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Yoga is great. Did it for years in my 40s - can’t remember which type but it was gentle & focussed on breathing & head/heart/body alignment. Kept me limber & boosted my general fitness. I enjoyed it & I really, really don’t like exercise. Just a warning. Exercise only contributes to about 10% of any weight you are to lose. So don’t expect it to benefit your weight loss greatly. It does help with many other things though like your cardiac health, muscle strength, bone density, flexibility, etc. Invest in some resistance bands too. Lots of seated stretches on You Tube you can do sitting. I do most of mine on the floor. Good for toning & muscle building. It’s not a great pxt but gives you a bit of an idea of what you can achieve. Now it’s summer here & my arms are on show I’ve been getting lots of compliments. My legs look pretty good too though my pant legs are getting firm LOL!

Yeeessss... I am 4 weeks post op and have been at a stall for almost 2 weeks. In fact, just to be insulting, I gained 3 lbs. 😐 I know it is the 3 week stall, but man it is discouraging and it makes you scared that the weight loss won't start again. I'm trying hard to ignore the scale for a few weeks, stick to my plan, and trust my body to do its thing when it is ready. It has had a LOT of stress to deal with. Major surgery takes a ton of body resources to heal from. So I'm focusing on protein, hydration, and getting some walking in. I can't really do anything else. It'll break when it breaks. I only let myself get on the scale once a week to keep from fixating. It is hard, but worth it for my mental health. LOL

Since I'm having such a hard time losing weight, my PA suggested I try yoga. I've never done yoga . I always laughed at it saying people like tying themselves in knots ..LOL. Now I might have to look into it seriously. I would have to do gentle chair yoga as my 69 year old joints are pretty stiff. I looked at some U Tube videos, and it seems like easy stretches. Can you tell me what yoga can actually do for me? Does it help with weight loss? She also suggested strength training . In all honesty ,I've never been one to do "formal" exercises ... but I'm willing to try different things at this point .

If you believe you've found a legal workaround or strategy to navigate the insurance issue for weight loss surgery, it's crucial to consult with a qualified legal professional. Laws and regulations can be complex and may vary, so seeking advice from someone with expertise in the field can provide you with the most accurate and relevant information.

Hi everyone! I'm 13 days post op today. I had my gallbladder taken out at the same time because I had gallstones. My surgeon also removed a cyst from my belly button so I expected this surgery to be a difficult recovery but it hasn't been. I stayed only 1 night in hospital, had no trouble with getting myself in and out of bed or using the bathroom, I could drink fluids, I was walking laps, and I had no trouble swallowing pills, so they released me before noon the day after surgery. At home my pain was 6/10 for 2 days then 4/10 for 3 days. The pain was mostly attributed to the spot where the liver retractor was, probably inflammation too. I didn't need to take prescription pain medicine, I only needed Tylenol for the first 5 days. I've been pain free since day 6, and I've been doing great with staying hydrated at home thankfully. I had my first post op checkup on Monday (2 days ago) and everything looks great. They cleared me to start stage 2 Soft foods which has been going well too. I can resume playing sports and start lifting weights in approximately 3-4 weeks. I can't explain why it how my recovery has been so quick and easy. Before surgery I suffered for years with chronic fatigue, GERD, and insulin resistance. Which seem to be resolved as of now. I stopped my metformin a week before surgery, and my blood glucose is now in the normal range! My next goal is to ditch my CPAP machine. I have so much energy and feel better than I have in years. This is why I wanted the surgery, to fix my health issues. Weight loss is just a bonus!

Who knows. I was basing my comment off the discussion here on page 2. Tony called OP a troll. Either way, it's sad to me, the regret, real or not, that people feel post op. I can understand it if someone is experiencing physical problems from the surgery but mourning the loss of food? It's what we signed up for. I don't know what other outcome they are expecting.

