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Hey Karen. There are two doctors in that area that are highly recommended in my DS group. Doctors who are skilled enough to do a DS usually also do various complex revisional surgeries. I wouldn't consider yours a revision so much as a repair, as you aren't looking to change surgeries for significant further weight loss. I wouldn't hesitate to see either of these men for an opinion. You are very lucky to live where you do, it is hard to find surgeons with this much skill! https://www.ultimatebariatrics.com/jayroberts Dr. Roberts does revisions and his patients seem to love him! https://weightlosssurgeon.com/drway/ Dr. Ayoola is by all accounts an incredible surgeon and his patients seem to love him too.

Best of luck to you Joann! Absolutely nothing but support for you on this forum x It's so fantastic to hear of someone who has been through 8 years and gained so little (and so recently!) Welcome. Or welcome back x

I am in the same boat...I used to be a die-hard gym rat, however the last 20 years I haven't hardly gone. I can't stand going to the gym anymore, they are all packed with tons of people. I have found myself walking more around the house, up and down the stairs, gone on a few walks around the neighborhood. Just find more activity without going to the gym. I still need to go back as well. I have lost a lot of muscle along with the weight. I do still have arthritis in the knees, but the pain has lessened a lot and they recover faster. On a positive note, I am now able to get my knees replaced, but not ready to do it yet, the longer I can wait the better. I still want to do some hiking, and maybe go back to the gym, one of the 24 hour places so I can go when it isn't full of people.

My questions were: How long are we looking at for the actual surgery time and time in recovery before getting to the actual room? How long is the recovery and what can I expect during it? How long will I be in the hospital and how soon after the surgery will I be up and walking? Should I use a stomach binder the first 2 weeks to help with the pain after the surgery? What is the recommended time for each stage of eating post surgery, how many calories and carbs should I be getting in, and what are my fluid and protein goals at each stage? When will I be getting follow up blood work (I personally had it at 2 months, 6 months, and 1 year post op)? Is there a list of acceptable exercises to do at each stage of healing until I get my final complete clearance, and at what stage will I get that? What pain meds will I be given and how long will I be able/expected to take them? What, specifically, is dumping and what has been known to trigger it and how do we get through it if it happens? What hormonal changes are to be expected as the weight drops off, especially during the first 3 months? Please tell me EVERYTHING you can about stalls, in as much detail as possible. What medications are affected by the malabsorption that comes with bypass (typically it's extended release, but there could be others). That's all I can remember that I asked, but I hope this at least gives you a good start!!!

[MINI GASTRIC BYPASS THREAD – PLEASE CONSIDER YOUR SURGERY AND EXPERIENCES MAY NOT APPLY TO MINI GASTRIC BYPASS PATIENTS] Hi all BP’ers and lurkers out there; especially hi to everyone who had the mini gastric bypass (AKA the one-anastomosis gastric bypass/single-anastomosis gastric bypass/omega loop gastric bypass) It’s my surgiversary! I can’t believe it’s already been a year. But what a year it has been. Man. I wanted to share a lot of thoughts about my journey – there’s not a ton of MGB patients out there yet, and especially not in the US. I’ll admit I’ve been working on this for a while, because I want to share the good word about the MGB and contribute some of the things I simply cannot find out there. Well, now I know, at least how it’s been the first year for myself. So that’s my small contribution. Below, I’ll post the following posts individually so it’s easy to browse for anyone new: The surgery: what is it, how does it work, what does science say about weight loss and complications with MGB? My journey to weight loss surgery My weight journey for a year after the mini gastric bypass My diet and calories – stages + what does a typical day look like after a year? Exercise – what and when and how much? Alcohol and MGB What I wish they had told me prior to surgery Setting a goal Why I think you should consider the MGB What it’s like being a mini gastric bypass patient on BariatricPal – what I found useful, and why I needed a pause from participating on the forum What now? I hope you’ll find some of this enjoyable.

When I was 3.5 mos out I hit a stall for four weeks and my blood sugar was going low (I stayed on a glucose monitor for a few months, even after my T2 diabetes appeared resolved). I was eating 600 or so cals and my doctor said that was too low. Upped to 800 or so and my weight loss began again. Correlation or causality? Don't know...just know that my energy improved and my blood sugar stablized.

You've done amazingly well - especially given the awful time you had post op. I hope it's all better from here forward and that you lose lots more before you settle at your new set weight. 😀 I cried and cried the day I got into the overweight category of BMI - albeit totally arbitrary. Felt such an achievement. We need to celebrate all our wins, big and small.

