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5 years out, tried semiglutide to restart weight loss
KarenLR75 posted a topic in GLP-1 & Other Weight Loss Medications (NEW!)
It's been 5 years since my gastric bypass. Have done fairly well in staying in my safe zone. My goal weight was 170 initially although mentally I wanted to put 150. After starting at almost 400 lbs, I wanted to see if I could even hit 170 which I did. For 2 days about 2 years ago I briefly 'dipped' down to 167! LOL. Fast forward to 9 months ago, I hit a rough patch and went up to 180'ish. I knew some folks going to a local place that compounded their own semiglutide if I understood them correctly. After asking repeated questions about whether taking this would disrupt the supply to diabetics who needed the medicine, I decided to try it. I was never one of those fortunate ones who after bariatic surgery lost the desire to eat (grehlin?). Even though I obviously had the 'restriction' kicking in due to the pouch size, I had to white-knuckle SOMETIMES during the first 6 months. Part of me feels like I cheated by introducing semiglutide but there are also people who think that weight loss surgery is the 'easy way out'. I can tell you that none of those people, in my opinion, have ever had the surgery. I actually really like the semiglutide, it removes the..trying to think of it as I saw on someone else's post, it is the first thing that has ever removed the mental 'food chatter' in my head. Sometimes I will skip weeks on the injections and I'm already making plans to taper off now that I'm down to 163. I realize I will need to be able to then try to maintain in my new 'safety zone of watching for a weight gain of more than 5 to 10 lbs over current weight. I like to nip those things in the bud. Just curious if anyone else post weight loss surgery (by years) has brought semiglutide into the picture whether to break up a stall, or to get weight gain that has started to creep up halted. -
I think sometimes our bodies kind of freak out when lots of changes are happening at once. As you lose weight, things redistribute, move around, the chemical make up of your insides change, hormones change, glucose, cholesterol, and blood pressure all change. So even when the scale isn't moving, so many things are happening within our bodies that it likely needs time to catch up and get use to the new and ongoing changes before the weight can start to come off again. I know how frustrating it is, believe me. The amazing people on here had to talk me off the ledge a few times when I hit stall after stall. And I'm one that gains a few pounds whenever I hit a stall, so THAT was always fun lol But then I would drop like 6 pounds in 1 shot and then I knew the stall was over. I know this is so frustrating, but it'll pass. And you'll get to where you want to be. It took me 2 years to get where I am now. And I still feel that was fast. It took me almost 30 years to put the weight on, so getting it off in 2 years is HUGE. Give yourself some grace, feel your feelings, and just focus on all the good parts of this journey. You'll be ok and you'll get there
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March 2024 Surgery Buddies!
TinyBink replied to Pines's topic in PRE-Operation Weight Loss Surgery Q&A
I've been struggling with the eating too fast. It's a problem i've always had, but now its having more of an impact on me (obviously). I've luckily only done it twice, with today being the most recent, and I get so mad at myself for letting it happen. Any tricks or advice to slow down. It is probably as simple as taking a tablespoon of food and counting to 50 or something. -
Share Your Keys To Success! How did you maintain your weight loss (Stay In Maintenance). Come on spill your secrets!