Good luck Brandy and Meisha and everyone else having surgery this week!! Tomorrow I will be one month post op!! I didn't lose anything last week, in fact when I checked my weight Monday I've gained 2,6 lbs. I might have cussed out the scale. 😂 I know it is just the infamous "3 week stall" and there is nothing I can do but stay the course. But maaaaan, when the scale starts moving in the other direction, it really does your head in. I worry this won't work for me, that this is all the weight loss I'll get, that my weight issues are too complicated for this surgery, etc... I know it isn't true, it is just a feeling and feelings are transient, but I'm pretty discouraged anyway. I'm sure it'll only last a few weeks, then get back on track. I plan on watching how everything is fitting while the scale is being difficult. I know it is just water weight gained from a stressed out body. But boy does your headgame need to be strong for this process... In other news I am on soft foods and about 70% of what I eat is relatively fine. I'm still taking nausea meds on and off. I still keep finding foods that piss everything off, my tiny tummy is PICKY. Fish still works best of all which still strikes me as all sorts of weird since I never liked it before. My tastebuds are still behaving strangely. And I really want a muffin but I can't have it because DS patients have to low carb it. *sighs wistfully* I picked up some of the Devotion brand protein that you can bake with. Maybe I'll be able to make a muffin when they arrive?!

Congrats and good luck! I had mine last Monday, and had similar doubts going into it. The first 8 hours afterwards was the worst, but it wasn't so much that it hurt, it was more just an uncomfortable feeling. That combined with coming out of anesthesia and the way I overthink things didn't help, haha, but around 8 hours afterwards it started easing dramatically. I felt way better the next morning and walking was easy after that. Definitely recommend walking and Gas-X to reduce the pressure feeling. As for the scale not moving, just remember that weight loss is not linear, it comes in waves. Whenever there's a sharp change to our body, our mind overreacts because it thinks we're under threat and its trying to save our life, even if its something as simple as a diet. The fat we accumulated was as a defense measure to protect against starvation for our ancestors, but we as humans haven't adapted to the plentiful amount of food and high carbohydrate availability that we have present day. Think of our fat cells as little balloons that can store pieces of fat as a potential fuel source for starvation protection. As we go into a deficit with our calorie restriction, the body is forced to burn those pieces of fat, but those balloons remain, waiting to be filled back up again "just in case". If our body thinks it is threatened after a significant amount of that fat fuel is burned, it will temporarily fill it with water/fluid to keep the balloons in tact. This is where the "water weight" you may have heard of comes into play. So even though the fat itself is gone, those balloons are hanging on for dear life, thinking they're trying to save you. Only after some time passes, the body decides that its safe to shed those empty fat balloons, and you'll have a "whoosh" of weight loss after a stall period. These stalls can be 1 week to a couple months, which makes it very easy to get discouraged. When (not if) you get to a stall, just remember to stay the course. You had an entire lifetime to condition your body that your higher food intake was the normal amount required for survival, so it won't be convinced that everything is ok with a reduced caloric intake for a little while. Your weight loss will appear like stair steps instead of a straight line. Also anticipate slight gains during these stalls. That is just the water retention, and not fat reappearing, so think of it as "fake weight". As you get close to your final goal, and you're exercising more, remember that muscle weighs more than fat, I think about 1.5x as much. So as you build muscle, it will offset the number on the scale. That is why the scale number isn't as important in the final phase of your weight loss journey. It can be discouraging if you're only chasing the number, so keep in mind all the other victories towards the end. Think of the energy you have, an easier time breathing, the ability to do things you couldn't before, being able to wear clothes you never thought you'd fit in, and the additional years added to your life!

Sorry about your one more hurdle CPAP addition. I too was put on CPAP before surgery. I was one point (5.9 so 6) above the not needing it - it sucks I know. Just tell yourself.. Just one more step closer to your surgery. What's odd is my CPAP score has gotten a lot worse since I had surgery! I was told (IF you can talk to a sleep doctor), they tend to diagnose / prescribe then from then on its crickets telling you its now under your GP's care - except they're not specialized in reading CPAP scores or diagnosing the machines data - that the change is due to my weight loss due to mask leaks...right...I have the nasal mask and its not influenced by weight gain/loss, so I've quit using it for now, especially since I'm past the required 3 months of usage by the insurance company. So again, just do what you have to by jumping through their hoops to become healthier and get your surgery!