I was one of those "model patient" presenters at my clinic for the three years before COVID! I loved doing that! I had a partner - a VSG patient (I was RNY). I'd had a stricture at four weeks out - she never had any complications. I'm hoping we didn't sound too "vanilla" - but neither one of us had any issues (other than my stricture - which is a mild issue and very easily fixed). We were both super happy with our surgeries and both lost a ton of weight (she lost 100 lbs, I lost over 200). Although I think people found us entertaining (we were quite a pair!) and most groups asked us lots of questions. We always told the groups about the three-week stall (since it happens to almost everyone, and very few clinics mention it to their patients, so people freak out when it happens to them). Also told them about how we ate a month out, a few months out, a year out (our clinic's plan wasn't low-carb, like many of them are - it was balanced - although even given that, the typical eating YOUR presenter does sounds carb-heavy even to me). We mentioned how we typically eat when we're at a restaurant. Talked about the extra skin (my partner even lifted her shirt to show them her extra skin). Also talked about our experience with hair loss (since extra skin and hair loss are huge concerns among pre-ops). Also talked about constipation (we both have chronic constipation) and how we deal with it. And how we dress to "hide" all the extra skin (although I've since had mine removed). We always mentioned how most people lose their interest in food and hunger for several months after surgery, and how they should milk that for everything it's worth since it's way easier to lose weight when you don't give a flip about food. Basically stuff they likely would not have picked up during the classes they had with dietitian and the health psychologist. when I went through the classes in 2015, the presenter was kind of underwhelming, like yours. I'm sure he would have answered some of the questions we addressed when we were presenters, but he didn't, and the "students" wouldn't necessarily know enough at that point to even know what to ask. Shelli and I decide early on to talk about the issues they SHOULD ask about, but wouldn't know to. P.S. now I'm sitting her wishing I was still doing that - it was great fun! But COVID hit, so everything went online, and they didn't have the "model patient" class. Since everything is in person again, they may have some people doing it, but the two of us are pretty far out now (nine years), so they may have gotten people who had their surgeries just a year or two ago.

I'm actually amazed. Lost 90 lbs, down to fighting weight based on weigh-in at gym using one of those machines that measures body fat + weigh- in at doctor's with clothes on a day later. Went from 40 waist to 33 (American size), can now fit into clothes I could not wear for quite a while, work out 4 times a week at a serious gym, most sessions with a highly experienced trainer. I haven't done one sit up yet- it's about balance, step up, step down, with kettle bell, 12 reps, 5 sets, squats with a dumbbell, 12 reps, 5 sets, then next exercise, etc. I do my warm up 1/2 hour in advance of the trainer session so I don't waste time--it's all exercise when I work with the trainer. I drink a 30 gram protein drink before and another after, so I'm finally building some muscle on what is now a diminutive appearing frame. I can't quite press my body weight yet, but I will. I have long hair for a guy, and yeah, it was coming out when washing it (not every day, more like every 4 days unless I get sweaty) but that seems to have finally stopped. I have no cravings for foods that I cannot have because I get sick if I eat a slice of pizza with toppings or eat more indigestible foods. So I just stay away from them. I have developed a fondness for medium rare lamb chops and roasted potatoes with rosemary salt. My wife is a good cook but we still eat at restaurants and I'm careful. I found out that alcohol just doesn't work- a beer is too filling and carbonated, for some reason wine doesn't taste good; I'm a high proof whiskey man and it doesn't metabolize. I'm on my ass with far less than what I could normally consume, so I just stopped altogether. (Good because I have Barrett's and alcohol is inflammatory). Punchline- this surgery really turned me around. Trade-offs to be sure, but I feel so much better and look far younger. I can walk fast and not get winded as easily. I'm in my 70th year and don't look like a geezer-- more like a ruffian in rude health. I had targeted 185 as a goal weight and reached that but I still have a small roll of fat around my middle. I figure that I can continue to lose a little more given the surgery stats, and tighten up my core as my work-out regime continues. I'm gonna start swimming this summer-- where I am in Texas it is 3 months of summer and 9 months of hell. Hell is just starting here. The really hardcore stuff is pilates. I used to do that with a women's class and they kicked my butt. I'm planning to advance to that as well. I think the "whole picture" outlook is optimal for me- I don't check the scale at home, I do my thing and get routine blood work done. Though I have a few health issues which come with age, I'm in pretty decent shape now, physically and mentally. Thanks to all you kind folks for your advice and support.

I would be most concerned with whether you're hitting your protein over the course of the day. You may need to focus extra on protein if you're lifting. I wouldn't go for extra calories, but more of your macro split coming from protein. You're most likely to build muscle when you start weight lifting. I noticed that a lot of the recommended protein foods, especially during the early diet stages are actually pretty low in protein compared to calories and ended up focusing a lot more on protein drinks and lean meats rather than "normal" type eating that was suggested where I was filling up on mixed macro foods like beans or dairy.

