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Welcome to the forums. Let me try to hit everything in no particular order. Much of this is general stuff that may or may not be helpful to you, but may help others that read. Congratulations on your successes to date. Beer: Be very careful of transfer addiction, which is common when one coping mechanism, such as food, is taken away so we find another mechanism to replace it. Additionally, with a bypass alcohol is harder on the liver than with normies. Again, be careful. Muscle loss: Is very common and expected. Rapid weight loss such as we experience causes loss of fat, muscle, and in many cases organs (which is why rapid weight loss for too long is unhealthy). Additionally, it takes extra muscle to move our pre-op bodies around. As we lose weight we require less muscle to move less weight around. 6 meals: At a year out it's ok to make rational adjustments based on your experience and requirements. As an example, I'll share a personal anecdote: My plan is 3 meals a day of 3-4oz protein 1oz veggies. No protein drinks or snacks. This is my surgeon's hard and fast plan, period. At about 2 years post-op I decided to challenge myself to a 'Couch to 5K [C25K]' program that gets one to running 5K in 30 days. It turns out I enjoyed running so started binge running. As my miles per week increased my surgeon increased my meals to 4 per day. Then 5. Then 6. Then added a protein drink. I very much disliked 6 meals per day as I felt like I was always eating. When I stopped running it was back to 3 meals per day. Point of the story is there are times to make rational changes. In your situation, it may make sense to reduce your meals (and slightly increase meal size. Or if you want to stay close to where you are, 3 meals + 3 snacks. Or whatever works for you. I'd wager that the author of your plan would be on board with rational changes. Compliance: In the first several months patients will lose weight no matter what they eat or drink. Being compliant to your plan builds success with the positive reinforcement of losing weight. It's the new, healthy habits that keep you from regaining weight. Trying to start compliance when the weight loss stops too soon puts us into the same diet and fail cycle we lived pre-op, with the same results. Good luck, Tek

Hi all, I had been on Wegovy for weight loss, and it almost completely silenced my food obsession. I stll got hungry and enjoyed my food, but I wasn't thinking about it all the time. My insurance no longer covers wegovy, so I've started on the bariatric surgery pathway. My question is, will surgery work in the same way? Will that voice be silenced? TIA!

Whoop, look at that weight loss!! Tearing it up BigZ! I'm so excited for you!

Yaaaaay!! As a fellow diabetic I am cheering you on!! Mine normalized after surgery too, I had the DS. Looking at those normal numbers feels way better than any food tasted. Such a relief. And wow on the weight loss! I don't know how much you have to lose but that's a massive chunk. Try to update your sidebar stats so we can see how far you've come!!

I love your explanation @NickelChip! I've read it before in another group but you made it so easy to understand!! That is exactly what is happening during our stalls, especially the early ones. The body is just trying to protect us and make sure we'll survive. I believe during this time it also assesses things like set points, what the metabolism is doing, etc... Our bodies are hard workers even when the scale is sitting there staying the same. I too wish doctors would take the time to explain this to their patients, it is a major source of anxiety throughout the weight loss phase! OP, I'd highly suggest getting yourself a tape measure. Measurements are a fantastic way to track weight changes in our bodies and often when the scale doesn't move we lose inches, because we are actually still losing fat, we are just losing in stealth thanks to that water weight. A similar process happens when we start exercising, often the scale stalls or we even gain! But below the surface we are still changing our body's composition, fat is still being burned. Apps like Baritastic will track your measurements and show you over time how they are trending down, it is pretty cool. I only allow myself one weigh in a week. If I feel anxiety about the scale I don't even do that. It isn't worth the mental anguish... For the VAST majority of people, if you follow your plan, eat regularly, drink your water, and get some movement in, your body will continue that fat burning for a long time. There are always outliers, of course, and my heart goes out to them. But the odds are we won't be outliers... I remind myself of this every day, I'm 3 weeks out! You've lost the same amount that I have in less time, that's pretty cool!

Congratulations everyone on your weight loss! I had SIPS/SADI ON 8/15 I’m down 74 lbs and no longer diabetic!! I do still struggle with protein and water goals, I’m sure it will get better as I figure this new lifestyle out. Wishing everyone a Happy Thanksgiving!

