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Successful maintenance (and a cheeky before and after)
Lilia_90 posted a topic in POST-Operation Weight Loss Surgery Q&A
Hi everyone. Soooo, here I am 6 months post VSG. Started at a BMI 33, reached goal at 3.5 months so kept changing goals and here I am at the 6th month mark having lost much more than anticipated and ready for maintenance (at a BMI 20 as of today, 126.7 lbs/57.6 KGs). I don’t want to bore you with too many details, other than that I bounce between a fear of becoming sickly thin (currently feeling that) and an all encompassing fear of gaining weight and going back to what I have become, it is kind of mind boggling. I read many many stories of how WLS patients gained all the weight back and then some, about them seeking revision surgeries or GLP treatments and it really freaks me out and my mind starts telling me to keep losing weight just so I don’t end up back where I started. I want to change that and start focusing on success stories. I have come across people with successful outcomes many years out but there isn’t many of them to be honest, and what I have noticed with successful WLS patients is this: - They made 360 degree changes in their lifestyles (cut all the junk, took up exercise and became very “clean” if you will). OR: - Still have fun but track their calories and weight DAILY. Very few have just lost interest in food and don’t do any of the above and remained successful. Given my history being at a low BMI and athletic my entire adulthood and only becoming overweight the past few years I can be very disciplined and committed. However I am human and I love going out to eat and trying new foods and restaurants, so for you the successful lot please enlighten me on the following: 1. What are your golden rules to successful maintenance? 2. How did you manage the mental shift (navigating fear and uncertainty) while transitioning to maintenance? I can’t seem to quiet my thoughts and anxiety around WHAT IFs? 3. How much indulgence do you actually allow yourself? I really need to strike that balance right now. Every single tip would be helpful. And to celebrate my 6 month anniversary, here’s a little before and after for y’all: -
"I mean all the hoops that are required for weight loss surgery, I haven’t done anything like this for any other surgery It really feels like discrimination. How is it that in this day and age they are still getting away with it.?" I wholeheartedly agree. I think about this when I think about skin surgery not being covered by insurance because its "elective" "plastic surgery" yet transitional surgeries are covered and "elective". Both are to help with how we see ourselves, what our inner selves are, our mental health! The differences are one can cause bad rashes, difficulties wearing clothing and getting around/exercising, back pain/skeletal pain from excessive hanging skin weight and is caused by treating a disease. The other involves self perception as well and can cause mental distress, yet is readily covered by insurance and yet involves "healthy body parts." To me it IS discrimination, why cover one without question but not the other? Heck, transitional doesn't even require therapy now. Both are major changes in a life. I always got the impression insurance companies refuse to cover skin surgery because we "brought it on ourselves" opposed to it being an actual symptom from a disease. I have rosacea which is purely a visual thing yet its covered, as is acne, warts etc...all covered. Yes, they're cheaper to cover, but are a disease that's visual that's covered they also won't cause a secondary problems. They will even cover breast reductions for back pain, why not excessive skin for back pain? I personally found no worth to the therapy session, I knew and know what caused my obesity and what I needed to do to get healthier. Some may not. It should be voluntary or required if people start to back slide gaining weight after surgery but to me beforehand was pointless. It would have been more helpful to cover the changes in your life that would be happening. Yes, I was also required to do a group session with ppl who had gone through it or were..but it was a structured topic put on by the dieticians. Perhaps if they offered mentors or group sessions for dealing with life changes..that would be better..ppl who've gone through it, not someone schooled on what its supposed to be like..that would be better opposed to a size two I've never battled with my weight therapist/dietician!
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I'm almost a year and a half since my RNY (November). I've lost about 135 give or take (I bounce between 125-130lbs). I haven't lost any fat free body mass since month 3, and have actually gained 5lbs of fat free mass since May. At my 1 year, in May, my body composition said I was at 18.1% body fat which is on the low end of "lean" I did another one last week because I was feeling off (tired, muscle cramps, brittle nails, headaches) My body fat percentage was at 12.3% which translated into roughly 16 pounds of my overall weight (130 at the time of the test) being fat. Anything under 15% is "at risk". I eat, what seems like all day long, I get my calories, protein, healthy fats, fiber. I take all my supplements. All my blood work I've had this year for random things and specifically for post surgery, has been normal. Nothing, other than feeling off, pointed to this. I do have an appointment with nutrition and my bariatric team this week. But wanted to see if anyone has gone through this, heard of this... Anything? My initial thought is how my body is absorbing nutrients, but again, my labs have been normal.
