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you'll lose bone mass. You lose everything when you lose that much weight - fat, muscle, and bone! But then again, you need a lot of infrastructure to hold up 300+ lbs. It just isn't needed once you lose a ton of weight. Exercise and protein will keep you from losing too much protein. Exercise (especially weight-bearing exercise like walking, dancing, strength-training) will keep you from losing too much bone mass. But losing SOME of both isn't necessarily bad, since it's not needed. hair - not everyone loses it, but most do - but it's temporary. I didn't lose enough for others to notice. In the grand scheme of things, it's a small price to pay, and at this point it's just a blip on the screen for me.

Heya! I think every Dr/Surgeon must do things with a slight variation, but it is always best to follow the advice given by your own Dr/healthcare team - it is often tailored to you e.g., in terms of weight, health conditions etc. I had my dietician appointment today and we went through when I am starting the LRD, which will be for 2 weeks, and then went through the different food stages which for me are: Week 1 - Liquid Week 2 - Puree/slush Week 3 - Mush (thick/lumpy foods) Week 4 - Soft foods Week 5 - 'Normal' foods

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...

Since you've been doing your homework, you probably already know that your chance for any complication is just under 6% and your chance for a serious complication is about 2.5% with the RNY. On the flip side, you have about a 74% chance of curing your sleep apnea and a decent likelihood of reaching a BMI in the healthy range. I am scheduled for surgery next month, so I can't tell you about my experience with it yet. What I can tell you is why I am choosing it after almost 7 years in my hospital's non-surgical weight loss program. I am 5'6 and 49 years old, with 2 teen/tween daughters. At the start of 2017, I was 249 pounds and on blood pressure meds, no other co-morbidities. My primary care doctor referred to me to the weight management center. They said aim for 1500 calories per day, 30 minutes of exercise 5 days per week, and check in with them every month. I was motivated and started tracking my food and exercise. I went in for nutrition, psych, and medical meetings as directed. The weight came off. I was thrilled! I got down to 202 in 6 months. I was so close to being under 200, and I was certain I could easily get to at least under a BMI of 30 to no longer be "obese." Piece of cake! Or rather, some suitably healthy cake alternative. Like apples, maybe? And then I stalled for months. I never hit that magical 199 on the scale. I kept doing everything the same and my weight didn't budge. I ate a little less. I exercised a little more. I gained 5 lbs. I gained a few more. I became discouraged. Life happened. I would lose 10 lbs, gain 8, lose 5, gain 15... I tried various meds but couldn't afford them longterm. I lost health insurance for a year and couldn't afford to go to my regular check-ins, which I know were partially responsible for keeping me at least a little motivated even when the scale didn't cooperate. I got health insurance again, and went for my physical. My blood pressure had worsened and now I was prediabetic. My doctor urged me to go back to weight management. I had to wait 3 months for an appointment, and despite wanting to lose some weight in the interim (so the doctor there wouldn't be disappointed in me), I weighed in at 251, which tipped me over to 40 BMI. That was the most I ever weighed. When the doctor recommended I consider weight loss surgery, I knew that was the answer for me. One thing I learned in all this is people can lose weight, even a lot of it. The likelihood of keeping it off longterm without meds or surgery is around 10%. Between a 2.5% risk of a serious complication or a 90% chance of being obese and on blood pressure meds the rest of my life, and risking diabetes, I prefer to take my chances with the surgery. It's not the losing weight that worries me, but the keeping it off that I don't think will happen without it.

i think many people on here will tell you any revision surgery results in a much slower rate of weight loss than the first time around.

Like @ms.sss I had problems of skin irritation when I was heavy, I don't have any after the weight loss. I found Caldesene Medicated protecting powder to be a lifesaver. I still use it whenever I get any type of rashes from allergies or heat.

Maybe the fact that you are practically starving yourself is the problem. Even with the weight-loss, your body still needs enough calories, including protein, carbs, and fats to burn. That’s when you start (or continue) losing weight. When you start eating too few calories, your body reads that as famine. It holds onto whatever calories it can. Your best bet is to eat enough calories that you and your body don’t think you’re in a famine.

Hi Wellington and thanks for the reply. So what did your weight get down to at the lowest point? Also, did you try not to lose so much weight or was the surgery choice (SADI) just that effective in losing the weight no matter what you did along the way? I still have time to decide against having the SADI and just going with the sleeve but still undecided.....

I usually just say I've lost x pounds since the pre-op started and leave it at that. If someone asks about how much since my highest weight, I'll mention that one too, but I haven't gotten any more questions than that regarding the total weight itself. If they ask specifically, I'll share. For my weight tracker on this site, I did list my highest ever weight, but I did lose about 30lb between my peak weight and the pre-op diet over a couple years, but I left the 352 as a reminder to me of where I could still be had I not taken any action. If they come back with some snark about whether I thought the surgery was necessary, that's when I turn on the sarcasm with a non-answer. Luckily those have been few and far between so far.