IMHO, you've made a good decision. Let me share a bit of my story to convince you to put the scale away... period. When I had surgery I was too large by far for a home scale. The only time I was weighed for about a year and a half after surgery was at my surgeon's office at monthly follow-ups. Because of this, I never saw a stall in my weight loss. At my follow-ups my weight loss was never the topic of discussion unless I brought it up. The discussion centered on how I was feeling, how my plan was going, life changes, how was I emotionally, any issues or concerns. I learned valuable lessons in these appointments. Eventually I was able to weigh on a home scale. I practically lived on the scale for a couple weeks until the novelty wore off, then I never used it again. I knew how I was doing by how I felt, my plan compliance, how my clothes felt, my health, happiness and a number of other considerations. These are still my measurements. We don't need a scale to follow our plans. The number on a scale does not tell you how well you are following your plan. In some cases, the number on the scale may tempt you to change your successful plan. It's great not being ruled by a number on a scale and simply paying attention to the important stuff. Good luck, Tek

major complications are really rare. I think it looks like they're more common than they actually are because people who have them get on this and other sites to ask for support and advice about them. People who have no issues don't generally broadcast that fact. They just go on with their lives. I did have a complication - a stricture. The PA at my clinic said that's the most common complication of bypass (well, other than dumping, which affects about 30% of us and can be prevented by not eating a bunch of sugar or fat at one sitting, which none of us should be doing ANYWAY). Strictures, the most common complication according to him, happen to 5% of bypass patients. I wouldn't call something that happens to 5% of patients "common", but that gives you an idea of how "common" complications are. And strictures, like most other complications, are minor and can be easily fixed. They did an upper endoscopy, stretched it out, and I was good to go. I honestly don't know anyone who regretted having weight loss surgery, and I've volunteered for my clinic, been very active on national internet forums, and attended national conferences. Yes, the first few weeks can be tough and a lot of people have "buyer's remorse" during that time, but once they get beyond that initial phase, when they can eat more, have fewer food restrictions, feel fine, and have kind of figured out this whole deal, you're not going to find many people who regret it. Personally, it's the best decision I've ever made. My life is completely different than it was 200 lbs ago, and I wouldn't go back there for ANYTHING. I would have this surgery every year if I had to! I'm in my mid-60s and had my surgery over eight years ago - I could kick myself for not doing it sooner!

nope - it's far from over. Sounds like you're experiencing the infamous "three-week stall" a little early. The "three-week stall" happens to the vast majority of us - if you do a search on this site for it, you'll find over 17,000 posts on it (and no, I am NOT kidding). That first major stall can really happen any time during the first month or six weeks after surgery, but it's usually the third week, thus, the name. It'll last 1-3 weeks. The best way to deal with it is to make sure you're 100% on plan and stay off the scale for a few days. It WILL break and you'll be on your way again. And know that this is likely the first of many stalls. It's just a natural part of weight loss.

I had surgery on 11/9. I’ve lost 20lbs since surgery 247 down to 227. I have stalled the last few days with no budge on the scale. Should I be worried? It seems pretty early for a plateau?? I’m tracking and getting between 300 and 500 calories a day. Is my weight loss over? I just can’t believe my weight is stalling already. I guess I just need some encouragement.

I’m doing great! Lost 48 lbs so far, feel fantastic. I mostly eat protein, but I have been sampling with other things and find that some things don’t agree with me, like bacon for sure, and oatmeal. But otherwise most food is fine and I am so happy about it. I never did this for weight loss but it’s been incredible anyway, and I am really enjoying new clothes. How are you doing?

I weigh more than you so that's not relevant, but I had the DS surgery 3 weeks ago. You want to talk about rewiring your intestines for weight loss?? Yeah, did that. I had a moment of panic after the surgery when it really truly hit me that I'd permanently altered my body and couldn't predict how it would look 30 years down the road. And then I internally slapped myself and reminded myself that how my life was looking pre-surgery in 30 years was death or disability even worse than what I have now, and that NO ONE can say what their life is going to look like in the next 30 years, or even in the next year. Life doesn't work that way. Nothing comes with guarantees. I was very afraid of the complications a DS can have. But I decided complications from diabetes and high blood pressure and high cholesterol were worse. You may not have these now but you may very well have them in the next 10 years. I was perfectly fine until I was 37. I have had no major complications so far, just some nausea. My tastebuds have changed and it turns out avocado no longer tastes good to me and I can't taste sweet spices like cinnamon and nutmeg. I'm told that will balance out in time, its the hormones playing with my tastebuds like a pregnant woman. For two weeks my stomach did these twisty cartwheels inside me every time I drank or ate something, but that eased too, as I knew it would. I had family and friends rather skeptical of doing this surgery, especially because I am that 1% person who always gets the rare complications from things. But turns out so far I've had a rather boring recovery and I hope that continues to be the case, but if it doesn't, I'll deal with it. Because I no longer want to live the yo-yo life of trying desperately to normalize my weight on my own. I have lost 21 lbs in 3 weeks post surgery! I didn't think this would work for me but it is working... Yes, for the first few weeks getting that water in feels like a huge chore. But eventually you find your groove... Same with protein. And as my dietician reminded me today, they are GOALS, not absolutes that have to be perfect on the first day. I couldn't get down protein drinks for the first two weeks. In the end you will do what is right for you at this time. If you don't do the surgery now you will do it later down the road and be one of the people who wishes they'd done it sooner. I wish I'd known about this option in my 20s, I would have lived a very different life.