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I had the surgery fall 2012... The first year was great... The end of the second year, I have gained 18lbs and went through menopause... I am wondering if this is common... I still average about 1300 calories a day, but cannot seem to shake this weight gain... On 1/15, I started doing the 5:2 Intermittent Fast Diet... One week out, I am finally down 3.6lbs... I am committed to doing this 5:2 plan for at least a month to see if this gives me the results I need... I have read that a weight gain after menopause is not uncommon, but I thought 18lbs was quite a bit for one year. ????
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This usually means you lost some fat and gained some muscle mass. Which is a good thing! yay muscles! over the last several months (due to my increased exercise regime i assume) my 7 day running weight average has increased by about 3 lbs, but my pants are falling off me again like those fun early weeks immediately after WLS (and my pants are already pretty small to begin with omg). but i also think this is a good thing though:...yay shopping for new pants! lol do you take your body measurements regularly? sometimes looking over historical body measurements over time paint a better picture than the number on the scale....
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I have logged my weight like that but never thought to add the big life stressors or events in between. I bet that would be helpful for a bariatric therapist if you see one. I am working on getting in to see one. I had gastric sleeve three years ago and gained all my weight back. I am contemplating a conversion surgery and I want to pull out all the stops this time around. Best of kick to you.
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Hello everyone - I need advice. The 16th anniversary of my surgery was yesterday. It's been a wild and wonderful sixteen years. I have lost 90 pounds. Many changes during these years. Mostly all good. I turned 60 years old in April. I have noticed in the past few months that I feel hungry more often, and I've seen my weight go up. It's not going up by much but just the fact that it seems to be increasing is concerning to me. All these years I've been able to literally eat ANYTHING I want with no gain at all. I don't know if my insides have changed or it's the fact that I turned 60, but I want to put a stop to whatever this is RIGHT NOW. For those of you out there to whom this has happened, what did you do? I would appreciate any and all suggestions and tips you might have... Thank you, Lisa in Scranton PA
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This is totally normal---but freaks you out just the same because what if it stops, right!?! The first 3 months are normally fastest. But the closer you are to your goal weight, the slower it gets. Each surgery has a bit different loss rate, but if you stay the course, even as you slow down, you will get to goal. If you have hit 50% of your excess weight by 6 months you are doing really well according to most surgeons. I definitely didn't lose 50% in the first 3 months, most people I see lose 50% by month 5 or 6. But it also depends on how much you have to lose and your individual body's pace. Some lose it really rapidly and are at goal by month 7 or 8. Some take 18 months to hit the same goal. My body is a slow poke and likes to have 6 week stalls! So I hit my 50% mark at close to 5 months but have been stalled for a month since and actually regained 6 lbs, lost it, and then just gained 15 lbs in fluid from surgery again. My weight tracking app looks like an absolute mess. LOL Working out can seem to cause stalls and slowing down too, because you are trading fat for muscle and muscle weighs more. Plus the act of working out changes the fluid balance and such in your body, so sometimes you appear to gain some weight when you start working out in earnest, but it'll balance out over time.
