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Any ladies experience very heavy periods after surgery ?
Arabesque replied to Star1234's topic in POST-Operation Weight Loss Surgery Q&A
The hormonal oestrogen flush was great for me. I was menopausal & my symptoms disappeared. Yay! They came back though once I lost the bulk of my weight. Sigh! But yes, heavier/lighter, more/less frequent cycles, more or fewer PMT symptoms & yes increased fertility are common. It’s actually often suggested that you double up on contraceptives for a while. -
How much protein is too much?
GoAskAlice19 replied to newbegining2024's topic in Revision Weight Loss Surgery Forums (NEW!)
I am two months out and each program is very different. Follow the nutritionist. I had a two week stall and you just keep doing what they tell you. My protein is 60-80 and water is 64-100. I try to get closer to 100 because that is when I see more weight come off. Everyone is different trust the process! Congrats to you! -
Suggestion Wanted Disney World Trip in April
newbegining2024 replied to newbegining2024's topic in Revision Weight Loss Surgery Forums (NEW!)
I am currently restricted to eat raw food, such as salad and crunchy fruit. No nuts yet. At about 3 months then I can try, but I would imagine still have to slowly add them to see how I tolerate. Which when I go to Disney I will be only about 2 and a half month. I can eat chicken and fish with no problem now. I did look at Disney app to see what they have available. Look like grill salmon is on the menu and I sure can eat some smoke turkey leg. My current stall is making my brain sending me signals to eat and making me crave for a lot of unhealthy food. I still still eating about 3oz protein 1oz veggie and 1 oz starch. But I gained 3lbs, I got to 229lbs and were so happy I’m in the 220 range which is before my pregnancy, but this morning I am now 232! I have head hunger all day long, and wants to eat so much. I broke down today and kinda cheated. I ate half a sandwich from Panera Bread… It was tuna sandwich, and some chips! I didn’t even feel sick from it and I am so scared… I am feeling so guilty and feel like such a failure. -
Thanks for your really honest post. I can see this happening to me and others years after surgery - there are just so many pressures to eat and drink things that aren't good. It sounds like you're ready for a change and to lose some of that regain if possible. I agree that there will be headwork as well as diet work to do. Arabesque's post is super sensible and I hope you can take all of that on board. I would just add, returning to the basics of protein first, veg second for a few weeks might let you see a loss again. Maybe set a time limit of 4 weeks adhering strictly to that and see how you progress? I like a glass or two of wine at weekends but if you can cut out alcohol completely (empty calories) then do. If not, then minimise. Think about why you need to have a few drinks in order to socialise online and think about what joy that socialising brings to your life (Vs the joy of being at your ideal weight). When you start losing weight again hopefully this will reinforce your new choices.
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I agree that you may not need a calorie goal especially this early on. My office did not have a strict rule on calories but I was like you and wanted that structure so they told me that they recommended 600 calories by month 2 and 800 calories by month 3 and then 1000 by month 6. Not to go over 1000 until goal weight after that. Protein was always the most important but I was encouraged to eat some carbs too. You have to watch yourself later on though and set your own guidelines. Probably around month 3 you will start to see how you lose or not lose with the calories you take in. I found out that if I was under 800 I would stall and if I ate over 1200 I would stop losing. Other people can't eat over 800 and still lose and some, especially those that exercise a lot can't eat less that 1200 or stall. So your calorie needs may be different but I hope this helps. Good luck!
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Calories & Macros on Lifetime/Maintenance Diet???
NickelChip replied to lauraellen80's topic in Revision Weight Loss Surgery Forums (NEW!)