GreenTealael replied to Mspretty86's topic in Gastric Sleeve Surgery Forums
7 years out this November (I can’t believe it’s been that long!) 1. The surgery did all of the work. I didn’t wake up hungry, I didn’t feel like I could eat more than recommended. I didn’t have any (initial) complications that slowed the weight loss process. 2. I was really strict and followed every rule pre and post op. I was super serious because I absolutely needed this to work. My motivation remains for medical reasons first and aesthetics second. 3. I limited calories from liquids. 4. I am finally ready to admit that I have a narrow palate. I don’t like most food and definitely not most fast food but in a pinch I will eat it *some* things. I cook the vast majority of my meals and most are very boring by foodie standards. 5. I was converted from VSG to RNY at my goal weight (GERD etc) and I’m sure the durability of RNY has made a difference in maintaining. 6. I was given a higher BMI range by my surgeon and thank goodness because getting any lower would have been a real struggle without added benefits. 7. I invested in plastics. I shouldn’t make sense or a difference but I didn’t want to mess up the work I had done plus removed skin and fat cells are gone forever. 8. I address the smallest regains IMMEDIATELY adjusting behavior and intake. I’m not ashamed of it or ignore it, I weigh often to stay accountable to myself. 9. I found what works for me and focused on that, adjusting as needed. I try very, very hard not to compare myself with anyone else. I never attached self worth or morality to weight (gained or lost). I think it helped immensely that no one ever bothered me about weight. I realize it maybe a different story if this wasn’t the case. 10. I check in yearly with my bariatric team. -
May 2024 Surgery Buddies 😁
Zingor replied to Bypass2Freedom's topic in PRE-Operation Weight Loss Surgery Q&A
Surgery went well, and I am home today, sipping protein water and broth. My one night in the hospital I barely slept, I could not find a comfortable position to save my life. So I walked around a lot, sat on the edge of the bed, read my book. Had one terrible bout of naseau last night, the nurse said I was probably drinking too fast. The dry heaves hit this morning, but I was told that was nothing to worry about unless it persisted. So now I'm home and confused. I had a list of what to drink, but there is absolutely no way I will be getting 60 ounces of fluid into me. I assume it gets easier? -
Vomiting for hours after food
summerseeker replied to DaisyJaine's topic in Gastric Bypass Surgery Forums
Oh my I am so sorry this is happening to you. I had at least 6 months of this, day in, day out. They tested me for a stricture but found my stitch line was swollen and inflamed and although I could swallow liquids slowly, solids were difficult. Now I still take Lansoprazole twice a day and antacid when I need it. It sucks to be the 1% that has difficulties. I found that artificial sugars, some protein substitutes, rich meats and iron in the vitamins were not for me. I didn't reach my liquid or protein goals but my team were sympathetic and monitored me. I was told to focus on drinking. I tried to eat 6 - 8 tiny meals a day. Every time I had a day of vomiting I would go back a step to liquids. I had a lot of thin soups, tiny slivers of cheese and milk. I tried to eat as clean as I could which wasn't hard with the tiny little amounts of food I could eat. I am occasionally sick now but its because I overeat, forget not to eat grape skins or eat too fast. Now I just give my stomach a days rest and continue. I am used to the feeling of pre vomit and I will usually deal with it. For some reason a popsicle sometimes works -
February 2024 Surgery Buddies?
LisaCaryl replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
Ugh, that doesn't sound very good. I haven't had anything affect me for over an hour or so. I've eaten too fast and too much and both are so uncomfortable. I mostly get the heavy uncomfortable feeling in my chest. If I eat too much I will burp up food and sometimes have to spit it into a napkin cuz there's no room to swallow it back down. Isn't it crazy how eating has gone from something we loved to do to a chore that is often dreaded? At least for me, it is. -
Hi Me again! So I am noticing that I am losing 1.5-2lbs a week last couple of weeks, I had surgery 1/24 for Gastric Sleeve so I am 14 weeks post op. I have lost a lot of weight fast in the beginning so I am assuming that's why its slowing down? I am incorporating a lot of exercise now including weights so maybe that's why too? I am trying to get into the mind set that I am focusing on how I feel and not so much what the scale says. Just want to make sure this is normal? Weight when I entered the bariatric program: 297lbs Surgery Day Weight: 266lbs CW: 205lbs GW: 170lbs
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CHEESE. It is the answer to all of life's problems post WLS. Compact, filling, nutritious and portable at room temperature. Further down the line nuts and fruit will be your best friends. If you can avoid processed bars then that might be good. If not, the bars might be better than the available (more processed) alternatives such as fast food. Good luck - I hope you enjoy the field trip!
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August Surgery buddies
ShoppGirl replied to Averdra's topic in PRE-Operation Weight Loss Surgery Q&A
My best advice is to be prepared to put yourself first for around a month. It didn’t take that long for the pain to get better but it does take a little while to get your stamina back and get into a groove with all the vitamins, protein and water and then each of the stages are a little adjustment. Take your time and allow your body the rest that it needs and prioritize yourself and your recovery for the time you need. The good news is that you should also see a pretty big drop on the scale as in your measurements. Which leads to my second suggestion which is to take photos and measurements as well as recording your weight beginning preop. They will help keep you motivated later down The road when the scale stalls. The third thing I would suggest is to check out an App that allows you to record your progress. The Baritastic App lets you record everything from food and water to vitamins, exercise, measurements, weight, and even your bowel movements which will become something that you think about more than ever post surgery haha 😆 and it is fairly easy to figure out. I wish I had started before my preop or my surgery. Also, make sure that you have whatever stool softeners, laxatives or soluble fiber your team suggests on hand and begin whatever preventative measures they set for you immediately post op. When you are in the hospital don’t hesitate to tell them if you are in pain. And Walk ALOT. Especially if you are in pain. It doesn’t matter how fast you go, it’s just the movement. I promise you that passing gas is your biggest goal in terms of relieving pain and the walking helps with that. -
So im 5 weeks post op and….