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Belly fat problems after surgery
Megan Black replied to Megan Black's topic in General Weight Loss Surgery Discussions
hi dear! thank you so much<3 im not in my 60's hehe i meant my weight range but i will start bathing in moisturizer so when i reach the age of 60 my skin actually does look like this. my stomach is usually the first place i gain weight so i can thats my issue here. i'll try focusing on some ab workouts hoping that can save it. thank you again ❤️ -
Anyone Annoyed with the "Stop losing weight"
ShoppGirl replied to AmberFL's topic in POST-Operation Weight Loss Surgery Q&A
You would be surprised they can be quite hurtful. Even the well intended ones that say you look so good are usually followed up by commenting on how big you were before which pretty much sucks. This can be especially difficult if you put a little weight back on or in my case a lot and then you have to go around those people knowing they are for sure judging you again. And even if you don’t gain it still kinda stings to know that people who are supposed to love you were judging you before for something that was out of your control. I had one person who had known me for years tell me that they just realized what a pretty girl I am about five minutes after they asked if I had lost weight!! I don’t think people think before they talk sometimes. Bottom line is any comments about weight CAN be hurtful and it’s something that people should tread really lightly about in my opinion. Or better yet learn to see a person for who they actually are and not even notice a persons size amongst other physical things (only in a perfect world I know). Why do you say you wish you were getting these comments? Have you not lost what you expected to with the sleeve? Are you still losing? That’s what I had first and I never did get to my goal weight. I am doing a revision surgery to the SADI in early August. My dr said that the sleeve is a great surgery for a lot of people but obesity is a complex issue and it is not the best fit for everyone. Some people just need more of a metabolic change to be successful. -
Diet drinks 1 year post op
catwoman7 replied to Willnotgoback's topic in Gastric Bypass Surgery Forums
there aren't any calories in Coke Zero, so it shouldn't make you gain weight, but carbonated beverages can irritate some people's stomachs (which is why surgeons don't allow them the first few weeks or months post op - and some surgeons "ban" them for life). I drank Diet Coke occasionally before surgery, but then didn't have any for at least three years post-op. I tried one once while I was at an airport and after a sip or two, I dumped it out. It tasted like chemicals (which basically, it is...). After all that time away from it, it tasted awful. So that was that - haven't had one since. I do drink flavored carbonated water a few times a week now. I still can't drink things that are highly carbonated because after nine years out, carbonation can still irritate my stomach. I can handle mildly carbonated drinks, though. But then again, if faced with a beverage that's too carbonated for me, I just let it sit there for a while until it flattens out enough for my stomach to tolerate it. -
Doubts about plastic surgery
kristieshannon replied to Summermoose's topic in Plastic & Reconstructive Surgery
As @sillykitty said, PS is just one more motivator to keep on track. I paid way too much, and went through so much with recovery from my plastics to ruin it with gaining. And I truly felt like it was my reward to myself for all the hard work I went through to lose all the weight. -
Did anyone else stall when...
catwoman7 replied to NickelChip's topic in POST-Operation Weight Loss Surgery Q&A
I had several stalls - but they all eventually broke and I kept going until I hit goal (actually, about 10 lbs under) 20 months later. When I tried to lose weight on my own, I'd lose at most about 50 lbs before I'd hit a brick wall and my weight would eventually start heading back up. WLS was the only thing that allowed me to break through those brick walls and lose all of my excess weight (100% of it - although I've gained about 20 lbs of it back over the years). I think it's just a coincidence that you're having a stall at your former "brick wall". Just keep plugging away at it. It does get harder the closer you get to goal, though. Those last 20 or 30 lbs were a bear to get off (and It could be that my new, post op "set point" IS where I am now - but this is way, way lower than any pre-WLS set points). -
I will definitely get onto the team and surgeon! Start weight before surgery was 21.9 , 20.9 after LRD before surgery. Lowest after surgery 17 stone, currently at 19. After surgery total loss was 3 stone 9lbs which I think isn’t great surgery was feb 2022 got to 17 stone august 2022. Then gained now stalled at 19 stone for nearly a year.
