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WLS + GLP-1
SleeveToBypass2023 replied to GreenTealael's topic in General Weight Loss Surgery Discussions
If only insurance would cover the weight loss meds like they do the surgery. Not sure why they don't. It would still be cheaper for them in the long run than treating all the health issues and meds that come with obesity. -
March 7th... I'm down 63 and the team would like me to be at a loss of 75-85 at a year, so I hope I can make it. I'm at my lowest adult weight, which is great, but I can eat a wide variety of food, and being home all day makes it tough to not oversnack. But feeling pretty good and thankful most days!
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First we all fluctuate. It may be a pound or two or it might be more. Tracking your weight will allow you to see your natural fluctuation & help you recognise that versus weight gain. Secondly, a 50 pound weight loss in about 5 months is great. Why do you think you are failing? Does your surgeon, dietician or team say you are failing? The only people who lose more than that in the first months are those who start at much higher weights than you like on My 600lb Life. They may start at losing 50lbs a month but that doesn’t last. Like everyone their rate of lose slows as they lose weight. I echo others suggestion of tracking everything you put in your mouth - solid or liquid - ensuring you weigh & measure everything. Do it for a few weeks, then discuss your food records with your dietician to check you aren’t missing something or confirm you are on the right track. PS - Real fruit is always a better choice than fruit juice. You get more nutrients, better fibre & still get fructose as a natural sugar to help with your diabetes.
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While I agree that selecting the right tool is important (right for your needs, health & medical considerations, lifestyle etc.) getting your head right is equally as if not a more important part. Not everyone loses their appetite after surgery & if you do it’s temporary. We all say, the surgery changes your body but it doesn’t change your thinking. It doesn’t stop your cravings, emotions, habits. They’ll still be there when your appetite returns. You have to do the head work as well. It is possible to eat around your tool, to make poor food choices & then not lose or regain your weight. Changing your relationship with food, understanding why you eat (habit, emotional support, craving, boredom, etc.) are essential. It’s like getting a gym membership or buying a treadmill, how successful you are depends upon you changing your behaviours & actually using the treadmill or going to the gym. Many people find working with a therapist extremely helpful in understanding & developing strategies to manage what motivates or drives our eating & the food choices we make. Unfortunately, life does tend to throw crap at us at times, & knowing how to manage the emotional turmoils that usually come with it & not fall back on old eating behaviours will help you continue your weight loss & maintain in the future. As @NickelChip said, Dr Weiner & Dr Pitcher have amazing resources but I do encourage you to consider seeking counselling. Your doctor, surgeon & team should be able to recommend someone with experience in disordered eating & bariatric patients. (Many insurances require at least one visit as part of your approval anyway.) All the best.
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JUNE SURGERY BUDDIES
MissyMissfire replied to Mira88's topic in PRE-Operation Weight Loss Surgery Q&A
Oh man, I've been experiencing that right now too! I noticed it started a few days ago and chalked it up to my cycle, but this is definitely new. I'm going to increase my calorie intake a little but also I picked up some rooibos tea from the natural foods store. I've used it in the past as a mild appetite suppressant. This will help me stick to my schedule more and resist the urge to snack or the need to eat between meals. But um....has anyone else been majorly losing their hair? The past month and a half my hair has just been coming out by the handfuls. I have naturally thick hair (overly) and always shed a lot but this is INSANE. I'm at about 50% my normal hair thickness. I'm definitely getting all of my daily protein and then a bit extra for good measure. I'm... adequately hydrated... that's still an area I'm struggling with, but I'm working hard at it. And I do know I'm slacking on my vitamins because I REALLY don't like taking them so my ADHD brain conveniently forgets about them. (They get stuck in my esophagus and sit there and it feels awful for forever. And the chewables are vile) I am going to talk to my doctor in a few days about the patch to see if she thinks that would be a good idea for me (less absorption is better than zero absorption...right?) -
July 2023 Surgery Buddies UPDATES!!!