SleeveToBypass2023 replied to Dchonlee's topic in POST-Operation Weight Loss Surgery Q&A
Honestly, that's why it's not good to weigh yourself every day. Things like how much you ate and drank, how much salt you had, if you pooped or not can all affect your weight. As hard as it is, weighing yourself once (or if you must, twice) per week, in the morning after you go to the bathroom, before you eat or drink is the best way to see what you true weight is. Weight also fluctuates by a couple of pounds naturally, so if you weigh yourself daily, you'll get discouraged and frustrated and start to think, 5 weeks out, that you've plateaued. Be mindful of slider foods. That's stuff that you can eat more of because it goes down super easy and takes longer to make you feel full. Potatoes are known for this. As I said before, the first 6 months is when you lose the most the fastest. Eating things that slow down that process during that time is counter-productive. This is where you really want to stick to the diet as closely as possible to get the most out of the weight loss. Also move your body. Add in working out, walking, swimming, anything that increases movement over and above what you normally do. Not only does that help, but when you drop weight fast, you can lose muscle. So you want to start working on that. -
Having an issue that's very bothersome...
SleeveToBypass2023 posted a topic in POST-Operation Weight Loss Surgery Q&A
A bit concerned. I sent a message to my PCP and haven't heard anything back yet. I've been having some major issues with dizziness, to the point of nearly blacking out for the past 2 weeks or so. I had blood work done on Thursday and my iron, b12, and A1c were all checked and the results came back that all are normal. Not low normal but right smack in the middle normal. My bp was 105/63 (I average between 104/60 - 108/68). Glucose was 97 and A1c was 5.0. My b12 was 717. My iron was 53. So very normal. Does anyone else have this issue? What could this be, and how can I fix it? I make sure not to get up too fast, I get 7-9 hours of sleep per night. But this seems to happen when I get up from either laying or sitting or when I stand for too long. My blood work came in today, so I'm hoping to hear back from my doctor tomorrow since I didn't today. -
February 2024 Surgery Buddies?
ktorres1 replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
My surgery is Fed 19 and coming up fast for me.. im excited tho.. i can’t wait for this to happen -
Food Before and After Photos
GreenTealael replied to GreenTealael's topic in General Weight Loss Surgery Discussions
Our surgeons did their very best to educate us in a manner that would be easy for a broad population to understand but sadly WLS is not as simple as restriction driving weight loss. Check out these excerpts from a review on the Endocrinology of the Gut and the Regulation of Body Weight and Metabolism and also a study that tried to predict outcomes of various WLS on (hedonic) hunger and weight loss : The mechanisms behind the success of bariatric/metabolic surgeries remain to be fully elucidated but post-surgical changes in gut-derived hormonal peptides, bile acids (BA), gut microbiota, and vagal tone are suggested to be involved (13, 14). Read more here: https://www.ncbi.nlm.nih.gov/books/NBK556470/ Bariatric surgery engenders weight loss through a number of biological changes, which alter eating behavior and thereby result in a reduced energy intake, which is the main driver for sustained weight loss. Gut hormones, metabolically active polypeptides secreted along the GI tract in response to fasting and eating, act upon CNS centers involved in appetite regulation and generate either orexigenic or anorectic responses. Following bariatric surgery, gut hormone secretion profiles change as a result of the anatomical changes from the surgery. Altered gut hormone secretion profiles are thought to be key mediators for weight loss following RYGB and SG. RYGB results in a marked rise in meal-stimulated circulating levels of anorectic hormones peptide YY 36 (PYY) and glucagon-like peptide 1 (GLP-1); these changes are also seen post-SG but to a lesser extent. SG, in contrast, leads to a significant reduction in the orexigenic hormone ghrelin, by means of removing most of the ghrelin-producing cell population from the stomach. Ghrelin and PYY/GLP-1 act on appetite-regulating areas of the CNS in an opposing manner, stimulating orexigenic or anorectic responses, respectively [16]. Read more here: https://link.springer.com/article/10.1007/s11739-022-03063-0#:~:text=A reduced energy intake%2C as,weight loss following bariatric surgery. -
I have seen many videos of the revision and all do the band removal and sleeve in same surgery. Why is my doctor not doing this? Is he not good enough to do it? The scare tissue removal is just extra time and procedure and to check for hernia. Should I be getting a second opinion? Last visit he never tried a fill or see if it leaked or fluoroscope, just said let's take it out. I just hate to do all the fasting and being put under twice if not needed.