I’m 21 days post op and have lost 16-18 lbs (depends on the day) but I’ve been kinda hanging at that weight for about 5 days. My doc said they was normal but I’m wondering as this is a revision if I’ll keep losing or is that it? I’m down 36-38 lbs from before I started the 2 week pre-op Optifast diet. Never intended this for more weight loss just to stop the GERD but now that I’ve had some I want more. I’m at about 750 calories a day now on the purée phase. Just short walks around the neighborhood. I get pretty tired during the day and nap at least once a day. Water and protein are on target. Thanks for any insight?

I would not be too concerned about losing too much weight. Unless you have extremely rare and serious complications, it is infuriatingly easy to eat more than enough calories to maintain. For most people, avoiding regain is the biggest concern in the long term. I’m about 3.5 years out and I have to be super careful to track my calories and work out every day. If I weren’t careful to eat low-calorie foods, I could easily gain back a lot of weight. The effects of the restriction wear off over time and I can eat much larger portions than I could, say, 1 year out. Not nearly as much as I could eat pre-surgery (I was a bottomless pit!) but if I were still eating the same high-calorie foods, I would be in trouble. The only reason I’ve been able to maintain my weight loss so far is because I completely changed the way I eat. Going through the post-op diet progression forced me to reset my diet, relearn how to eat. Now that my restriction has weakened and I can’t rely on my stomach to limit my portion sizes, I have to fill my stomach with low-calorie foods. In some ways it’s easier than before surgery because I’ve retrained my palate and developed good habits, but it is definitely still a struggle every day.

Thank you so much!! as of now I am weight lifting 3-4x a week. Trying to switch up the exercises for my upper body and lower body. I do want to build a booty so I focus lifting heavy on those LOL. I agree I may need to eat more which I have been trying to incorporate more protein. I feel like this whole thing is a science and well I got a C in science so I am not sure what I am doing is hindering or helping. Like you said weightlifting and cardio are so good for us! I am sure I will see the difference in my body with inches as the time goes on. Loved the book/lecture

When I had my sleeve I tried to do the treadmill and absolutely could not stick with it. This time I am walking outside. Not sure if that’s an option for you but it’s so much more entertaining. Things to look at, people to say hello to, and you can go different ways and plus it’s fresh air. It’s also easier on your knees. I also walk a bit inside. For both, headphones help with music and a fitness watch so you can log your progress. After my nighttime shower I just put my exercise clothes on and sleep in them. That way when I wake up I am already dressed and I jump up and walk a bit around the house while my coffee is going and chilling over the ice so I can make my “proffee.” It’s just like 15 minutes (started with 5) or so but it’s a good start to my day. Then, I try to do a few minutes a couple more times during the day so I do it when I take my calcium (I have a recurring alarm to remind me). Depending on your job you may be able to do this on breaks. In the evenings, I prepare dinner but then head out to walk, depending on the weather. I am now up to 45 minutes but I started at 15. This one I get sweaty so I shower and put my exercise clothes on again (I have two sets and wash the other one daily) and then I sit down for my dinner and chill with my hubby for a while before it’s bedtime and i start it all again the next morning For me, it’s also easier to make a habit of things if I do them everyday, at least for a while. Eventually things will come up so I don’t do it every night, I’m sure but until it’s a habit I do it daily. My goal is 30 minutes a day no matter what but I try to do as much more as I can. The PA (physicians assistant) was at my support group meeting and did a talk one night on fitness and he shared that 90 minutes of exercise a week (15 minutes a day for 6 days of the week) causes a 15% Drop in “all cause mortality.” My surgeon was there and said that surgery actually only creates an 11% change so it’s pretty incredible. This takes 25 minutes per day because you want to do a 5 minute warm up and a 5 minute cool down. During the 15 minutes your goal is a zone 2 heart rate. You calculate the zone 2 range by first subtracting your age from 220 that is your MAXIMUM heart rate. Then you multiply that number by 60% that’s the lower number of your range and 70% which is the upper number of our range. The example is a 40 year old. 220 - 40 = 180 (MAX). 180 X 60% = 108 and 180 X 70% = 126. The zone 2 heart rate range for this person is between 108 - 126 beats per minute. (The fitness watch will tell you your heart rate so you can check You can do it at the gym if that works better for you and you can of course break it into three 30 minute sessions instead of daily if you choose as long as you get 90 minutes per week minimum. Once I can add strength training I may actually do it this way and do my weights on the other days. For now I’m just worrying about the cardio part. I can tell you though, it is so absolutely worth it. Since I have been doing the exercise I feel incredible. My energy has increased tremendously and my mood is so much better. It’s an all around good thing and not that hard, really, once you set your mind to it and get a few days under your belt it gets easier. I have been very sedentary for YEARS and I can’t believe I didn’t start this exercise thing sooner. It’s seriously pretty great!! Ooh and I was told the same thing for weights. At 6 weeks I can lift more than 10 pounds but not weights. Especially if I didn’t lift them before surgery and would be straining. Even at two months I’m supposed to slowly work my way up but I think that’s probably advisable for anyone whether they had surgery or not. Also, my friend found a fitness watch on Amazon for $20. Doesn’t have to be a fancy expensive one, just need heart rate and steps or distance really to get started. And if you know anyone else who wants to do some exercise, my friend and I talk on the phone most nights while we are both walking around our own houses. She said she wants to do her exercise bike last night but it goes so much faster when we talk. I said we can still talk while you ride your bike it doesn’t matter if we’re doing the same thing. The person you’re talking to doesn’t even really have to be exercising. They just have to be willing to talk to you and encourage you to keep doing it music works pretty well as an alternative busy a couple of nights and I’ve just used my headphones from instead of talking on the phone. Some people listen to podcasts as well

