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No my followup is on the 30th. Wednesday is just a week after I had my psych eval. I called the bariatric clinic Monday they said it takes at least a week for the results and to call back Wednesday and they should have the results then. So tomorrow hopefully I should know how the appointment went.

Nothing much to report this week, everything is just ticking over. Weight is stable, no losses this week after the unexpected losses of the week before. Happily going to the gym 3 times a week and I do feel improvements even if I can’t see them. Been to see my GP today (she’s the one who put me forward for Bariatric surgery) I’ve had a sharp pain smack bang in the middle of my chest. First time was a couple of months ago - it woke me up and lasted about 5 minutes or so. Could only be eased by sitting forward. Then nothing else until the pain happened again yesterday afternoon. The area still felt tender when I woke up this morning so rang the docs and actually got a face to face appointment - the shock!! Anyway, GP listened to my heart and chest, asked a stack of questions and came to the conclusion that it’s some sort of ligament pain where something is slightly out of alignment. I then explained about the endoscopy 💩show I had - pinned down, thrashing around etc and she thinks it could be caused by that as the timing adds up. She did ask if I was taking ibuprofen and I said no and explained about not taking anything until my next set of bloods (17th) in order to give my liver some breathing space. Advised to take after my bloods if needed as it will help recovery. Thankfully the gym isn’t causing any pain so I was cleared to carry on with that. We did have a chat about WLS and how everything has been so far. She is so incredibly supportive, it makes such a change. She said she’s updated with everything from the hospital and is really pleased with how things are going, so that was nice! So, that’s about it. Hope everyone is having a great week so far. Onwards and Downwards 😉

I do have another appointment on the 30th with bariatrics. Im seeing the nurse and nurse practitioner and Im seeing the nutritionist right afterwards. It's supposed to be the last appointment before my surgery and then I have to see my surgeon once a year after that and the nutritionist/physical therapist once every few months I believe? I hope I don't have to wait until the 30th for my results. I had my appointment last Wednesday so I'll try calling them Wednesday afternoon and see if they have an update for me or an approximation of when the results will be in.

How long did it usually take you guys to get your results? It's only been 3 days and I'm already nervous as heck. I was going to wait at least a week before calling the bariatric clinic to see if they have my results yet but... yeah... nervous.

Hello - for anyone who has gone through the northern California Kaiser bariatric program, how are you handling the diet post op? It is very strict, not allowing any protein shakes, carbonated drinks, caffeine and alcohol. We’re also taught that we have to eat our meals deconstructed, eating all the protein first before anything else. I’ve asked the nutritionist if this was forever and she said yes it is. I keep, however, seeing videos and post from other people who have coffee daily and who make meals like for example, the ricotta cheese bites where everything is mixed in a small muffin pan. I understand different programs do things differently, it’s just strange to me because it’s the same surgery everywhere. Thoughts? Experiences?

I was self pay at a surgical center and had to go to a hospital 10 hours later for another surgery because of internal bleeding(nicked artery), needed several transfusions and spent 3 days in the hospital plus had to have more blood and iron transfusions after leaving that hospital. I’m now stuck with over $175,000 in hospitals bills and more still coming. BCBS is denying the claim because they don’t cover bariatric surgery or complications. The hospital billed it as complications of lap band instead of complications of gastric sleeve. I’m told it doesn’t matter because they won’t pay either but what if I want to appeal it, shouldn’t it be billed correctly?