Honestly, this seems way off-base, with the exception of 60-80 grams protein, which is completely sufficient for most people (but not all!). Your calorie estimations are much too low for the vast majority of people in maintenance mode. So rest assured, you won't be on 650 calories for life! Also, 25g carb is extremely low carb and not a lifestyle most people are eager to embrace. If a doctor insisted on 25g carb for life as the only way to succeed, I would seek out a second opinion for sure. From what I see people saying around here, 1200 to 1500 is a much more realistic calorie range for the long term, although that is for maintenance, not for weight loss or for early days after surgery. If you eat to maintain your current weight right now, that would seem to go against your goal of losing 20-50lbs more. I have two suggestions. First, check out some bariatric cookbooks because they will tell you appropriate portion sizes for maintenance as well as give you some ideas for what types of foods to be eating. My favorite is Kristin Willard's Bariatric Meal Prep Made Easy: 6 Weeks of Portion Controlled Recipes to Keep the Weight off. She's a registered dietician specializing in bariatrics and every recipe has a gorgeous color illustration. Second, take a look at the Portion Perfection brand bariatric plate. It's kind of expensive, so you may not want to buy it, but the concept is really good. Basically it's an 8 inch plate (with a one inch rim all the way around, so a 6 inch circle of eating space). There are lines and illustrations to divide up the plate and show you where to put your foods and how much. If you're a visual person, this may really help. Other than that, you may want to check out some of the nutrition videos as well as the weekly podcast done by Dr. Matthew Weiner (Pound of Cure). I find them so insightful and he and his dietician, Zoe, are very keen on plant-based nutrition, which may be perfect for you. Edited to add: Here is a link to a dietician article about post-op goals that might help: https://www.mybariatricdietitian.com/mbd-blog/portion-sizes-after-weight-loss-surgery -
Gerd with weight loss Plateau
Wonderwoman14 replied to Wonderwoman14's topic in Gastric Sleeve Surgery Forums
As I stated I’m not in this for weight loss. My issues are belly fat and working hard to get rid of it since I couldn’t workout for 15 yrs because of regurgitation, vomiting and pain with my hiatal hernia. My question was only asking about GERD patients losing weight slower than regular obese patients. I don’t have any food issues and my dietitian has no worries about me. I’ve always carried good muscles in my skinny legs. I don’t compare myself to no one I just can’t believe these bariatric weight loss videos people have actually lost that much weight in 6 months as they claimed especially how huge they were. My reflux has always been horrible and I’ve been on medication for 15 years daily. Now I can only stay off for 4 days but I’ll have bad silent reflux. My GERD is unmanageable even with a strict diet. My surgeon thought since I never had GERD with my 2 older kids maybe it would subside now. This all went downhill after I had my 3rd child. -
What they don't tell you...
BlondePatriotInCDA posted a topic in POST-Operation Weight Loss Surgery Q&A
Good afternoon all! I just was thinking of all the surprises I've experienced since WLS...and I wanted to ask others what's surprised them about their weight loss/surgery journey that they weren't told by their bariatric team?! I'll go first: 1. All the aches and pains in my hips and butt. My butt hurts now when I sit since I'm missing my butt padding! Also, since losing weight my posture and gait have changed so now I'm in PT for hip abductor pain. 2. The ever increasing and changing locations of skin irritation. The skin now droops in places I wasn't told to expect and I get red irritation under my butt creases from over lap - sorry for the unpleasant visual! 3. I've shrunk..so driving I now need extra padding to be at my former "sitting height" I feel like a kid driving my parents car now. 4. I've had to buy new glasses, mine were stretched out from digging into my fat head 😋 and now they keep falling off when I look down. 5. I've had to buy new shoes, all my old shoes no longer fit. They just flop around. I was expecting new clothing..not shoes. 6. I feel more clumsy and weak despite working out. My manual dexterity is horrible now. 7. I still feel hunger 😔 These are just a few of the changes I've experienced that my bariatric team never mentioned. Do you have any to add that can take the surprise out of it for people just starting their WLS journey?! I eagerly await your responses! -
My bestfriend is taking tirzepatide and phentermine at the same time!!!
ynotiniowa replied to SleeveToBypass2023's topic in GLP-1 & Other Weight Loss Medications (NEW!)