Amerime replied to Inspectorjh84's topic in Gastric Sleeve Surgery Forums
You both are doing great!!! I was sleeved 7/6/23 as well- the recovery went well. I do not believe my sleeve was too restrictive as I can eat small meals without discomfort. I do limit my caloric intake to under 1000 calories per day (I track) and I do not eat simple carbs. I have been eating some fruits which I am cutting back on. I weighed in 3 days ago at 187 lbs, so I am down 43 lbs post surgery, 80 lbs since my first bariatric appointment. I have been in the middle of stall for the last 2 weeks. Hoping it breaks soon. The weight loss has definitely slowed, but based on reading others' experience, I am not going to worry at this point. I wanted to be at least 167 lbs by the 6 month mark, but I've lost very little in the last 4 weeks- don't think I'll make it. Anyway, the goal is what matters. Good luck to you all! -
BIGGEST nsv of my life!!!!!
SleeveToBypass2023 replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
Thank you It's amazing what weight loss, better health, and renewed belief in yourself can do!!! -
Comparison food numbers 4 months out
Arabesque replied to pamelacoa@yahoo.com's topic in Post-op Diets and Questions
Stalls are common & a necessary part of your weight loss. It’s when your body stops & assess the changes you’ve made & resets things like digestive hormones, metabolism, etc. based on your changes & new needs. Think of it as your body taking a breath to understand the stress you’ve been putting it through. Once it understands what you now need, your weight loss will start again. Stick to your plan, don’t stress your body more. Your stall will break when your body is ready. They usually last between 1-3 weeks but it can be longer. Can be difficult to compare what others are doing or achieving at a certain point in time. I was barely eating 900 calories at 6 months. Barely touched a carb except what was in vegetables & fruit & barely any sugar (still average less than 10g added sugar a day often only 5g). Most are eating way more than that. With your calorie intake you will still lose weight but I agree, your dietician is your best help. -
Sleeved in March; Is My Progress Done?
Possum220 replied to BrandiBird's topic in Gastric Sleeve Surgery Forums
Not done by a long way. The loss may have slowed but it will continue to happen with you doing what you are already doing. You got this. -
Sleeved in March; Is My Progress Done?
Possum220 replied to BrandiBird's topic in Gastric Sleeve Surgery Forums
Not done by a long way. The loss may have slowed but it will continue to happen with you doing what you are already doing. You got this. -
Chronic fatigue syndrome and weight loss surgery
Rach38 posted a topic in General Weight Loss Surgery Discussions
I am wondering if anyone with a diagnosis of chronic fatigue syndrome has had bariatric surgery. I am curious as I am contemplating surgery and if it helped or made symptoms of chronic fatigue worse -
Whole carbs or net carbs? How to break a stall?
Shanna NYC replied to Nyxienoodles's topic in Post-op Diets and Questions
Stalls are nearly a guarantee at some point. I wouldn't worry too much about it at this stage. Your body is just adjusting. I am currently 6 and a half months post op and had a few stalls last about a week or two and then a loss. I was the same weight for 2 weeks and then lost almost 5lbs, then stayed at that weight for 3 weeks and just lost 4lbs. Different things might affect it - could be as simple as sodium intake or not having a BM or your body just trying to adjust for the changes. Not too much you can really do to break a stall. Your body will move when it's ready. I do not specifically track carbs either, but I typically go by net carbs when I check stats. Honestly protein takes top priority and everything else just falls in line. I do track via Baritastic app so I have an idea about fat and carb intake, but I don't focus on those numbers. I am not of the mindset of all or nothing, so nothing is cut out completely, I just look for the healthiest alternatives and don't have them often because they aren't worth the precious space. A typical day lands around 50 or less net carbs. Let us know if the carb count change up helped for you. -
Sleeved in March; Is My Progress Done?