Do you like seafood? I mean have you tried it post surgery. I didn’t like it presurgery. Would occasionally have a little Mahi just because I knew it was good for me but never really liked it. Post surgery I usually eat seafood at least twice a week, I also have things with ground turkey such as a Mexican skillet, meatballs or turkey taco filling (I just do the meat and toppings without the taco shell or the lettuce). The lettuce would be fine of course but it just takes up valuable room. I also do things with lean beef such as chili. I will also do a “pasta” dish once a week which is either the ricotta bake which I make with a protein and veggies added, zucchini noodles with fresh basil pesto, or a low carb Italian bake that I found the recipe for online although I make mine with turkey sausage to cut the fat a bit. There are quite a few bariatric recipe sites that have some great recipes. I did like 3 weeks of all different recipes. You can also do like a white chicken chili or southwest chicken with peppers and onions. Just so your don’t have to eat just plain chicken nuggets. If you don’t love to cook the southwest chicken and the chicken chili are recipes from seasoning packets so they are fairly simple if you have a Walmart the southwest ranch is a street taco seasoning from McCormick and the white chicken chili seasoning is by McCormick as well. Those two and the McCormick tex Mex chili are three of my favorite meals that are relatively simple and the chili Freezes well so I have been doing a double batch and then use my souper cubes to freeze single servings. The chili does have healthy carbs though so of course be mindful of that. I am allowed some carbs because I’m pretty active but I still budget for them by doing pretty low carb for breakfast and lunch on days I know the plan is chili is for diner.

I completed the evaluation. She didn't tell me if I passed or failed but she did mention a few things. 1. I didn't know a lot about the surgery and couldn't remember the side effects so I should talk to my doctor before the surgery and get a refresher. I looked them up on chatgpt after the interview and was reminded that my doctor did talk about them but it was over six months ago and I forgot. 2. She did mention that my wife and I should be working on "her giving me everything I wanted" before I have my surgery and not afterwards like I mentioned. She also mentioned that I cannot have diet soda at all or anything carbonated although my nutritionist said it would be ok after my stomach heals. Umm what else. It was an almost hour long interview but we got a lot done. She had a lot of questions. I'll call my bariatric team on Friday and ask them if they got the results in yet. If not I'll ask Monday. Because I'm really curious on what she's going to say I need to work on. I know she's probably going to recommend I sew my nutritionist again before my surgery which they're already doing. I might have to see my surgeon too to get my questions answered and for him to personally go over the surgery with me and what he's going to do. But, all in all I think it mostly went well.

So pretty easy general stuff then. Ok. I shouldn't be too afraid then. Worst case scenario is they fail me and I have to wait a couple more months for surgery. My bariatric team did mention that if I failed that they would be working with me on the issues that the psychologist found and it doesn't mean I can't get the surgery It just would delay it. They want to make sure my surgery is safe and effective. I get it.

@Hey Man - I feel your pain here. As others have stated, it's really a mental game. I'm dealing with it myself and HAVE opted to go for the "pouch reset" - or as I call it ... the "OUCH" reset. Going back to the basics seems to put me in a better mental state and reminds me constantly of what it took to lose the weight initially and what I have to do. Personally, if I try and make small changes one at a time, I find myself cheating and going back to deluding myself (I just ate a small bowl of chili, I just ate one slider, I just ate a scoop of ice cream, etc -) whereas if I go full bariatric - track, weigh, ONLY meals (vs snacks) make fluids a priority; it's actually easier for me mentally.

A nice, positive week last week 🙂 Weight gain - gone with a couple of extra pounds thrown in for good measure. Our anniversary dinner was lovely. As autumn has hit with a vengeance (non-stop rain and cold 🙄) the dress I was going to wear was relegated back to the wardrobe so I bought a smaller sized top and IT FIT!! I was so pleased. I was able to wear a nice set of underwear, a skirt I couldn’t get over either my stomach or my arse a couple of months ago and a smaller top and dressy jacket. I’ll be honest, it felt wonderful to be in smaller sizes and not feel that I was trussed up like a chicken in clothing that was too tight or something that didn’t really suit me. I didn’t even have to wear pully-in control knickers - the shock!!😮 I called the Bariatric admin on Friday, just to enquire about the MDT etc and was told that it was around a 3 month wait to go to the MDT. This should be around the beginning of December. At least I know now so can stop wondering. I will just carry on with what I’m doing presently and wait for the next steps on the WLS journey 🙂 Went back to the gym today and really enjoyed it. I upped my levels and really felt the difference. Will see if I can get out of bed without crying tomorrow, just to make sure I didn’t overdo it! Hope everyone has a wonderful week! Onwards & Downwards 🥳

What did a daily day look like? Mine is mainly chicken nuggets and string cheese both because of restriction and limited recipes despite searching When did you have bread? Even low carb? The only I found is sarah Lee? Low carb tortilla? Did you start eating out? What were your favorite bariatric friendly go to?

