unflavoured protein powder into the pudding (after it was already set! wait until it sets!) got me through some rougher moments. See if you can find smaller samples of protein shakes (premade or powdered) until you find one you can keep down. After my surgery, anything with stevia caused me to vomit, and erythritol made me nauseous but not nearly as bad. Even now, I can really only handle sucralose/splenda and aspartame sweeteners (or monk fruit in low doses). You might be reacting to the sweetening agent in your protein shake. Also, most care programs I've seen seem to prefer whey protein to all others (for good reasons!), but some people develop lactose intolerance Post-OP -- so something else to maybe look into? I'm lactose intolerant and had trouble with whey at first but my body got used to it after about a week. We're buds now.

First, don't panic! And don't compare your progress to others, if you can help it. I agree with everything Nickel said -- including the book rec. Kristin Willard's Bariatric Meal Prep is a great resource, and I also really like "The High-Protein Bariatric Cookbook" by Stacey Gulbin and "Fresh Start Bariatric Cookbook" by Sarah Kent. I think a good Bariatric book might help cover some of the information you've been missing from your 'care-team'. Is it possible that you've been focusing extra/too much on calories and not enough on what makes up those calories? My team told me that calories can be important (especially later on) but the first several months it was definitely more about making sure you're getting enough nutrients. 60-80 g protein per day minimum -- my team told me for me personally, she'd actually recommend 70-90g -- and definitely 3 meals a day (+ 1-2 protein-geared snacks). If you have to make them smaller at first since you're used to eating two meals, that should be ok. Maybe while you get back into a regular routine, make one of your meals a protein shake or protein bar? It was suggested to me that both my day (and each meal) should be 50-60% protein, and the rest of my plate should be mostly non-starchy veg -- with any starchy veg or complex carb coming in at 10-15% (20% max). The types of carbohydrates can be really important too. A whole grain/whole wheat item or a starchy but nutritious veg is going to put you in a much better place than a processed corn taco or white tortilla. Are you taking any supplements? Also, maybe check out local nutritionists and see if any of them have experience with bariatric patients.

I look for any excuse to get some extra walking in -- like @ms.sss said, takes the stairs when it's an option, park further away. I like to find different parks and trails to visit on weekends for longer walks -- even mall-walking can be entertaining if you switch it up. Most of the community centres in my city have drop-in classes in a heated pool -- some for therapy, others for strengthening or low impact cardio, etc. It's a nice way to get a taste of a few options before paying any full-on membership dues. Maybe check around your local area for something like that -- or a gym that offers a one month trial, etc. (Honestly, everytime I've bought a membership to a gym, I'm awesomely committed for a few weeks and then never go back -- so I stay away from gyms myself) I also bought a foldable stationary bike for at home (like $130 on amazon) for days when the weather is too wet / hot / etc for me to enjoy a good walk. (When I was younger, I loved this exercise series called Power90. It's super out-dated now in terms of style (etc) but I found it on youtube recently and will probably give it a try again once I'm a little further into my recovery. Short 30-45 minute workout videos, I think the only thing you needed to buy was either a resistance band or light handweights, and a yoga mat if needed. They have updated versions throughout the years with more flash and pizazz but I'm a fan of simplicity.)

Week 11 tomorrow, and I definitely notice more shedding now -- and all of a sudden, the ends of my hair seem to be getting drier and more brittle. I guess it's 'begun' 🙈

Stretching in the sense that you mean it is exceedingly rare and only happens if someone consistently binge eats over a relatively long period of time. What does happen naturally is increased capacity. This is true for sleeve and bypass both. After 6 months or so, your stomach regains some of its elasticity and can accommodate a bit more at one sitting. This is fine and healthy. Everyone is different, and everyone's capacity at a given point post-op is different. I don't know what you were told for goals, but my program says 60-80g protein per day and 64oz minimum of water. They want my protein to be around 40% of my calories, and I generally aim for 800-1000 calories per day, but that was not strictly set and will change over time. 1200 seems to be a common goal for the later stages of weight loss, with the amount going up once you are in maintenance. 5oz per meal is reasonable, but you need to be eating breakfast, lunch, and dinner. Plus possibly a snack. My program says aim for 20-25g protein per meal, and supplement with a protein snack or shake as needed until you can get the full amount from food comfortably. By 9 months, you should be fine getting it all from food. Your brittle nails and hair loss suggest you are not getting enough protein and may not be getting enough other nutrients. You should continue to aim for around 4 oz of lean meat or fish, (or a serving of Greek yogurt or cottage cheese, for example) per meal. 4oz cooked skinless chicken breast has 25g protein. Your second priority at every meal should be nonstarchy veg. If you still have room, you can have a little bit of carb (rice, potato, sweet potato, bread, etc.). A serving of fruit makes a nice dessert. An easy way to eyeball it is to take a salad plate (not dinner plate), and put a piece of meat the size and thickness of your palm on one side, and fill about 2/3 of the other side with nonstarchy veg and the remaining 1/3 with carb. Go light on the sauces and butter. If in doubt, check Amazon for bariatric cookbooks. There are several by bariatric experts, including surgeons and registered dietitians. Kristin Willard's Bariatric Meal Prep is a personal favorite, with portion sizes for different stages, and a full color photo for every recipe.