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February 2024 Surgery Buddies?
RonHall908 replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
I've been able to eat ground meat (ground chicken, turkey & some Bison) fairly easy. Three ounces of meat with a few bites of veggies and I start feeling full. I take 20-30 minutes to eat with a lot of chewing. I've been sick a hand full of times since I've started soft foods. Mostly from eating too fast or taking one bite to much. Good to hear that you were able to eat without getting sick. -
Dumping Syndrome is Dumping!
BabySpoons replied to Lilia_90's topic in Gastric Sleeve Surgery Forums
Thankfully I had only a couple dumping episodes over the course of a year. Both involved sugar. A small piece of birthday cake. It tasted wonderful but I paid the price with stomach cramping and spent the entire night running to the bathroom. I never had heart palps or nausea with it. I think we all have varying degrees of symptoms. It was miserable enough not to test it again. I can eat a piece of cake now on special occasions if I forego the frosting or make a sugar free cake/frosting. Nausea was more of a problem for me post-op. It wasn't from eating stuff not allowed or eating or drinking too fast. For me it was a texture thing. When I got to the whole food phase my tummy wasn't having it. Meat and raw veggies were the worst for me sadly enough. I was craving a cold crisp salad so badly by that point. But just because I could now have it, didn't mean that I was going to eat it. I backed off and waited by drinking and eating my softer foods for awhile longer, then reintroduced the denser foods later on. Ground beef, beans and protein drinks became my go to for a long time. I guess my tummy just needed more healing time. I still struggle with certain meats and veggies. But over time it's gotten easier to consume without the nausea and happens way less often. I still keep a supply of barf bags with me wherever I go though. Just in case. 🤢 -
If anyone has any advice on how to make your stomach feel better after you eat something you shouldn't have or at too fast, I would GREATLY appreciate it!! It's painful on both sides of my abdomen (like to the point I'm doubled over and using a hot water bottle in addition to medicine) and I'm really nauseous (the thought or smell of food is 🤢).
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Even though I was cleared of any eating disorders by the psychiatrist prior to my sleeve surgery I am fairly confident that I meet the criteria for NES. According to my research the treatments are antidepressants which I am already on and Cognitive Behavioral Therapy. I asked my therapist who uses a different therapy approach what that means and she said CBT is about changing behaviors and she suggested that when I wake up wanting to eat that I crochet instead (replacing an undesired behavior with a healthier one). Well the other day I had to fast for blood work and I usually put a towel or something through the handles on the fridge to remind me not to eat or drink anything other than water and I thought to myself if this works for fasting why couldn’t I just do it every night. So I made sure to eat a high protein yogurt before bed so I know it’s not actual hunger then combined the visual reminder with the alternate behavior and I made it through the last two nights without eating any snacks but it wasn’t easy. I woke up and walked to the fridge several times and had a number of arguments with myself and even tried to rationalize that it was okay to just have one snack because it’s still less than normal. My husband said the good voice triumphed over evil for now. 😂 Anyways, I am curious to know if it’s that “simple” of a fix for lack of better word. Has anyone else had experience with NES? I am curious to know if this substitute behavior thing really works and if so how long it will take until the alternate behavior becomes my new habit. (How many more late night arguments am I going to have with myself)?
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Roux en y, 12/20/23, 5’6” currently on first full week of liquid fast down to 253, from starting 263 original dr visit. Surgeon, Dr, Meagan P. Lundgren, Dubois PA, counting down the days…in ketosis feeling the symptoms and experiencing awful odors. Pew!