I'm answering your question as a nurse who works with both bariatric patients and diabetic patients. First, these are two completely different meds, two different classes, two different ways of affecting the body. Phentermine is an anoerectic medication and is an amphetamine that decreases the appetite. Tirzepatide (generaic name for zepbound) is GLP-1 agonist and GIP agonist (it's a dual agonist vs typical single GLP-1 agonist like Ozempic) which stimulates insulin production with the purpose of lower blood sugar levels and helps someone feel full longer. Second, there is a nationwide shortage of Zepbound since early April because of it's popularity. Patients have started choosing compound pharmacies to create this formula for them instead of discontinuing or changing to different medication. With that being said, the FDA doe NOT regulate compound pharmacies. Historically, compound pharmacy are popular with patients needing hormone replacement therapy and these pharmacies abilities to customize said medications. Third, medically speaking, the only medication interaction of concern between the two would be once a patient lost considerable weight, that hypoglycemia would be an issue. In my own experience, yes medical providers will write scripts for dual medications like this for various reasons, circumstances and medical conditions. -
Having an issue that's very bothersome...
Arabesque replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
Orthostatic hypotension or postural low blood pressure. Your blood pressure drops on standing or sitting up because your blood pressure is low it takes longer for the blood to get back up to your head on changing position. Hence the dizziness & narrowing of your vision (if you get that too). I get it all the time. I can even get it if I stretch up to get something from a high shelf like at damn supermarkets. Keep hydrated, which you would be, get up slowly & then wait 10-20 seconds before moving. Some say pumping their legs or rotating their ankles before standing helps but it doesn’t for me. I was on a med for low blood pressure for a while but it didn’t help. I just live with it. Do try to grab for a table, chair, wall or even person if it happens just to ground me for those few seconds until everything stabilises. Sometimes I’ll bend over (head at waist level) so the blood gets back to my head faster. I always had a tendency for this (low blood pressure runs in the family) so the only surprise was the frequency of it since my weight loss. -
Hello everyone, I’m 9 months out from my sleeve surgery. Had an easy post op without complications. However for the last 4 weeks or so I have moments where I get such bad gas (not flatulence, but painful, loud, trapped gas). I haven’t figured out exactly what causes it although the other night I ate some hummus and I immediately knew it didn’t go down well and felt full and like I had a rock in my tummy. After that happens it’s like 12 hours of pain and huge loud thumps and thuds. Then my insides feel like they’ve went through a war and they feel pain for a couple of days. I’ve now lost a little too much weight because I’m so scared to eat anything that will cause this. My hair is still falling out, I’m not eating enough and I’m usually in pain. I have an appointment with my surgeon but in the meantime I’m desperate. Anyone else have any experience with this?
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What am I doing wrong 1 year post op?
RaiderRhode posted a topic in POST-Operation Weight Loss Surgery Q&A
I haven't lost any more weight. I've been going to the gym and even got a walking pad for Christmas that I use but it's just not coming off. I lift weights at the gym 2 to 3 times a week an hour at a time and do at least 2 miles 2 times a week while I'm at home. The last three weeks I cut my calories way down which sucks with how much I work out. For example I did an hour of intense weight lifting today and only consumed 1104 calories and 104 grams of protein. On average I'm only consuming 1300 calories and getting between 70 to 100 grams of protein. My food through the day consists of small meals or protein shakes from 6 am to 6 pm. Like a protein shake for breakfast, one after the gym on my lunch, some low cal soup, jerky, piece kf fruit, etc For dinner (around 7 pm) I have a majority of my calories, usually baked chicken strips or shrimp, etc with a side and then bed at 10pm.. It's just not coming off. I get I could've tried harder through the last year but man this is just tough. I can't even say I've gone down in clothes sizes any more. I just don't know. I do have a one year post op appointment on Tuesday and I'm terrified and ashamed that I have virtually nothing to show for it. What am I missing? -
300+ Starting Weight Weight-loss Stories
RosessXO replied to Healthyforyear30's topic in General Weight Loss Surgery Discussions
Had surgery on Wed 12/6. Starting weight was 377. -
6 Months post surgery, minimal to no weight loss
ChunkCat replied to invisiblyhappy's topic in POST-Operation Weight Loss Surgery Q&A