i was JUST posting about this. (and "arguing" with mr. about it) for me, though, its not guilt...is actual pain. since ive been doing pilates and hot yoga (i started again after a years-long hiatus 8 months ago) i have discovered that all the aches and pains and stiffness and soreness i seem to constantly experience in certain areas in my body goes away soon after i start a session and lasts for several hours afterwards. then it comes back. then it goes away again when i go back to the studio. i don't get as much of the relief after a run, but its the best during/after hot yoga...i feel AWESOME and pain free. im sure the super hot room contributes to this. so i like to go everyday, and if i dont, i feel not as awesome. back in october last year, i was doing hot yoga once a week, pilates 3x a week, and a 5k maybe once every 1-2 weeks, if im lucky. plus my lazy-mans strength training in front of the tv. so i generally had 2 full rest days per week (the weekend for me). now, 8 months later, per week, i do hot yoga 7x, pilates 3x, a 5k 1-2x, rock climbing 2x plus the lazy workouts. which has me doing multiple "sessions" per day with zero rest days. been at this level of activity for about 3 months straight. oddly enough i dont feel any worse for wear, other than the usual aches after my hot yoga magic wears off. i am still an insomniac and have energizer bunny energy. but i am definitely stronger, so there's that (well i still suck at opening jars...hot yoga doesn't work on my grip strength lol) anyway, long-a$$ story short, i know i need rest days for recovery and injury prevention. i just really like the several pain-free hours after a strenuous, sweaty session, and missing a day sucks, but not out of guilt... wow. sorry! this was really long.

Hello Everyone! It has been a while since I posted on here, but I wanted to get some input and reassurance/knowledge from others who have potentially dealt with this. I had GS surgery done on 9/5/23 and things were ROUGH at the beginning. It did not help that my surgeon is out of state an their office was not the best with returning calls and in a sense "caring" about my progress/recovery. It is a longer story for another time, as this post is about something more current but somewhat related. Since my surgery I have no gone to my follow up appointments being that 1. I decided to not work with them after the complications and lack of any kind of support/communication from my surgeons office until right before my 3 month appointment, 2. They are out of state and I had not found a primary care physician in my new state, and 3. Probably because I am stubborn as hell, LOL! On the 5th I will be 9 months post op, and after I somewhat got my food/liquid intake figured out I was able to get things moving. Being a food addict I have a love/hate relationship with food and emotional connections to them. I am not the type of food addict that if its there I am going to eat it. Once I am full I do not crave or even want to think about food. So, with the lack of hunger from the surgery I was feeling like I was unstoppable. I was eating when i thought i was hungry/knew it had been several hours. Looking back i think it was the common fear of it all that probably set me up wrong, but we live and we learn. I was afraid of eating too much and afraid to see the number go up as well. I would basically only eat at breakfast and dinner and maybe a snack somewhere in between. I thought i was doing well honestly an thought it was normal. Well here we are nearly 9 months later and I was maybe eating 5 ounces a meal and it was like a single taco or 1.5 sausage patties and some eggs. again, thought it was totally normal. Then i spoke to a friend who did the surgery and she informed me of what she was able to eat by the time I am at and i realized i am eating way way way less than what she listed. So, I have been trying to increase my portions/time in between meals. I have a food scale and weigh out majority of my ingredients and now am calorie obsessed. I am doing it to hopefully eat enough and make sure I am getting enough in me to help with my dizziness and hair loss/brittle nails issues. Since doing so though now I have MAJOR fear that i am eating too much and i am doing it wrong. I am terrified i stretched my stomach and something is not right because i am not gaining weight. I am up 4 pounds and in my terrible mind it feels like I've gained 40 pounds. I was consistently walking everyday until mid-December, but stopped due to pain in my hips (another long story), but have started walking again consistently as of last month. I am also trying to find a new doctor/surgeon here in Tuscaloosa or Birmingham to have a consistent source of information/support. But until then I am in mind panic mode. Has anyone felt this way or dealt with stretching? My family is convinced it has not stretched, but I being the crazy one worried about it feels like i have. I am open to private messages if thats a thing and willing to answer any questions as well!