Well done on the loss. dont over do it. It is a big adjustment. After 14 months I got the hang of limited foods, about a cup full. And that one extra sip or mouthful made me throw up everything. And now I can have no more then 3/4 a cup. And I’ve only thrown up three times since surgery on the 2nd. i had a mini meltdown last night. I had thrown up and also had my first dumping(think it was the date smoothie.) and I was contemplating the decisions on the fluid/puree diet for the last 15 months. And how it’s affecting my mental health. I am so over it and often feel myself wondering to how people do this for their life. I am walking 30mins - 1hr a day. And it’s the only enjoyment I feel besides my sewing. I can only sit for an hour at a time. I see my GP tomorrow.

One note on long distance hiking: I'm having to do serious rehab on my hips and core in order to increase my walking capability. While my aerobic capacity and endurance are very good, my hips start to physically give out at about 3 miles. My physical therapist isn't really sure what the issue is, but thinks that it's a combination of weakness and poor flexibility from the postural adaptations that happen with extreme obesity (my legs literally point in a different direction than they used to!) and some effect of fast weight loss on the muscles themselves.

I'm so glad that work is going well! You look fantastic and all professional!! I hope it continues to be awesome... I am so sorry you have the BRCA gene. I had a cancer gene panel done this summer due to the endometrial cancer I had. I found out I have the CHEK2 gene, which is lower risk than the BRCA gene, but still high risk enough to consider an elective mastectomy. I've considered going that route if I have to have a boob lift post weight loss... I saw the oncologist this morning to talk about taking a round of tamoxifin to reduce my risk. It was informative!! It is possible they could do both the hysterectomy and the hernia repair at the same time if the doctors are in the same system. GYN surgeries often coordinate with other surgeons so their patients only have to go under once. You will be shocked at how light your pelvis feels post surgery, I still marvel at it! I love not having that monthly visitor, I didn't really understand how much energy it was taking for me for 2 weeks out of the month. And my iron levels stabilized really nicely post surgery. If you need any support don't hesitate to message me! I found recovery from the hysterectomy similar to my DS surgery, though I was sore longer with the hysterectomy...

Sure... blame the weight loss. Good luck, Tek

I was a vegetarian for 12 years before I gave it up, and then life and the vicious cycle of weight gain and weight loss began for me. You can 100 percent get your protein without meat substitutes (which tend to be full of carbs btw). Beans with rice is a great way to get protein. Nuts and seeds, whole grains like oatmeal, couscous, quinoa, cheese, yogurt, and protein powders made out of peas. Ripple is a pea milk that is pretty good and has 8g of protein, it is very comparable to regular milk. I believe Ripple has other products too like protein powders and coffee mixes. If 8th continent still exists, that was the best milk substitute, I had a vegan bodybuilder friend who drank it like it was going out of style, lol. Don't forget about tofu, tempeh, edamame, and lentils (Not my fav). Chickpeas (hummus), peanut butter, There are other vegetarian and vegan protein powder options as well. I would suggest getting a good vegetarian cookbook, look for one that focuses on protein sources.

This is exactly how I used to think about dieting. I was punishing myself for gaining weight. I was missing out on my favourite foods or on what others may be eating when socialising. ‘Diet’ had so many negative connotations to me. So I don’t use the word any more. This is simply the way I eat. It took a while to change my thinking but it did/does help a lot. There are foods I simply don’t eat or eat very rarely now that I loved to eat before. Do I miss them? Not really. Do I feel I‘m missing out? Nope. You may find it easier to make small changes to your eating & food choices instead of jumping into a full ‘diet’. Small wins are still wins. Change one or two things each week like reduce your portion sizes & increase your fluid intake (64ozs). Increase your protein intake. Stretch out the times between your snacking, or reduce how many snacks you have each day. And so on until you have adopted the recommendations from your surgeon/dietician. And be honest about your struggles with them & tell them what you are doing to incorporate their weight loss plan. They may have other suggestions on what you can do too. All the best.