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Thank you @FifiLux, @ShoppGirland @Bypass2Freedom 🥰 I managed to shove a cotton bud up my nose (hate the sneezing and ‘scratchy’ feeling at the back of my throat 🤢) and I’m now clear of Covid - hurray! Hubby is still in its thrall though: headache, sick, generally feeling out of sorts. Amazing how it hits people differently 🤷♀️ 3lbs of my gain off this morning - thank you water weight! Just over 2lbs more to go and I will be back on track. This morning I went through my underwear and nightwear drawers and binned lots. All the too big and/or tatty items have gone. I do have some really nice things that I’ve not worn due to sizing so hopefully I will be wearing that at some point in the near future. I am enjoying getting on top of things once again as I think I really lost my way for quite a while. All down to a lack of interest in pretty much everything I think. No gym this week but hope to get back to it next week when hubby feels better. I have missed it and my knees are definitely stiffer for not going. I’m on with the circulation booster in the meantime, just to get the blood flowing in my lower legs. Can definitely feel a bit of the autumn chill now ☹️ I received an email from M&S saying it’s Christmas food stuff is now available to order and it feels quite strange not to be bothering with any of it because I don’t know where I will be on my WLS journey. All that stress, gone!! 🥳 Has anyone done the LRD over Christmas, just out of interest? As it stands, I’m not bothered if I have to do it then, be nice to have a festive season where I actually lose weight 😉
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How do you know what your goal weight should be?
NickelChip replied to AmberFL's topic in POST-Operation Weight Loss Surgery Q&A
I think this is the time when you stop worrying about what you weigh and you start focusing on how you are living and how your body feels. Are you still hungry even though you just ate a meal that would've been fine for you a month ago? Maybe you need to add more veggies to fill yourself up. Do you feel weak? This could be a sign your body needs more fuel. Are you getting the exercise you need? Are you eating the foods you know provide balanced nutrition? Fix these types of things if they need fixing and let your body do what it will. You still have many months to go before your weight loss journey comes to a stop, so to speak. Ride it out and don't try to steer things too much. It may feel weird to be the weight you are now because you've never been this weight before, but let your body figure it out. You'll get used to it. And if you don't like where you land in the future, you can start eating more to gain. -
Let's Collect Some Data!
ms.sss replied to ms.sss's topic in General Weight Loss Surgery Discussions
so heres the funny thing: my original goal was 120 lbs, but i actually called goal when i got to 127 lbs cuz i felt like i was looking too skinny/sickly. this was as 7 months post op. as time went by, the lost a bit more weight, the gained a bit of that back. im 5.5 years post op today and weighed 119.5 lbs this morning....which is roughly 7 lbs LESS than when i thought i looked like dead man walking all those years ago....BUT....honestly, i feel like i look waaaaayyyy better and healthier and fitter now, at a lighter weight! further, there are some days when i legitimately think i could lose 5lbs for effs sakes. things tend to shift around and settle and regular exercise does WONDERS for one's physique. long story short: a particular weight can look totally different on you at any particular time in ur life. dont worry so much about the number on the scale and trust what you see in the mirror or how your clothes fit and how you FEEL. Good luck! ❤️ -
Modified Duodenal Switch
Wellington4321 replied to Lara in Arkansas's topic in Duodenal Switch Surgery Forum
A few thoughts from my Sadi experience after nearly 10 years: - Nutritionists are like driving instructors who read a book about driving but never drove themselves. The same can be said for many doctors since only weight loss specialists understand the procedures. - Eat the basics everyday (protein, fruit, fiber), then mostly anything else. - Hydration is vital, I get mine from fruits, tea and water. I eat between 20 to 30 lbs of fruit per week (not kidding). It doesn't add weight. - Get exercise everyday, even just steps are fine. I'm a 6'1 male, 63 yrs old, weigh about 166lbs today. I lost about 152 lbs in year 1, gained back 25lbs after 3 years. Recently gained about 5lbs but working out a lot. I prioritize eating the basics daily, taking the vitamins (less than a DS'er), then eat whatever I want. I get exercise everyday by walking my dog, hikes, biking and going to the gym. It took me about 4 years to get in decent shape after surgery. Now workouts are just a thing I do everyday like any other activity. -
Weight gain three weeks post op
ShoppGirl replied to TwinkleToes87's topic in Gastric Sleeve Surgery Forums
I remember gaining a pound or two and always just figured it was the time of day or whatever. You know one salty meal or a full bowel can make a two or three pound difference. To this day k weigh two or three pounds more in the afternoon than morning time. Your loss will not be a straight line downwards, but it will trend down. Everyone says it and I know firsthand how hard it is to listen because I didn’t but try to stay off the scale for a while in between because then you will see the real losses. After my sleeve surgery I would weight myself daily but i only recorded it one day of the week so I could better see the number decreasing. Even still it didn’t always go down so honestly if you’re self disciplined enough, weighing like once a month would probably save a ton of mental anguish. -
Having doubts.. lost a lot pre surgery.