Hi Sarah! I did not have that fear at first, but I can tell you that if you do not meet your fluid and protein goals you will run yourself into the ground. Trust me! I am 6 weeks post op, and after 2 weeks, I didn't drink my fluids or have my protein. When I took a shower one night, I came VERY close to passing out. The plan is so important (and sometimes really annoying) to follow, but it is for your safety, health, and to achieve the weight loss that you desire. Drinking fluids (all 64 ounces +) will really help your weight loss. I worry about stretching my stomach out later on. Like, if I succumb to mental hunger and have something that I should not have, and I just keep eating it because it tastes good - but I am told it will take a LOT to get it stretched out. I know it will eventually stretch out some, but nothing like it was. Good luck on your journey! I hope the worrying subsides and you are able to heal and start seeing the good things. My first non-scale victory was putting on a pair of jeans I hadn't worn in years and they fit...comfortably. Those are the kinds of things that keep you going. I'm down 38lbs since 4/10 (pre-op diet) and 23lbs since my surgery. I haven't weighed in a bit, so hoping it's more like 25-30lbs since surgery, but as long as it keeps going down, I'm good.

ME! I don't have physical disabilities but I do have 3 kids, a full time job and full time school (I'm on my last semester!) I only take Saturdays off. I feel like I have to do something if its not working out. Its silly. Yesterday I was going to take a rest day because I was at 11,500 steps without my workout just because I was cleaning, meal prepping and running errands. I ended up doing just a leg workout for 30min at 830p. I am glad I did it but man its tough some days! So no your not weird I feel guilty!

I haven't hit a stall yet and I am 9.5 months post op. I still extremely limit my carbs. typically less than 40 carbs per day, net carbs are less. I am still high protein. I am still losing 2+ pounds per week. My daughter had the surgery the same day I did, and she has been stalled for a two months, she also eats whatever she wants. She isn't limiting what she eats. She is under 1400 calories per day and not losing. I am ~1000 calories a day still. As far as being cold, yes, I am cold a lot. I used to die from heat, if my office was 75 degrees I was sweating. Now at 75 degrees I can be comfortable if not slightly chilled. I have lost a lot of insulation. All my blood work comes back perfect. It will take some time for your body to regulate. (although my friend is 4 years PO and she is still always cold and has been goal weight for 2 years).

My goal at 250 was to ensure I could get both my knees replaced. However, I am already able to get them replaced, but holding out as long as I can. Your goal is "YOUR" goal. I am hopeful I will drop below 250 and it is still looking promising, I haven't had a stall week yet in 9.5 months. I also know I have loose skin which I will look into removing once I hit the 18-24 month mark from surgery, and that could add another 40 pounds of weight. Just get an obtainable goal and go from there, adjust as needed.

Does anyone else ever feel guilty if they take a rest day from working out? We HAVE to take rest days to let our bodies and heal and rest, so we don't do damage. I work out 5 days per week and rest for 2. I rest on Thursday and Sunday. And I have to be honest, as soon as I wake up on rest day, I start feeling like I'm doing something wrong by not working out. As the day goes on, it just gets worse, and I have to literally FORCE myself to keep my rest day. I do keep to my rest days, but I really struggle with them. Anyone else, or am I just weird?

I had my sleeve in 31/5, woke up feeling terrible wanting to vomit, pee, cry and hiccup at the same time. Loaded me up with morphine. Surgeon came said all my fat was in the abdomen made keeping the ports in difficult so I would be extra sore. Now day 3 post op. Gas pain still there and terrible and abdominal pain is crap. Don’t want to sit or stand or lay flat. Very dehydrated. Just wish I wasn’t so dehydrated

Here are 5 website for swapping your clothes. 1- Swapstyle 2-Rehash 3- Dig N’ Swap 4- ThredUp 5- Closet Infinite This is an article that talks about these websites https://www.wisebread.com/5-websites-for-swapping-your-clothes-and-refreshing-your-wardrobe