No worries.i haven't had a period since 2018, so I can't use that as a guide. I've been to nutrition and my bariatric team. Nutrition gave me calorie and macro goals and I'll repeat a body composition the end of October. What's funny is I haven't changed how I eat, just tracking, and I've meet or exceeded the goals given. They also did blood work and everything checks out fine. At this point, the only thing I can think of are the times my activity level has been higher. However, I compensate for that by eating more calories. I'm very in tune with my body and adjust my eating as needed. I guess the key factor is calorie input/output. Also, my bariatric team seems to think the body composition was inaccurate. We'll see what the end of October brings.

I'm going to start with my obligatory recommendation to talk to your surgical team. There is a possibility your issues are complications due to surgery, or even other potential medical conditions. It's better to be safe than sorry and talking with a medical professional can help rule out some issues. With that out of the way, I will give you my non-medical opinion just based on what you posted. Again, just based on what you wrote, it is possible that what you're experiencing is related to the volume of exercise and your low calorie intake. While it's not exactly the same, this is similar to something we call RED-S (Relative Energy Deficiency in Sport). Feel free to Google that to get an idea of what I'm talking about. Both in the case of RED-S, and what you're describing, it sounds to me like your body is telling you that you're overdoing things. I love that you're being more active, but without properly fueling your body, you can actually cause some nasty problems (again, see RED-S). Keep in mind that your body actually only improves physically during recovery, which includes both proper rest and proper nutrition. Dehydration can also exacerbate the problems your having. Plus, while dehydration can always be an issue for anyone, for someone so soon after bariatric surgery it can be really problematic. One of the most common reasons bariatric surgery patients end up back in the hospital is due to dehydration. My advice would be to give yourself a down week from the exercise, which should do a couple of things. One, it will give your body a chance to recover some, which is a good thing. Two, it will help you know if this really is due to the volume of exercise and the incredibly low calorie intake. By the way, a down week, does not need to be a week completely off, Just stepping things down 25% to 35% is enough. For example, instead of walking 5 hours, shoot for 3 or 3.5. Do the same on your swimming. Taking a down week like this around once a month is really common for even pro-level endurance athletes. I promise it's going to help and not hurt you in any way.

Hello! My name is Zach, and I am a 2nd year medical student conducting a research project, "Evaluating GERD symptom alleviation following robotic Roux-en-Y gastric bypass surgery", which essentially seeks to evaluate the efficacy of robotic gastric bypass surgery in relieving GERD symptoms. I was interested in minimally invasive surgery long before starting medical school, and decided to spend my past summer working alongside a bariatric surgeon in my hometown. While working with him, I noticed how many of his patients stated that their GERD had resolved after undergoing robotic gastric bypass. My time there was limited, so I was not able to really share this survey with his patient population. Below is a link to a survey that follows the guidelines outlined in the official GERD health-related quality of life questionnaire. I would greatly appreciate your help with this! My goal for this survey is that your responses will allow me to publish a paper from an educational perspective, illustrating how efficacious robotic gastric bypass is at alleviating not only weight loss, but symptoms of GERD as well. While I hope that all of you have had nothing but success following your surgeries, I understand that this is not always the case. I would love to hear all of your various experiences and perspectives, whether they are positive or negative. This survey below is entirely anonymous. You should not be asked to sign-in to Microsoft in order to complete the survey, and I will not have access to your name or any other patient identifiers aside from your age. When you first open the link, you will see information regarding informed consent. After agreeing to participate, you will then see seven screening questions. After that, you will begin the actual survey, in which you will answer questions regarding various symptoms before and after your surgery. This survey should take about five minutes of your time. Survey link: https://forms.office.com/Pages/ResponsePage.aspx?id=5CBDHRt_fk2_8ubn-Q2YhAxSQabe5PdIrhihxZU9cCZUQ1hSQjE3WkozVEFHTUQ5N0RTNERSMUNPMy4u If this type of post is not allowed, I understand and apologize! I hope to have the opportunity to share your experiences with this survey and shed some light on the relationship between gastric bypass and GERD. Thank you all in advance!