I am so excited for you!! Yaaaayyy!! It is really crazy how changing fluids and sleep can make a difference in weight loss! I too notice it immediately on the scale when I slack. It is common knowledge, yes, but so many people brush it off as unimportant when compared to food or exercise. But man, sleep and hydration will undermine your efforts elsewhere if they aren't on point. You are doing an awesome job, pat yourself on the back for changing two habits it would have been easy to ignore! -
Looking for a reversal doctor
BabySpoons replied to rrs's topic in POST-Operation Weight Loss Surgery Q&A
Don't worry. From what I've read, in time, after your new tummy heals up you should be able to stretch that new tummy back out and regain all your lost weight. No doctor needed. But I have a feeling, over time you may change your mind. 🤔 -
1). I lost 16 lbs the entire first MONTH, and I went on to lose over 200 lbs. Most of us seem to lose somewhere in the 15-25 lb range the first month (yes - MONTH). So unless you're an outlier or the size of someone on "My 600 lb Life", you are doing very well! 2). sounds like you are experiencing the infamous "Three-week stall" right now - right on time, too! The vast majority of us hit our first major stall within the first month or so after surgery - and it's usually the third week;, hence, the name. If you google the site for the three-week stall, you will find something like 17,000 posts on it (and no, I am NOT kidding). A slight bump-up in weight is not unusual, either. It's almost certainly just water weight. The best thing to do is to continue to stick to your program and stay off the scale for a few days. As long as you remain compliant with your program, the stall will break and you'll be on your way again. It usually takes 1-3 weeks. 3). you won't feel much (if any) restriction or "full" until you move to solid foods. Liquids go right through you, and purees pass through pretty quickly, too. Plus you had nerves cut during surgery, and it takes awhile for them to start to regenerate. You'll feel it fairly soon. However, "full" doesn't always feel the same way for many of us that it did before surgery. I don't feel "full" the same way at all - it's more a discomfort - sort of like pressure - in my chest. Once I start feeling that, I know I'd better stop eating or I'm going to be sorry. Others have even weirder full signals - like a runny nose or sneezing.
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you could always get a Dexascan to see how much fat, muscle, etc you have. Not the kind you get at the doctor's office - those only check for mineral (bone) density. You need the kind they have at some sports places (some university sports labs have them) or at commercial places like DexaFit. Those scans will also tell you how much fat, muscle, etc you have. I got one when I weighed 146 lbs because I wanted to see how much more weight I could lose. The technician said nope - I was done losing. I had 21% fat at that point, which is pretty lean for a woman (unfortunately, I'm not that lean anymore!). but I found it pretty helpful. I think it was around $100.
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4 months post-op
BlondePatriotInCDA replied to Teriesa's topic in POST-Operation Weight Loss Surgery Q&A
Unfortunately, yes I at almost 9 months out still feel fatigued - no burst of energy like a lot of people comment on after recovering and losing some weight..sorry to not being more helpful. I was told the same thing when I asked my doctor "follow the program" like I wasn't and its my fault for being exhausted! They did run my labs - I'm dehydrated.. "Drink more" that's it. If all your labs are good now that you're doing IV's job st hope it starts to help. I hope you feel better soon, do as I do and take one day at a time, one step at a time and hope the next day will be better, after all its all you can do if you're "following the program" just keep an eye on your macros/water, vitamins etc oh yeah and "drink more water"! 😋 -
weight lifting and high intense cardio
ChunkCat replied to eveharris29's topic in General Weight Loss Surgery Discussions
Just for a little perspective, a good rule of thumb is that on average people lose about 50% of their excess weight by 6 months, then it will take the following 6-12 months to lose the remaining weight because loss slows the closer you get to goal. Your 50% mark is 45 lbs, so you are technically ahead of schedule probably when it comes to your weight loss. Take a moment to let that sink in and celebrate it! That's a big deal! Yes, working out for some people slows their weight loss according to the scale because they are exchanging fat for muscle and their fluid balance changes. But, another issue is that some people don't eat enough to fuel their body and workouts when they are in a losing phase, which will also cause weight loss to slow down. You need a session with a bariatric trained nutritionist to help you work out what your target calories and macros are so you don't end up in starvation mode and ruin that nicely reset metabolism you got compliments of the surgery! Stalls are a normal part of it. I stalled one month out from surgery for 5 weeks. It was really lame and I have way more to lose than you do. But it is all part of the game! Putting too much stress on your body and emotions will definitely trigger slower weight loss too as was mentioned above. This is a marathon, not a sprint... ETA: Almost forgot---are you monitoring your measurements?? Most of us lose inches when we aren't losing pounds according to the scale. That's because even when the scale is at a halt, our body composition is changing! Take those measurements!! -