So far I keep getting mixed information about the two procedures in terms of malabsorption. Do they both cause the same amount of malabsorption or does the MGB cause more malabsorption?? I remember my surgeon saying that life long supplementation is only needed for duodenal switch!!! And all other surgeries only need supplementation for the first couple of years only! Also read somewhere that RNY is really restrictive only. And 78% of the fat , 100% of the Protein and 100% of the carbs are still absorbed. And the huge loss of weight is only caused by restricting the calorie intake. That's why there is always a chance of regain several years later. Sent from my iPhone using the BariatricPal App

I for one need the scale to move. I like where I'm at when it comes to fitness, but I really need to lose weight. I am four months post op and have only lost 41 pounds. That's not a lot of weight. Also, I have to eat more to make up for all the fitness making my sleeve useless. I paid out of pocket for this surgery and can't let it be for nothing. I am wondering if the fitness has hindered me instead of helping me lose weight. So, I decided to do an experiment to see if my hypothesis is correct. I need be sure that the excess fitness isn't slowing my weight loss down. I need that scale to move so bad right now.

I was the same, first week was 3kg Ive been told by a physician who I work with that no more than 2kg a week is good moving forward is a great goal as it means your body won’t go into the natural starvation mode and try to hold onto the weight. Plus your body is doing it slowly which is good re rapid weight loss problems also. I also felt sad about how slow it is going but we will get there I’m 3 weeks post op and I’ve only been loosing 1.3kg a week roughly.

i know its already been said to death, but ill say it again: the number on the scale is just a number, and the same number looks totally different on you at different times of your life. 127 lbs at 46 yrs old looked absolutely skeletal on me vs 105 lbs when i was 16. then, 115 lbs at 50 yrs old looks soooo much fitter and healthier on me at 52 vs either of the weights above. changes in nutrition and exercise and sleep and stress levels and hydration may not reflect on the scale as much as calorie intake does, but they are all HUGE factors in appearance and overall well being. in short: try not to be a scale slave, lol full disclosure: i weigh my self everyday, though its more a data gathering exercise, and definitely not a source of angst for me. so long as i still fit in my clothes and feel awesome, im good.

You're doing amazingly. What you have done is lose 13lbs in 2 weeks or so after your procedure. And 37lbs pre-op. Unbelievable. Weight loss isn't linear - it stalls and accelerates and stops and reverses. What matters is that the trend is down in the longer term - that's what gets us to where we want to be. Not the odd week where everything goes backwards (although - they are so annoying). Trust the process, it really does work. 🤩

nope, doesn't look like you are doing anything wrong. you are losing weight, you are feeling good and your doc has no complaints. sounds like you are doing everything right. my first 3 months post op was all about food aversion and stomach restriction. i didn't make my protein goals for 3 months. my was tired and faint-y. everyone gets to their "place" in their own way and speed. no need to change what ain't broke.

Yeah. I have some that haven’t noticed but you know what, I didn’t do this for them. At my weight (315) I still look fat to people. I however I’m down from 412 (43 since surgery and the rest preop). What they don’t see is I have to wear smaller clothes, can fit back into my bra, and I can move and sleep better. I had my surgery about 10 days after you. I’m down 43 pounds over all. Sadly I am struggling to keep my losing on track. I tend to stall for a week or two and then drop like 5-7 pounds 🤷‍♀️🤷‍♀️. 60 pounds sounds like you’re right on track. the important thing is how you feel now. As far as how the weight comes off it varies person by person. It depends on if you work out or walk a lot. So however you “burn fat” will affect where you lose faster.

I lost 70+ lbs. before I had my surgery. I've been eating healthy for a while now. But, it starting going into overdrive back in October. As of my weight today I've lost 25 pounds since my surgery. I had a 10 day stall and started to worry a bit because it was the time between my surgery and when I started soft foods. My surgeon and Dietician told me that would happen. I expected it, but it still had me second guessing at the time. One thing I've taken from all of the stories everyone has, nobody loses the same. I keep that in mind and then realize I'm only 7 weeks post op. I try to walk a 1-2 miles at least two days a week or more. I would like to walk more, but I have a torn meniscus that's going to require a full knee replacement (bone on bone). So, I'm limited without being in a lot of pain. On the days I don't walk, I use my rowing machine or I do some resistance training with a band or light weights. Thanks for your advice and story of what you've been through. I hope you're able to get where you want to be and I wish you the best!