A much better week than last week with a 7.5lb loss to show for it 😊 16.5lbs lost so far on this ‘try to eat healthier’ plan I have begun. It would be lovely to think that I could carry on like this, just losing weight quite happily and give the WLS a swerve but past history tells me that I will eventually pile weight back on (and more) so why set myself up for failure? I also know that I have a stall coming up, sometime between week 3 and week 7 if past experience is anything to go by. I just tell myself that it’s my body having a sulk because I’ve taken its goodies away, so it’s try to get me to give in by being stubborn. Huh…I have a 4 year old granddaughter who is the epitome of stubborn at times and if I can deal with her then this should hopefully be OK 😉 I had hubby take photos after my 1 stone loss, just so I can compare against the 1st photos. Oddly enough, I could see a teeny bit of difference, so that was a real positive sign. I’m looking forward to ‘shopping in my wardrobe’ once again - trying on all those clothes that are too small for me at present, and just generally getting some wear out of them. I just need to remind myself to try things on regularly, especially as I seem to have several sizes to go at! I read through all the information on my hospitals Bariatric area of their website yesterday, things like dietary advice, example menus, info regarding vitamins etc. From what I have read, it will be a couple of days of liquids, then 6 weeks of purée post-op before moving on to mashed foods for 4 weeks and then hopefully reintroducing normal foods. I now understand why bread, over-cooked rice and pasta are to be avoided but still not sure about caffeine? I am a tea junky so I will have to find a decent decaf to try. Any recommendations UK people? Anyway, the next couple of months are busy, taken up with both physio appointments and, much more excitingly, the bariatric-related appointments. This week is Oximetry so hopefully that goes well. I hope everyone has a fantastic week. Onwards and downwards!

How do you know you are hungry? There are lots of veggies that are good: broccoli (no cheese or sauces), cauliflower, cucumbers. What is your new weight? If you go online, what does it say you should be taking and exercising? How much water are you getting in a day? Are you sure its not head hunger vs real hunger?

I see your point, but I think the psych eval is necessary. Weight loss surgery outcomes are much better when used along side pysch evals, dietician visits etc. This is all documented and confirmed by the medical community. I think if I was an insurance company, I would prefer to pay out for a surgery that it likely to be successful because the patient is using all the tools in their tool belt and is more likely to be successful. I would also think that more than one appointment with a psychologist should be the norm. You can sometimes do more harm than good with only one therapy session. I don't see it as discrimination because ultimately, it's an elective surgery. We can live (albeit less well) if we are overweight. There are also other surgeries that require psychiatric evaluation too, for example gender surgeries. It's not really discriminatory to require that the person getting certain surgery is likely to have a successful outcome because the require life changes to be successful. However, I definitely agree that it shouldn't be down to the insurance companies to determine the requirements, it should be medial professionals. Insurers should never get the final say in what procedures a patient can or can't get if the doctor disagrees with the insurance company. I also don't think a tick box appointment should be enough to get approved for a major surgery which is what insurance requires.

Hoping to hop on the train too! I had a revision to a bypass on 11/28 for severe GERD, as well as a hiatal hernia repair. Almost my entire stomach was up in the chest wall he said. I am feeling pretty decent 4 days post op. I did lose 85lbs with my sleeve, and had gained a little back 10lbs. They did a full bypass but didn’t not take out as much bowel so that I don’t lose too much more weight and be malnourished they said. Any way, glad to find others in similar situations just like last time. :) Hope everyone is doing well!!!