I’m doing great! Lost 48 lbs so far, feel fantastic. I mostly eat protein, but I have been sampling with other things and find that some things don’t agree with me, like bacon for sure, and oatmeal. But otherwise most food is fine and I am so happy about it. I never did this for weight loss but it’s been incredible anyway, and I am really enjoying new clothes. How are you doing?

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'm so sorry you are going through this @Ashley Amari!! That is a LOT of hair loss. It is so shocking the things our bodies do when under stress. When I was in my early 20s I had an autoimmune flare and lost over 1/3 of the density of my hair. I've always had fine hair but a lot of it, that's no longer the case. In time some of it came back, but I kept having autoimmune flares and with each one I'd lose more and more. It has stabilized now that I'm on a biologic to stop the flares, and it is growing back now though I don't think it'll ever be as thick. But I am DREADING the shed from surgery. I had one after having a hysterectomy. It has all come back from that, it wasn't any worse than the autoimmune triggered ones, but at least it all came back from that! I have high hopes for you that while you have lost a lot for now, it should come back, and often comes back even healthier than before, probably because of all those vitamins we are taking! LOL There is *nothing* we can do to avoid this shed cycle, it is natural after a major surgery and serious weight loss, so don't worry it is something you did. It isn't. It will come back in its own sweet time and until then I bet you'll rock the hell out of that wig!! ❤️

I don't know if the OP was a troll but I think the post has merits for the reflections it has created. My partner sees a therapist that specializes in eating disorders. She seems to be rather WLS negative because she sees patients that struggle with it and regret it. But in talking about it I realized for most of these people the regrets are driven by unrealistic expectations or having food addiction issues they've never dealt with--they weren't prepared to say goodbye to their relationship with food like Babyspoons points out. The surgery is hard on our minds and if our head game isn't strong it will take us down! Unrealistic expectations are so damaging to one's long term happiness. I don't know if it is the individual's issue, or a combo of that and surgeons painting a fairytale picture, but I had pretty frank discussions with my surgeon and GP about what I could expect from the surgery. I don't expect to lose 50 lbs in this first month. I don't expect to ultimately get down to 130lbs. I've set a reasonable goal for myself and we all agree it is attainable if everything works right. Not everything works right all the time. But I picked the surgery that had the highest chance of giving me what I really wanted---a loss of my co-morbidities. I decided that if I could kiss my diabetes and high blood pressure and high cholesterol goodbye, it would be worth the surgery even if I don't lose all the weight. Of course I want to lose the weight, but I'm a pragmatic person and I had to really dig deep and decide how I'd feel if I never meet my weight loss goal. I didn't want to be stuck with regrets, I hate regrets. But I think most people don't do this internal work pre-surgery so they are left trying to reckon with it all post surgery when expectations don't meet reality. I think there is a lesson in that for all of us...

Dr. John Morton, Division Chief of Bariatric and Minimally Invasive Surgery at Yale School of Medicine, discusses if the new injectable weight-loss drugs are having an impact on people choosing bariatric surgery. https://www.nbcconnecticut.com/news/local/yale-doctor-discusses-differences-between-bariatric-surgery-and-weight-loss-drugs/3145715/?amp=1

Hi, i'm almost 3 month out, got my Bypass on 1. September 2023, i Had a lot of problems, and a lot of ER Visits, it seems like the Exit of my Pouch narrowed down so much that i couldn't even Drink anymore, they Stretchted it to 1,2cm's the "normal" size should be 3cm, they Already told me i need a Second Surgery and one of my surgeons said that maybe the Doctor who did that did it on purpose so i would "lose weight better!" with a giggle, What an A-Hole. I'm kinda off all things i've read on that Topic, i can't eat any kind of meat or Cheese, it would not sit well and i will Vomit a lot. I Live after 3 Month, Out of Protein Yoghurts and Pudding. I can tolerate Crisp Bread, but again can't do something on it very much, i'm Kinda at a loss Right now, But i Lost in that 3 month's around 40Kilogramms. but i feel pretty bad in General, since i feel like "i will never be able to eat even the Portion sizes i should with bypass".