Dealing With Negative Comments
kgonz replied to Bypass2Freedom's topic in PRE-Operation Weight Loss Surgery Q&A
Why do people act like you get a BBL? lol it’s a weight loss surgery! There’s still so much work to be done! No ones walking out with an hourglass figure -
Wow, you look great!! I'm so glad you've had such a great result! I love when successful people pop up to encourage everyone to stay the course, it is really inspiring. I'm in my first stall post surgery and it is soooo annoying and discouraging, even though I know it is part of the process. I'm just staying the course--low carbs, high protein, water, water, water, move when I can. I know it has to break at some point. I gained 2.6 lbs but I know it is water weight. It is a good thing I only weigh once a week or I'd drive myself mad... LOL
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Hey @Zazu_89! I am also from the UK, and I was given 2 weeks for my LRD which consisted of 800 calories max per day, only eating things which are considered 'meal replacements' (things like New You Plan/SlimFast). I'll admit that I haven't heard of a pre-op diet lasting 12 weeks - but I think it depends on a multitude of factors such as starting weird, co-morbidities etc. Are you having yours through the NHS? I know sometimes their plan can be a bit different! I know a lot of people will probably want to know your starting weight before giving any advice, so if you are comfortable to give that, please do share as it will help get more targeted advice! All in all though, I'd trust what your surgeon/dietician has said, and if you want to know their rationale, just ask! I am sure they will be more than happy to explain Good luck!
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Reassurance Requested re: Stalls In Later Months
ToInfinityAndBeyond posted a topic in POST-Operation Weight Loss Surgery Q&A
I am 9 months out from my surgery and about 10 pounds from my surgeon's goal (15 from my goal). I have been strength training four days a week for the past two months and was told to up my calories to around 1300 at that time. And...I have been stalled for about a month at the same weight. My resting metabolic rate is over 1500 calories (because I am burning calories on top of that), so I know I am in a calorie deficit. I know I should "stay the course" but I am doubting myself now...wondering if I should go down in calories. I am getting around 100 g of protein a day. Drinking 70 oz water or so. Very little cardio, though. Thoughts? What was your journey like once you got close to your goal? Thank you in advance!!!! -
November 2023 surgery buddies
Jewels38 replied to Italiano26's topic in Gastric Sleeve Surgery Forums
I’ve had the gastric sleeve January of 2015, gained a good amount of my weight back. Decided to take another approach and do it RIGHT this time around. 2 week pre op was tough but possible.. Now I’m post op 11/9/23 I had the switch. Thanks god everything went well! Just here with some pain and anxious to start my next phase :puréed 🤮 -
6 Week Follow-Up appointment and Gastritis (?)
Arabesque replied to SecretAgentDD's topic in Gastric Sleeve Surgery Forums
Doesn’t sound like you have gastritis based on you saying you don’t have any symptoms but belching. Seems strange your team would suggest that and not confirm you have the symptoms of gastritis. Most times our tummy growls & rumbles it’s a sign of our digestive system working not a sign of hunger despite. What we were always told. You may find those noise are very loud and you may be someone who continues to experience this noisy digestive system. I say I have my own poltergeist rattling chains & moaning. My younger nieces & nephews think it’s hilarious. Another thing many of us discover is that real hunger feels different. For example I get restless like something is wrong but I don’t know what. Wanting to eat and/or wanting a specific food, flavour or texture (like salty, sweet, crunchy, etc.) is head hunger. However, it takes 2-4 hours for your tummy to empty so feeling hungry about 2.5hrs after eating could make sense. Plus add in you say you’re very active, real hunger does seem a possibility. Are they aware of how active you are? Are they concerned you aren’t meeting your protein goal (I mean that & getting your fluids in are supposed to be our main focus)? I’d ask whether having a shake after you swim, which would help with your protein intake, would be okay. Also ask would having the additional shake sabotage your weight loss at least until you are able to eat more at each meal and are better able to reach your protein goals without it. Can’t hurt to ask.