Arabesque replied to Jordan.RNY's topic in PRE-Operation Weight Loss Surgery Q&A
Only you know the answer. Simply because you know your history with weight loss & gain & you know yourself best. You have to be ready, because it’s not easy & there’s a lot of work you have to do. If you need more time, that’s fine. As @ms.sss said, you’ll be ready when you’re ready. For me, the surgery provided an opportunity & the time to really understand my relationship with food. I regularly dieted & until the last few years, I could lose weight but as soon as I stopped the diet I returned to eating the same way I always did, for the same reasons & in the same situations. And of course I’d regain the weight I lost. With the surgery & the post surgery eating plan I slowly developed a way of eating I was comfortable with. I worked out what foods were best for me & which weren’t. I became more aware of portion size. And I learnt to recognise the situations (physical, emotional or psychologically) & behaviours that influenced my eating. Because it was a slow process, it was easy to adopt & adapt to my new eating style. Something that diets never did & I never did while dieting. I realised I saw diets as restrictive & a punishment. Now, how I eat is just how I eat. All the best whatever you choose to do. -
hiya! alot of us worried about rapid weight loss and getting too thin. more often than not it really becomes a non-issue. very very very rarely does someone lose too much weight to the point that it affects thier health. aesthetics though, may be a different story. you (or others) may believe you are too skinny, but your labs will likely say otherwise. you are taller and weighed less than me when we started. i too was "normal-sized" for the majority of my life. my weight gain was in my 30's, and early 40's (kids, family, work, mortgage, lol). went from 130-235 lbs. but at 5 months post op, we are both very close in weight loss PERCENTAGE WISE. you lost 66% of your body weight, i lost 65%. ** EDIT: CORRECTION, did my math wrong: you lost 34% of your body weight, i lost 35%. (i used end 5m body weight vs weight lost at 5 months for original calc..oospies!) ** and i can tell you that i did not get dangerously thin, nor was my surgeon or primary care doc worried at any point during my weight loss (nor during maintenance). i DID think i got really skeletor-looking when i reached 127 lbs, BUT i was 118.4 lbs this morning (and over 5 years out now), and honestly, i think i have not looked better since i was a teenager (i was firmer as a teen vs now lololozzzz). stuff shifts around, and the same number will look totally different on you at different times of your life. regular exercise does WONDERS for your appearance (and well being). anyway, i know i can't really just TELL you to stop worrying and you will magically stop worrying. i worried for a month or so as well way back when i decided to enter maintenance. alot of us felt the same way. maybe we all need to just go THROUGH the worry to get OVER it. good luck! ❤️
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First Stall and I am scared
Lilia_90 replied to Lilia_90's topic in POST-Operation Weight Loss Surgery Q&A
Hi darling, Thank you for your elaborate reply, I appreciate it. So to answer some of your questions: I had the sleeve, it was the best option for my size and BMI. I do not have any comorbidities, on the contrary, I was healthy and worked out consistently for over 15 years. My problem is kind of unusual, I maintained a BMI of 22-23 my entire adulthood through working out, eating well, all sorts of cardio and resistance training, I actually am a certified trainer and nutritionist. Had my first child and snapped back, had my second and snapped back quickly too, then 2 months later my body blew up and I gained over 20 lbs in one month and struggled to lose weight after that. Back in 2022 I had a very bad foot injury practicing Taekwondo and was in a cast for 4 weeks, I couldn't move without pain and my mobility was greatly affected and I gained another 40 lbs and since then no matter what I did, how little I ate and how intensely I worked out I couldn't lose a single gram, my weight kept going up and my foot started killing me that I needed to bring my weight down, I even tried injectables (Liraglutide) and not a single gram dropped. So after struggling for 5 years and my foot injury worsening I decided to get the surgery. I know how it sounds being upset when I have reached my goal, it is just terrifying to me to gain weight again or go back to what my reality was pre-op. I really really don't want to be overweight again, hence wanting to lose a few more KGs to ensure that I have some wriggle room I try to get in 1-1.5 liters of fluid a day, keep my carbs under 55, try to hit my 65 grams of protein. I take my vitamins daily and I try to workout 3 days a week, doesn't always happen but I get in at least 2 sessions a week. Hope this answers your questions. Thank you again -
Rapid gastric emptying. Possible treatment.