There's not a lot of information in your post. - what surgery? - how much weight loss? - any major events related to health in your life? - what was your typical diet while losing/maintaining weight? - what's your typical diet now?

Hey all. How is everyone doing at their one month mark? Just checking in. Myself: before liquids my highest weight was 217 Before surgery 207 Now 187 🎉

Same here. So I have been lifting for 20 years but my diet was always awful leading to my obesity. I had my surgery on 11/6, and started lifting as soon as it didn’t hurt. I was much weaker than before but it did seam to bottom out and I’m getting stronger. I do progressive overload and eat about 160-180 g of protein per day. I want to pack on muscle but I don’t know how/if that’s possible like before. I like weightlifting so I’m going to keep doing that and see what happens. Usually 4 days of weights and 2 days of jogging (doing couch 2 5k program).

I'm definitely not someone who sews. My mom use to, but she lives in Florida (I'm in Colorado) and her arthritis has gotten bad and she hasn't sewn in years. I honestly wouldn't complain about something like this anywhere but here because absolutely NOBODY else can relate. I keep hearing "but you were so heavy before, I would think you'd be ecstatic now!!" and I alternate between wanting to look around on the floor to see if I can find their brains that must have fallen out of their head and wanting to smack the ever loving daylights out of them. The AUDACITY to say that...to my face!!! I'm hoping I can either find someone who wants to trade scrubs or someone wants to buy mine. I'm so thankful and grateful that I'm healthy and have lost so much weight. I honestly am. I just want my body to settle on a set point and stay there lol I absolutely DO NOT want to go lower than a Large right now, because I was already told I'll likely go down a size after my skin surgeries. If any of TPTB (The Powers That Be) are up there listening...PLEASE let me be good to go now lol I'm extra happy and grateful and thankful, and as my 3 year old granddaughter would say "I all dooooooone now" lol Please and thank you!!!! 🤣😁

Start weight 92kg Current weight 70.7kg Goal weight 58kg Hi all I’m 7 months post gastric sleeve op and wondering if my weightloss is slow ? My height is 5.4” my nutritionist is happy with my weightloss but losing 1lb per week is making me feel like I’m failing . Anyone else a slow loser like me ? I’m scared I won’t get to my goal weight . I have no regrets with the Surgury and not had any dumping ever . I’m also able to eat all foods . My only fear is not reaching goal as this was my last hope on getting slim 😢. Thank you for reading my post x

yes - obesity is a complex disease. Among other things, at some point it can cause biological changes that make it very difficult to lose weight. For example, I've read that research has shown that even gut bacteria is different in very obese individuals than it is in normal-weight individuals. your experience is very common. In fact, I took a course in obesity and weight loss at a local university (nutrition department) a year or two ago that addressed this. The usual pattern is that people lose about 5% of their weight in the first few months of dieting, then it levels off for a couple of months, and then it gradually comes back on. About a year later, they're back to where they started. That knowledge didn't surprise me at all - that happened to me over and over and over. Weight loss surgery is the only thing that ever worked for me. Surgery won't help prevent the behavior. What it does is. 1). takes away your hunger for the first few months - (for a lucky few this is permanent - for most of us, it comes back sometime during the first year post-surgery) and 2) keeps you from eating a ton of food at one sitting. What it doesn't prevent is "grazing" or mindless snacking, and that can be a really slippery slope. Take those first few months of no hunger and really work on changing that behavior. Nine years out, I struggle with that every day - the urge to eat mindlessly. It takes a lot of work and dedication to control that (although honestly, a lot of my never-been-obese friends struggle with that, too). I don't know if I'd ever eat my way back up to 373 lbs again, but I know if I let myself loose for more than a few days, my weight starts heading north...

@draikaina8503 wow, sounds like you are doing really well. Make sure that you give info that fatigue and get your rest though, you recover best while your resting. Yes, The no straw thing is for life with my team. There are a very small few it seems that make this only for like 6 months or a year but MOST seem to have that rule due life. Thanks for the direction of eating new foods. I already had a few today but thankfully so far I’m still good. I think I will do it your way from now on though. It will work out well because of course I have lots of leftovers from all I made today. I totally forgot about the recipes on Baritastic. I have the app too to track food and stuff. I just checked the soft foods and that cauliflower purée sounds good. Not sure about the heavy cream though. I think that may be bad witb the no gallbladder thing. I think that has a lot of fat. I will have to ask. Or maybe just try it with like 1/2 cream and half 1%! Is that like making whole milk. 😆 Anyways, for anyone who is looking for a way to track progress I second that app. It tracks measurement and weight as well as exercise and water too. And it’s nice that it lets you scan food and create meals to add things easier once you have used it for a while. And it’s free so worth a try.