Where are all the pet parents! Has your new lifestyle impacted them as well? Do they help you exercise? Are they emotional support animals? Please post pics and stories about your favorite furry friend!

Hi all! So I am working on Maintenance, I feel good, I *think* I look good, health is great, I am eating anywhere from 1800-2000 calories a day. I am burning around 500-700calories for my workout and walking over 10k steps a day usually hitting 11,500 steps. I am maintaining which is great! I am hungry or I get lethargic which when I eat helps a lot! My obese mind set is slightly freaking out. and I am scared because I'm still within the year of my surgery I am messing it up. I have tried all week to stay within the 1500-1700 calories, 140g carbs, 40g fat that my bariatric packet tells me, and its IMPOSSIBLE. I know I have done well on this journey, I am just terrified of going back and eating too much and ruining all this progress. My approximate daily macros: 1700-2000 calories 100-150g carbs 130-175g protein 65-80g fat Just need reassurance I am not alone in this journey.

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.

You've gotten some good advice already, but reading your post, a few things stood out to me. These are in no particular order: 1200 calories sounds high for 15 weeks post-op, but if that's what your plan calls for, who am I to question it? I think the bigger question is does this 1200 number include all the alcohol? One of the reasons alcohol is not recommended post bariatric surgery is that it's got a ton of calories and will definitely slow weight loss. The other huge concern on alcohol is that a substantial number of post-op patients develop alcohol use disorder. (Some estimates are as high as 20% or even 30%.) You didn't actually specify how much you drink, but when I see "active social life", I interpret that as "I drink a lot". Maybe try drinking non-alcoholic drinks when you are socializing? If you find that you can't give it up the alcohol, this is a major red flag and you really need to seek help. Taking another approach here, I noticed that you are being more active, which is fantastic! I did want to make sure you knew that changing your activity levels like that (starting a couch to 5k plan), will cause your body to retain more water. This means you may not see the results you are expecting on the scale, even if you are still losing fat. Keep in mind that the your weight is made up of lots of things other than just fat, so variations are normal and are just part of the process. If you are eating less than you burn in a day, then you are 100% burning off fat reserves, even if the scale does not show it. Best of luck.

That seems about bright. I was eating about a cup at 6 months which is what my surgeon advised. Slowly I was able to eat more until I am where I am now. So about a good cup of vegetables and about 3 or 4ozs of protein. My portions fit nicely on an entree plate (9inches/23cm). Doesn’t matter how large a portion you eat you can still enjoy and try a variety of foods. Five years out and my restriction is still there too. Not as tight as it once was but it can still shout no stop when it wants too. But yes, picking is the devil. So easy to lose track of how much you’ve actually eaten and because it’s usually such small portions, whatever you have left of your restriction, isn’t going to kick in. I have specific times I snack and I generally don’t snack or pick outside of those times (of course there are odd times or situations when I don’t stay the course perfectly). @SleeverSk did you speak to your GP or your bariatric surgeon about GLP -1 meds? Wonder if your surgeon may be more open to you trying it if you only spoke with your GP.