Hi! I'm at the beginning of the process for the gastric sleeve. At the beginning because I have yet to lose any of the weight I have to for the surgery. When I decided to have the surgery, I started tracking my food and I lost about 6 lbs...then as soon as the process started and it became a "have-to" thing, I started having a super hard time sticking to the diet. That, and I hit a bout of depression which makes it really, really hard to control sugar cravings. I'm in therapy for other reasons, but I don't have an appointment with their therapist until January. I'm having enough trouble sticking with the diet that I'm beginning to wonder if I'm going to be able to do this. I feel so resentful that I have to diet. I know, I know, it's "not a diet, it's a lifestyle change". It's a diet. I have to give up most of my favorite foods for most of the time, and when I do have them I can barely have anything. I call that a diet. I know it's my fault and I got myself here, but that doesn't help, it just makes the whole thing feel more like a punishment. Did anyone else struggle with any of this? How did you overcome this thinking?

Don't feel bad about 10-20 lb regain. I'm about 11-12 years out from Gastric sleeve surgery. I had it back in 2012, starting at 183 lbs, got down to my lowest of 185 lbs, then from 2016 through 2023 regained back up to 283 lbs. Earlier this year (around march / april of 2023), I was up to 297 lbs. I'm currently hovering around 280-285 lbs pretty consistently, and I'm starting the process to hopefully get the DS surgery. So, take it from me, don't feel bad about the small setback, recognize it and tackle it as soon as possible, because I didn't do that for myself, and I am kicking myself every day. I'm excited, reading these posts, that there are people with DS who eat things like steak and sushi....I love steak; and I love Japanese cuisine (sushi, ramen, hibachi, etc.). Secretly, I've been scared/nervous that I wouldn't be able to eat some of the things I really enjoy ever again after DS. I understand, though, that I'll have to limit my rice intake, and that seems fair enough for weight loss. Lately, I've been enjoying eggs; and I'll take a ribeye anytime and any day I can get my hands on it!

Not strange at all! Anesthesia can affect our mood and takes a while to get out of the system. Then the weight loss itself releases hormones that can trigger PMS on steroids 24/7 in some people. Plus, you just had a major surgery, depression is not unusual after major surgery. And on top of it all, bariatric surgery is stressful! The water and protein requirements are a full time job that first month at least! I'm 3 weeks out. It gets better once you can add food. Just focus on that water! If you get all your water in you'll feel a little better. Food will make you feel better still and will help you feel a little more normal. Hang in there! And if by change you are on psych meds you may need to talk to your psych if you continue to have mood issues, you may need a change in dosage. It's less common in the sleeve but it does happen for some people...

I am doing great! Today actually marks the day 1 year ago that I decided to make that phone call and set an appointment to learn about weight loss surgery. I felt so sad and hopeless and out of control. Today I am joyful and hopeful and totally in control.

I just had my sleeve surgery on November 14th. Already see a difference. How I feel on the other hand is really hard to explain. The stress of trying to get protein in my system or anything for that matter other than water and ice is almost impossible. It’s in my head, everything is so unappealing to me to the point where I’m literally disgusted. I know it’s a bit dramatic but while I’m ecstatic for the weight loss, I am really depressed. I don’t know why. I don’t feel like myself, I feel lost. Has this happened to anyone? Or maybe I’m just crazy.

Both methods have a failure option. You go off meds & return to your old eating habits, the weight comes back. With the surgery, you go back to how you used to eat, you regain the weight. Both require you to do the work to change your relationship with food, make better food choices, become more active, learn to recognize real hunger from head hunger & learn about what drives you to eat & develop strategies to manage those drives like your food obsession voices. Neither routes are true easy permanent solutions without doing this work. The class you attended seems like it got you started on this & on the right path. The win of the surgery for me was time. The period of time when I wasn’t hungry or interested in eating, the change to my taste buds, etc. allowed me to start doing that work. I learnt what my body needed, how to keep my boosted metabolism going & to keep my new weight set point stable. Certainly worth conversations with your doctor & a bariatric surgeon to see what they think is the best way forward for you. Also ask for a referral to a therapist who specialises in disordered eating to support you through doing the head work. Many who’ve had surgery find therapy very helpful & contributed to their success & it would likely be helpful even if you choose not to have surgery. All the best what ever you choose to do. PS - I second the Dr Matt Weiner’s Pound of Cure you tube videos. He’s also on instagram & has some great books. Dr John Pilcher also has some great you tube videos on weight loss & surgery. Another consideration is I understand the newest weight loss med is supposed to less expensive & is expected to help push down the cost of the existing ones.