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Is anybody here familiar with the Carnivore Diet? It's basically a more restrictive form of Keto where you ONLY eat meat, cheese, fat, and butter. The more meat the better. The fattier the meat the better. It sounds counterintuitive to eat this type of diet, but there are several doctors out there who recommend it to help reverse diabetes and fight inflammation. While it's impossible to have zero carbs, the goal is to have as few as possible, less than 10 per day, and consume no bread, fruit, vegetables or anything other than "meat." Now, I must say that I had/have my doubts about the healthiness of this diet. That being said, my husband has been on it for 4 months and lost 35 pounds and his A1C and morning fasting glucose levels are now within normal range. He is going to continue on the diet, or as he calls it, "way of life." I did it with him for 3 months and I lost 20 pounds, but toward the end I was having a lot of diarrhea and my body couldn't handle/process all of the protein and fat without some carbs, so I switched to a new diet in mid-December. Dr. Ken Berry is the person my husband follows on YouTube who explains the science behind it and how to do it. He also said that 1/3 of people can't do it because of their particular body's need for carbs for proper digestion. Anyway, I was curious if anybody here was familiar with the Carnivore Diet or had tried it or was doing it?
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you are fine. Most people seem to lose somewhere in the 7 - 11 kg (or 15-25 lb) during the first MONTH, and you've lost 10 kg in six weeks, so you're absolutely in the normal range. I lost 16 lbs (7 kg) the first month, so I was probably exactly where you are at six weeks out. I went on to lose over 90 kg (200 lbs). (you will always find people who lose less or more than the range I stated, but they're either outliers, or they started out at MUCH higher BMI's than most of us have - such as the people on shows like "My 600 lb Life"). Your nurse and doctor are fools. I had a resident tell me the same thing when I was a few weeks out, and I wish that jerk could see me now!! I'm sure I lost much more weight than most, if not all, of the people who went through the program when I did! rule #1 with this is; don't compare yourself to others! Your rate of weight loss depends on so many things, only a couple of which you have much control over. Age, gender, metabolic rate, what percentage of your body weight is muscle, genetics, starting BMI, whether or not you lost a lot of weight before surgery, diet, and activity rate are all factors. How much you're eating and how active you are are really the only things you have control over. Do well with those, and the weight will come off, whether fast or slow. But don't forget - 10 kg is six weeks is completely normal. Just carry on and don't listen to foolish crap like this. EDITED to add: I lost weight for 20 lbs. Yes the first month tends to produce more loss than following months, but just like with regular diets, that's because some of it is water weight. One kg a week is pretty normal after the first month - but that'll gradually drop as you approach a normal BMI.
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Hi everyone, I had gastric bypass on February 27 of this year and I am down 53 pounds. My goal is to lose 100-120 pounds. While I am happy with the weight loss, I am losing muscle just as fast. I started going to the gym and hitting the weights this week. Of course I’m not as strong as I was before (I used to lift weights 10 years ago). I’m concerned that I won’t be able to get the nutrition/protein I need daily to start growing muscle again. Anybody on here bodybuilding months or years after surgery? Any tips or suggestions? Thanks
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This happens to a lot of people, both bariatric and not. One reason, I think, is that we restrict ourselves early in the day to "be good." It's an old "dieting" way of thinking, like if I eat nothing all day, I will lose weight. So your body gets tired from lack of fuel and starts to send hunger signals, and you ignore them until evening comes, by which time you can't fight them off as much. Plus, now you are probably getting cravings for all sorts of junk food that will give your body a rapid energy burst because your body is sneaky like that. Eating your biggest meal in the morning or early afternoon can help reduce evening cravings, as can adding in more fiber with each meal in the form of vegetables, if you have the capacity. Try to shift your major calorie intake to early in the day so your evening meal is just a light bite to finish the day. If that doesn't help, try breaking the cycle of what triggers cravings at night. For me, watching television is a big one because of the association with old snacking habits, plus the constant food commercials. Sometimes recognizing the bad habit and naming it to yourself, like "I only think I am hungry because I am watching a commercial for a fast food restaurant right now" actually helps you overcome it.
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Roux en y, 12/20/23, 5’6” currently on first full week of liquid fast down to 253, from starting 263 original dr visit. Surgeon, Dr, Meagan P. Lundgren, Dubois PA, counting down the days…in ketosis feeling the symptoms and experiencing awful odors. Pew!