Wanted to share my experience and echo the other commenters here. I am 9 weeks out of my gastric bypass and I am right where you are almost exactly weight loss wise- Pre surgery and liquid diet I was 260lb (117kg) After liquid diet in surgery day I was 244lb (110kg) Now after 9 weeks I am 99kg. I haven’t weighed in a few days so I may be a pound or two more but I’m trying to limit myself to only weighing every few days so I don’t hyperfixate. I definitely feel like I’m losing slow- but last week in my bariatric programs’ support group on zoom, almost EVERY patient had that same feeling. It was very validating and most of us were feeling disappointed and impatient. After hearing that it made me feel a lot better. I keep reminding myself that I haven’t even been this weight in a long time and that it’s going to keep going down on its own schedule, when it’s right for my body. Keep fighting the good fight and showing love and kindness to your body and we will all get there.

You must be so incredibly frustrated! Which type of surgery did you get, the sleeve or the bypass? I'm at about 7 weeks post op from getting the sleeve + intestinal revision and my calorie consumption ranges from 500-700/day, with my carb intake less than 35/day and a protein goal of 60/day with fluids of at least 48oz/day. I agree with others - it seems like a good idea, regardless of any advice you get from this forum, to revisit your surgeon. That said, I do believe you hit the nail on the head for one with the alcohol, and secondly I'd ask how many of your calories are coming from carbs. It's ok to include carbs in your diet, but really, this early, unless you are very physically active there isn't cause for many of them. At this stage it's typical to eat no more than 1/2cup - 1 cup of total food per meal, three times a day (or spaced out into 4 meals if needed). That's including your protein, which as someone else said should be the first thing you eat. Another thing about alcohol - it tends to cause dehydration - so you'd need to be consuming even MORE water throughout the day to compensate for that, just like caffeine. If you aren't hitting your hydration goal (PLUS, because of alcohol) then your body will struggle to convert your stored fat into energy, which is what causes most of the weight loss. An example of what my diet looks like at this stage is a single serve yogurt for breakfast (I have been getting the Aikos zero sugar or 2Good ones) - Remember no drinking 30 minutes before or after, and your meal should last at least 20-30 minutes. For lunch I might have a 'tuna melt' - which I make out of 1/3 can of tuna in water, a zero net carb small tortilla, and maybe 1/8 cup of shredded cheese or a low fat string cheese (I cook it folded over like a quesadilla) with maybe 1/8 cup of low fat cottage cheese, then for dinner a serving of one of the many bariatric recipes - there's a ricotta bake (lasagna with no noodles, basically), unstuffed cabbage rolls (Kind of like egg roll filling), or maybe chicken or tuna salad made with low fat mayo and a dab of relish with some cucumber slices/2-4 saltine crackers. I use the free Baritastic App to track my food and fluid intake. Using a tracking app increases weight loss significantly from what I've been told because you can see and understand what exactly you're putting in your body. The good news is that as far as I know, it isn't too late to backpedal and reset yourself! I'm NOT a doctor but my understanding is that if you get off track after weight loss surgery, especially this soon, one way to 'reset' is to go back on a liquid diet for a week or two, with zero-sugar jello, zero sugar pudding, and protein shakes (less than 5g of sugar each) to hit your goals. After that, work your way back up to puree foods for a week, then soft foods for a week. I strongly recommend eyeballing the nutrition information on any shake you think of buying, too, because there are some that are loaded with sugar and have as many as 22g of carbs EACH. After weight loss surgery it's also strongly discouraged to have fried food at all for the first 6 months, and after that maybe once per month. The same goes for sweets and baked goods. I hope this helps, and again - I feel like you should really follow up with your surgeon and a nutritionist! Best wishes!

I’m not sure about in AU, but in US medical files sometimes still say history of obesity/Bariatric surgery so that bypasses a lot of issues when trying to explain why you need help losing regain or maintaining weight. Can others please chime in if they have any information about this? But either way if you can swing it, they are effective.

Has anyone ever gone to ALO Bariatrics in Tijuana, Mexico? I’m interested in having the modified duodenal switch. Just wanted to know what your experience was like there. Any issues with the hospital? Did you feel safe having your procedure done there?

I have an appointment already this week. My body composition is done via bodpod at my bariatric clinic. So the accuracy is pretty spot on. At 12%, it's very concerning.