I was one to think the purée phase was awful too. In fact when I had the sleeve I at the same two things over and over just because it sounded so repulsive to me. This time I got a food processor and was so glad. I still wasn’t a fan of the meat being puréed but I did purée almost everything else and after all the liquids some of it actually tasted pretty good. You can do it either way though. It will fly by. Ugh, teenagers can be so stupid sometimes. I remember doing some pretty disrespectful things as a teen that I am still ashamed of when I look back though. They just don’t get it yet. I’m glad that you didn’t let it stop you. I am one to worry about what others think which is why I am only starting to exercise outside now because I finally decided that this is for me and only me. If someone doesn’t want to see me trying to get healthier they can look away. Good call on the recipe books. Someone in my August surgery group also posted a really great website for recipes. I will share that one too. Most of it is free but they do have a subscription deal so some of it is blocked. I have been scrolling through since they shared it. There are over 600 recipes it says but like I said some of them are blocked unless you pay to be member. The lady is a dietician that creates the recipes so they really are good and healthy. Good Luck at your appt with the surgeon. 🩵 https://www.bariatricfoodcoach.com/weight-loss-surgery-recipes/

I had surgery on March 21 making me almost two weeks out. I am eating every few hours, dropping weight like crazy. My scale says I'm down 29lbs from when I left the hospital. I'm eating some soft foods now, when I do eat though I get like an empty feeling after a couple bites. I feel like that's my "full" Feeling because if I do try to eat any more, I'm hurting. Anyone else get different cues that you're full?

I still have more weight to lose but yes, sitting in my changing body is more uncomfortable than I anticipated. Even in a relatively comfy chair.

I have bad knees, no cartilage in either, which I have been told will need to be replaced in the years to come. I see you don't have a pool close by that is not cheap but I do aqua aerobics once a week and feel the benefit of it so if you could even afford a class once a week it might do you the world of good. I am lucky that my hospital run the class so I just have to pay about €100 by way of membership for the year and the classes are 50 weeks of the year. I also have an exercise bike that I go would go slowly on for about 20 minutes three times a week. Now that I have lost more weight and the weather is improving I find I can do short walks of about 20 minutes/1.5km. My knees do ache afterwards at night but not as bad as before when I was heavier so I feel it is worth it, put a bit of gel on them and it helps me sleep easier. I now also do the Svelte 'One and Done' exercise program, just the beginner level, three days a week. There are some exercises I can't do as they require knee movements I can't do but from what I have seen so far there is always an alternative exercise shown if movement is not possible. You could always check out their YouTube site as they have plenty of exercises that you don't have to pay for. Even though my weight loss has slowed down I can see where I am still losing cm's.

So maybe super embarrassing but no one told me I'll be sitting on cooter and butt bone when losing weight, their is no padding down there. 😭😭😭

When I was still losing & exceeding my goal, my surgeon said he thought I’d lost enough & needed to up my intake. I said I’m not deliberately trying to lose more but I could only eat what I could eat at that time & I thought the extra loss would help if I did have a regain - some wriggle room. Of course I kept losing & they stopped commenting as my surgeon & his colleague realised I was actually more finely built & my weight was okay. They prefer me to be a little more than I am currently (more 50kg) but I weigh what I weigh. I slowly started adding snacks to my intake to slow my loss as I was able. In time though I was able to eat more for a meal so I reduced my snacks until I found that balance/sweet spot to maintain. I’ll always need to snack because I generally eat pretty cleanly & therefore lower calories. Over time I’ve worked out what foods I’m better off avoiding & what foods I can only have occasionally. I’m not a calorie counter or food tracker but do random checks - it works for me. Watching what I eat & being aware of portion sizes will be a lifelong behaviour. As others have said it wouldn’t take much to start down the weight gain path. To me it comes down to what weight you feel most comfortable at, is easy to maintain & working out a way of eating to support that weight that is sustainable & doesn't restrict or affect your life/lifestyle. All the best.

Surgery complete! It was on the 12th. I’m not going to lie -it really hurts. The first day or two was pretty rough. Besides my stomach hurting my throat was so angry from the tube. I’m going to blame that on my snoring… I find that every day I’m feeling much better than the last. From the start of my liquid diet a week before to now I’m down 12 lbs. that makes me very very happy. Definitely the most productive weight loss I’ve ever had. Im 6 days post-op and feeling pretty good- I get a twinge of pain when I use my stomachs muscles like laying down or sitting up but just a twinge like a 2/10. Now I’m ready to get going- I want to get the weight off and keep it off.

I am almost one year out from VSG. I am down 100ish pounds and am hovering around 225. My goal is 170-180. I, too, am struggling with continued weight loss. I feel hungry all the time. It's probably a lot of head hunger, I've been told, but I am almost never satiated. Uughh. The guilt when I go over my daily calories kills me. 🙃 My one year appointment is coming up soon and I'm afraid I will weigh about the same as my previous appointment. You aren't alone. Just keep going. Maybe change up your diet a little bit. Maybe increase cals? In my case, I feel like my body is happy with my current weight, but I'm not, so its a struggle from here on out. Lol.