I am 5.5 months out and at 3 weeks out I have been out to dinner at least once a week/twice sometimes. I traveled at 3 weeks out, 3 months out and at 7 months out (upcoming), and what I can tell you is this: - It never hindered my weight loss, on the contrary, I weigh in every Sunday and I see the weight melting off the morning after being out on date night and having yummy food. - It is truly enjoyable, I get to try a little bit of this and that and not stuff myself. A bite or two is enough. - I TAKE MY TIME. I have been a fast eater my entire life and since surgery I am forced to slow down and actually savor what I am eating. This has turned date night dinner from a 1.5 hour affair to at least 3 - 3.5 hours and I would have lengthy deep conversations with the hubby which also forces him to slow down (the connection and conversation part can apply to whoever your companion is). - SHARE - I order one salad/entree with the person I'm eating with and I portion out what I'm having. - I make good food choices, I scan the menu and choose the best option of protein & Veg. I always start with my protein, a salad/veggies, then if I can I'll have a bite of a fun thing, either a tiny bit of carb or a bite or two of dessert (not always, whenever I'm feeling like it). But generally meals out don't get in the way of how I eat and what I eat. I think it is important to train your body and mind to be okay with eating out without it being a hurdle or a trigger. Living after weight loss surgery should include experiences like travel and food because it's a lifestyle and not alienation from what life used to be. I knew early on that I would not stop myself from eating out (I love love love dining out and trying different cuisines and restaurants) and traveling, it's just how I would do it in a way that doesn't involve losing control and hindering my progress or causing a negative mind shift. Happy belated birthday, I hope you had a blast!

For me, the head hunger never went away after both my surgeries. I also never lost my real hunger at all, so I had A LOT of work to do to retrain my brain. I eat 3 meals and 1-2 snacks per day. I know I'm eating enough, so when the urge to eat a specific food hits, or the desire to eat outside of those specific meals, I know I'm not actually hungry. My old habits are creeping in. I was a grazer as well as a binge eater. I was able to eat more than most men I know. In 1 sitting, I ate an appetizer, a 24oz porter steak with 2 sides, and a dessert in full by myself. That was on top of a full breakfast of 4 eggs, 2 sausage patties, 8 pieces of bacon, and 2 hashbrowns, a lunch of 2 roastbeef and cheese sandwiches that also had bacon, pickles, lettuce, and tomatoes on them, and multiple snacks throughout the day. If I craved it, I ate it. If I was bored, I ate. If something sounded good from a commercial or even just a conversation, I ate it. I rewarded myself for things with food. Everything in my life revolved around food. Had a bad day? Food. Had a good day? Food. Had an argument with someone? Food. Kids or hubby drove me nuts? Food. So learning that food was necessary to live but not necessary to be happy and fulfilled was a big deal. That took me the longest. I need food to fuel my body to allow me to live the life I want, but it's not the thing that drives me or controls my happiness anymore. It's just fuel. No more, no less. Once you learn that lesson, it becomes easier. Not easy, because the head hunger is always there in some form. But ignoring it and taking stock of your body's actual needs becomes easier.

I had so much pain after my sleeve. I was miserable for the first 2 weeks. I couldn't meet my fluid intake because I couldn't tolerate cold liquids at all. I was living on my pain meds and later tylenol. So I completely feel you on this. If your surgeon already knows how you're doing and says you're fine, then there's not a lot you can do. You can call them back and tell them the same stuff again (emphasize that it was initially managed but now it's not) but I'm guessing they'll tell you the same things they said last time. Sleeping propped up or in a recliner was my saving grace. I, too, am a side sleeper so finding a comfortable position the first 2 weeks was really tough. Also, I was falling asleep all the time in the beginning, so that made it worse. That's normal (sleeping a ton in the beginning) so don't worry about that. The only thing that's not negotiable (in my eyes) is the multivitamin. You absolutely HAVE to have it. If you can't tolerate the one you have, find a liquid one or chewable one in a flavor you might like better. While not preferred, maybe even gummies (they have yummy flavors, and that might help in the beginning). A capsule might also help since they have no flavor at all. Tablets can be rough in the beginning due to size and flavor. If the premade shakes are too much for you at times, try an unflavored protein shake powder. Add it to milk (I personally do almond milk) and then add a non sugar sweetener to taste (I use monk fruit sweetener because I hate Stevia). Protein and fluids are the absolute MOST important things right now (next to the multivitamin). It's ok to not hit the goals in the beginning, but you want to get as close as you can. Instead of regular broth, try different flavors of bone broth (richer taste and higher protein amounts). Try different shake flavors. Taste buds absolutely change after the surgery, so it's normal to not like the flavors you loved pre surgery (that's why you shouldn't stock up before the surgery). I also got a lot of the sugar free water flavoring powders in different flavors (you can get them at any grocery store) which gave me variety when getting in my fluids (I still use them now because I despise plain water).