RonHall908 replied to ShoppGirl's topic in POST-Operation Weight Loss Surgery Q&A
I have a cousin that had gastric sleeve 5 years ago. She's since gained weight back. But, she also didn't follow the guidelines that were set for her after the first year from surgery. I had gastric bypass in February. The past 6-7 weeks or so I feel like I'm hungry more often than I should be. At least that's what it feels like. Though, I do workout a lot. So, im certain that's most of the issue. Learning that my body is telling me to fuel is different from eating before. When I ate for any other reason other than just fueling what my body needs. Going from living to eat, to eating to live is a process. I hope you get the answers your looking for. -
I mean, at this point I give up trying to figure it out...
AmberFL replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
Just a thought whilst reading through others comments. I know you said that carbs are hard to increase, however I think that is the culprit. I work out 6days a week and I am closer to 80g of carbs and 30 ish g of fat most days. You don't have to eat bread but fruits, and veggies have carbs. I am not saying goes balls to the wall, but if your working out then 1800 cal is not cutting it. My BMR to maintain is close to 2500 calories, I eat about 1500 cal right now just because I cannot physically eat that much. I checked to see how many calories I need to gain weight and I would need to consume 3300 calories a day! I am not saying stuff yourself, but eating every 1/5-2hrs will be beneficial- add granola to your yogurt, protein bar right after working out, eat some peanut butter balls with oatmeal, maple syrup, caco nibs or chocolate chips, add cottage cheese to eggs with a handful of spinach. Beefing up your meals will help you feel better. Maybe you know all this but just my two cents -
You’ll find your rhythm, it might take a while but you’ll begin to understand what works for you and what doesn’t. When I first started working out I was doing 2 hours of cardio a day. When I knew better I cut it to 50 minutes a day and lost more fat that way. I would train glutes twice a week if I could but I get too sore because I don’t eat adequately to recover and for them to grow hence the once a week. If you can train glutes twice a week and rest well between the sessions (say beginning of the week and end) and eat well then go for it, nobody minds a juicy perky booty lol. Shoulders are not large muscles so I would limit it to 3 exercises a week (shoulder press, upright rows, lateral raises) and 2 bis and tris exercises as these are smaller muscles. I didn’t meet my protein goals for over 4 months post op. At 6 months I upped my calories to 800 and at 7.5 months (now) I’m averaging around 1000 calories a day, give or take. I have some fierce restriction so my portions are very small but I eat frequently (every 1.5-2 hours when I’m not busy or distracted). On weekends I forget to eat and can go 6 hours between meals but on weekdays I try to stay consistent and eat every 1.5-2 hours. It’s very unlikely that you’ve messed up your sleeve, you’re losing weight and keeping active so it sounds you’re doing it just right. You might be surprised to find out that you might need to eat much more (1800-2000 calories) to maintain your weight! My brother was sleeved 3 years ago and to maintain his weight (mind you he’s really slim) he’s eating around 3000 calories and he’s not active lol. Not saying you should jump to 1800 calories overnight but maybe gradually start increasing your calories until you hit the sweet spot and your weight stabilizes. Track everything and keep a food journal and note down your weight changes (loss, gain, maintenance). Remember you are very active and you WILL feel more hungry than someone who isn’t. Your body is new to weightlifting and is trying to build muscle, and building muscle requires a lot of calories. At 4 months post op I started serious weight training again and I was able to up my calorie intake when I was failing prior to that, I am just much hungrier working out than when I am not. At 3 months post op I was barely getting in 200 calories a day. Don’t doubt yourself, you’ve done amazing!