Oh, our changing taste buds. It can be quite intriguing. First there is the temporary change after surgery which I think the anaesthetic contributes a lot too. But then after removing certain foods from your eating, you can lose your desire for them or even enjoyment of them over time. Which can be a good thing with certain foods. I embraced my dislike & sensitivity to anything sweet & rarely eat traditional sweet foods or drinks anymore. Same with alcohol - probably average a glass a month (though with Christmas & Christmas parties coming up I may have a few more through December - LOL! Getting your family on board & understanding your eating now can be challenging. Maybe remind them that you are doing this with the support of a medical team & they are extremely happy with what you are doing & have no concerns. Your digestive system has been altered & you physically can’t eat the over large portions you used to which is a good thing. Maybe add that you are determined to be successful with your weight loss to be a healthier you & would hope you would have their support not their criticism & judgement. But you know your family best & what will resonate with them most. All the best.

You can have daily fluctuations of weight simply from water weight. Eating salt, menstrual cycles etc. That's why I only weigh once a week but even then, weight could be up on that weigh day for any of those reasons. Obviously overeating will do it. But I think you would know if you were doing that. Hopefully you are not one of the sleevers who lose 30 pounds then weight loss stops. It's usually at that time when doctors go the Ozempic, diet pill route. Or.. looks like you only have 29 pounds to go to hit goal weight. Those last few pounds will come off slowly. I have around 55 more to lose and expect it will become a much slower process now. But I sure hate those stalls too. If you are not seeing any loss in weeks or months, tell your doc/nutritionist and come up with a new plan. GL

Also your weight loss can make you more fertile (oestrogen is stored in fat & released as you lose weight) so, yes using two forms of contraceptives for quite some time after surgery is recommended by many surgeons.

Dumping is an interesting phenomenon. I had a good friend about 20 years ago who had an old school bypass and she would dump all the time. She'd sit there with a pack of candy, eat some, breathe through the dumping symptoms, and continue to eat it! This was my first exposure to someone with weight loss surgery. I thought she was insane. She also refused to use protein powders so her hair was brittle and falling out. And she didn't take her vitamins so her calcium was low and she'd get heart palpitations. It scared me off of the surgery for a long time. I didn't want to turn out like her! I'm so glad I learned there are better ways... DS patients aren't supposed to get dumping but I drank too much water too fast once and got all the classic symptoms of dumping, including the bathroom runs. It was VERY unpleasant and I will never do it again! LOL I also had a mushroom soup the other night that turned out to have 33 carbs in it (which I didn't realize until I went to log it). Holy cow I thought I was going to die. Same symptoms. I don't have to imagine what will happen if I try to eat a piece of pie!

That’s what I look like now and I haven’t had my surgery yet. Extreme hair loss, dead looking saggy lackluster skin. I’m still hoping to be a little healthier looking when I do have it but this is kinda sad/scary.

WOW - Do people even think before they speak? I guess she meant it as a compliment. My mom, who had a weight obsession, asked me after my surgery why I mutilated myself. She had know Idea how much I struggled with my weight. Probably didn't realize that my weight struggles were after watching and hearing her and her mother commenting about it all the time. I think the German roots and farm family background weight loss was probably considered a sign that you were being properly fed!

It's sad that others can't be happy for another's success. Especially coming from one's own family member. That catty competitive BS always bugged me and still does. I used to work in an all-women's health club and OMG... the things I heard other's saying about one another made me sick. I learned early on not to let other's opinions effect or define me. Negative comments are certainly harder to take coming from a loved one but even so..parent or not, they are mentally flawed just like the rest of us. Makes it easier to pass it off or forgive them thinking that way, I guess. I remember my Mom saying to me one day while I cared for her after she suffered a stroke... 'What happened to you?" Referring to my weight gain. I was always the fit beautiful one in the family. It hurt me momentarily. She was sharp as a tack up until the end, but the filter was gone. I could have said I quit taking care of myself after I started taking care of you. But I never would have said that to her in a million years. I don't think I even realized that till much later. As for good compliments. Most have been you look great...amazing, congrats etc. A recent one was on my curls. Is that natural or...? I smiled and said yes...along with a bit of hair product. Beautiful, she said. I'll admit it was nice to hear. Especially after feeling invisible for so long. Downside is men are starting to take notice of me again. I never missed it since a lot of that felt like sexual harassment to me. But nothing really negatives as of yet. Knock on wood. I'm sure I'll be ready for them though if I do. LOL Kinda true...