While 2 scoops of icecream 3 days before surgery won't cancel your surgery, you definitely don't want to do that again. Your stomach need to not have the solids in it, especially this close to surgery, because of the anesthesia. If you have food in your system, it can cause dangerous problems for the surgery. You also want to think about low to no sugar icecream for after the surgery. I don't eat sugar and I am still able to have it. I get Rebel icecream from WalMart. Very low to no sugar, lactose free, very low to no carbs, low calories, absolutely delicious. My favorite flavors are coffee chip, butter pecan, and orange cream. My husband's are birthday cake, triple chocolate, and cherry something (I can't remember the name). They have other flavors, too. One thing you want to remember, and this really helps me stick to my diet, is there are delicious, healthy, compliant alternatives to the things we love. Icecream, bread, bagels, pizza, cinnamon buns, chicken nuggets, etc... There are ways to make good choices, but you have to want to make them. Being compliant, particularly post surgery, is so so important. WalMart, SafeWay, and Kroger brand stores (Krogers, Fry's, King Soopers, etc) have them. Look for Real Good Foods, Legendary foods, and Atkins.

Give your surgeon a call. You really shouldn’t be experiencing a lot or any pain (besides a little discomfort or lingering surgical gas pain) at this point especially after it was initially managed. Some people find sleeping in a recliner helpful or prop themselves up on extra pillows or a wedge. I presume you are still using your CPAP machine. It can be hard to meet those protein & fluid goals in the beginning. And yes you’ll have days when it is easier than others. As long as you are making an effort & can see an improvement over a couple of weeks you’ll be okay. Oh & yes those shakes can be hideous after surgery, The temporary change to your taste buds doesn’t help. I found them very grainy so texturally blah! I diluted them (added another 50% water) & fir ed myself to have one for breakfast. Tried the bone broths but they seemed so salty (glad you enjoy them). Thank gracious for cream soups & consommés. All the best.

First, during the surgery lots of nerves were cut so messages about feeling full, hungry, etc, either don’t get through or are distorted. It takes about 8 weeks to heal so most of days find we don’t start to feel our restriction until we’re into solid foods. Also, fluids & purées to a lesser extent go through your digestive system a lot more quickly so you don’t really fill up in rather same way. Tread carefully with the volume of food & liquids you can consume quickly for the same reason. Allow yourself to heal so you don’t strain or stress your digestive system which is being held together with sutures & staples. All because you can doesn’t mean you should in the first two months. We all can & should be able to eat & drink larger & larger portions as we progress until we get to a recommended & appropriate portion size. Try not to eat until you feel full. Try to identify when you’ve had enough. I still ask myself do I need this next bite or do I just want it. It takes at least 20 minutes for the signal that you’ve had enough to get through so by the time it does you’ve likely eaten more than you need. While some people do continue to feel hungry the majority lose their hunger for a number of months. Start by discerning if you are feeling real hunger or head hunger. Craving a specific food, texture or flavour is head hunger. Are you feeling tired, stressed, anxious, frustrated, angry, sad, etc.? Many of us ate to sooth or comfort ourselves when our emotions were in turmoil. This too is a head hunger. It takes a while for your digestive system to adjust so you keep producing the same amount of stomach acid as you did before surgery. Excess acid can make you think you’re hungry (are you on a PPI to reduce stomach acid?) Hunger pangs/pains or a rumbling tummy also in most cases don’t indicate real hunger but excess stomach acid & your digestive system working. Many of us discover new signals for being or almost full (sneezing, runny nose, hiccups, etc.). We often find that feeling hungry (real hunger) is different too. For me I get restless, like something is wrong, I don’t crave anything & there is a reason why I would be hungry (like missed a meal, or ate very little at a previous meal, etc.) As an example. Yesterday went to a family event at a restaurant. Ate very little (they cleared our plates way too quickly for how slowly I eat). Got home late afternoon. Gnawed a trimmed chicken leg for dinner which I bought up (darn foamies). Ate a protein bar & went to bed. Tossed & turned & while tired couldn’t sleep. Argued with myself about whether I was really hungry or not. Realised besides the small lunch, bringing up my dinner, I’d also mixed two snacks. Debated what I wanted to eat (nothing specific). Real hunger. Got up & finished my leftover rolled oats breakfast (usually an afternoon snack). Then happily went back to bed & slept. There is a lot you have to learn & work out about your body, how it works now & your thinking. It takes time but you’ll get there. PS Congrats on your surgery & weight loss so far.