I finished my schooling and am officially working in my chosen field as a medical assistant!!! I got my certification and I'm working in a critical care pulmonary office. I'm absolutely LOVING it!! And even though I can look at myself and see the weight loss, and I can see my diabetes and blood pressure are normal now, I still have a hard time believing I'm physically able to do my job and do it well. Yet here I am....doing the d@mn thing!!! I have a CT with contrast on the 29th because my bariatric surgeon thinks I have a distal hernia (if you look at my stomach in my pic, you can see that area poking out a little). And I have my complete hysterectomy scheduled for March 6th. If the CT confirms the distal hernia, that will also require a surgery, but I have no idea when that will happen. I'm hoping before the hysterectomy because the hernia repair can be done laparoscopically (I think) but I have to have an abdominal hysterectomy because the fibroids are way too big to come out laparoscopically and I have to have EVERYTHING removed because I tested positive for the BRCA cancer gene (will need all of my breast tissue removed at a later date, but my insurance will cover reconstructive breast surgery, so YAY for a free boob job). This last 50 pounds still won't leave me, and it's absolutely driving me crazy. No matter what I do, I can't get it to go. I'm hoping the hysterectomy will help a little because the fibroids are so big, they're making my uterus the size of a 16 week pregnant uterus. They also said the hysterectomy should help somewhat with my PCOS, since that's likely what's preventing that last 50 pounds from coming off. So here's hoping this is end of my weight issues and the last of my surgeries!!!

Here are a few tips: Be Honest: Communicate openly about your challenges and efforts. Honesty is essential for building trust with your healthcare team. Explain Your Efforts: Describe the strategies you've been using to lose weight and any difficulties you've encountered. This might include changes to your diet, exercise routine, or other lifestyle adjustments. Express Your Commitment: Emphasize your commitment to the weight loss journey and your understanding of its importance in preparing for surgery. Ask for Guidance: Seek advice from your surgeon on how to address the weight loss goals moving forward. They may provide additional support, resources, or recommendations. Remember that surgeons are there to help guide you through the process and ensure the best possible outcomes for your health. While meeting pre-surgery goals is essential, the overall goal is to support your well-being. If you're experiencing significant anxiety, consider discussing this with your surgeon or a member of the healthcare team. They may be able to provide additional guidance, reassurance, or resources to help manage stress and anxiety.

Thanks for the recommendation! I will look into that YouTube channel. Honestly, I feel like I took Wegovy before I had admitted to myself that I was ready to undergo surgery. It had always been in the back of my mind, but I never thought that it would be something I would do. It's hard to give up the lifelong hope of being able to lose weight on your own. I took a class on weight loss where we discussed energy homeostasis and the different survival mechanisms our bodies have to prevent us from starving, i.e., stop us from losing fat storage so we don't die. It was very eye-opening to the types of changes that must take place for sustainable, long-term weight loss. Bariatric surgery has a ~75% success rate compared to the ~10% success rate seen in conventional weight loss attempts, and it's BECAUSE of the physiological changes made in your body due to the anatomical change made to it during surgery. That, paired with practicing healthy behaviors for both physical and mental health, leads to more permanent weight loss. I've been able to maintain my post-Wegovy weight loss for months now, but achieving additional weight loss has just been impossible.

Thanks for responding! No, wegovy doesn't work forever, and I had heard that as body physiology heals post bariatric surgery and normalizes (6-12 months post surgery) appetite returns. I'm more interested in that first 6 months when most weight loss occurs. I've been able to maintain my weight post Wegovy, so I'm not incredibly worried about when my appetite starts normalizing. I was just curious about the difference in how we feel post surgery vs medication.