SomeBigGuy replied to BrandiBird's topic in Gastric Sleeve Surgery Forums
As you lose more weight, its important to track the percentage of weight loss rather than only the number on the scale itself. We all have a base weight with all of our bones and internal organs that won't change (if we're healthy) and the muscle and excess fat on top of that are the variable amounts. For example, using big/round numbers for easy math, not for actual healthy goals - If SW is 300lbs and GW is 100lbs, then the total excess weight one would need to lose is 200lbs. If that person goes from 300lbs to 200lbs (100 lbs total loss), that is 50% of excess weight lost. If the person is now at 150lb and still trying to go to 100lb (50lb excess remaining), then a 50% loss would only be 25lbs. While its not the exact same amount of effort, you can use this to frame it in your mind that roughly the amount of effort to lose that first (300 - 100) matches the effort needed for the 25lb loss from a 150lb current weight. Again, these aren't precise or necessarily healthy weight numbers I gave, I was just trying to paint the picture to help reframe things to prevent being unnecessarily negative to yourself. You are still doing great! Also, don't forget that muscle weighs more than fat (I think it is roughly 1.5x heavier than fat for a given amount). As you build more muscle from exercise, you will gain weight, but it will be healthy weight. That's why it is important to also focus on more non scale victories later in the process, since the number on the scale isn't everything as you approach the finish line! -
Putting on weight even though I'm burning more than I eat?
SomeBigGuy replied to MaameWata's topic in Gastric Sleeve Surgery Forums
It could definitely be the muscle gains offsetting the fat lost numbers on the scale, which is why the scale number isn't everything. Correct me if I am wrong, but I believe muscle weighs about 1.5x as much as fat, so as you approach your target weight you very well could be continuing to get healthier despite the number staying the same or slightly gaining. That's why the NSV's become more important after the initial loss! It's also worth considering how much excess skin may be present. If its a significant amount, you could estimate the weight of that and subtract it from what you see on the scale to get a better idea and avoid discouragement. In that case, the excess fat is gone, and all that's left is the number. -
I’ve now been spotting/ bleeding for 100 days straight. As I sit here in tears I’m really wondering should I just had stayed fat with hair or the alternative bald and bleeding. (My hair has now come out also) I’m so tired. I’ve seen 2 different gyno, had three ultrasounds, seen several NP and nobody has an explanation as to why I will not stop bleeding. Ok that’s my rant for today 😭 .
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Putting on weight even though I'm burning more than I eat?
Arabesque replied to MaameWata's topic in Gastric Sleeve Surgery Forums
I’d question the fitbit too. You’d have to run for around four hours to burn 3000 calories & lift weights for about 8 hours. https://www.stylecraze.com/articles/how-to-burn-3000-calories-a-day/ Remember, exercise contributes to only about 10% of any weight you want to lose. Many benefits to exercising of course but don’t make it your focus for weight loss. I didn’t ‘exercise’ & I lost all my weight & more but that was because my body’s new set point was a weight lower than my goal. But I am an outlier & beat the average stats of losing about 65% of the weight you are to lose with a sleeve. I agree with @learn2cook’s suggestion to speak with your dietician & your surgeon may help too. All the best. -
Paxlovid and Gastric Bypass
toodlerue replied to MarisAthena's topic in Gastric Bypass Surgery Forums
My friend has NOT had any weight loss surgery. -
Sleeved in March; Is My Progress Done?
catwoman7 replied to BrandiBird's topic in Gastric Sleeve Surgery Forums
weight loss does slow down the further out you go. There were some months after the one year mark that I only lost one or two pounds. BUT...it kept going, and finally stopped at 20 months out. So it's likely you're not done losing yet. -
Sleeve Revision to Bypass
Tomo replied to SarahP1220's topic in PRE-Operation Weight Loss Surgery Q&A
It was 100% worth it for me. Easier recovery for me as well. I feel normal, normal as in pre any WLS but with the added benefits of smaller meals. Hard to explain. No side effects except the common constipation which is easy to treat daily with a tsp of miralax in my coffee. Severe gerd was hell to live with day in day out, night in night out, year in year out. I finally got tired of acid coming up through my nose when I was finally asleep. In the end, no ppi helped no matter what I took. I was told right away not to expect much weight loss. "Perhaps 40 lbs" . If your previous WLS was done properly, the weight loss will usually be much slower after a revision. I did it for the relief of the gerd. I really had no choice. -
Sleeved in March; Is My Progress Done?
Spinoza replied to BrandiBird's topic in Gastric Sleeve Surgery Forums
I just checked my stats and by your stage I had lost 70% of what I ended up losing overall. But honestly it is different for every single person. You have done amazingly well so far and you may (hopefully DO) have further to go. The best way to max out your loss is to stick like glue to your programme. Some (I think a lot) of where we end up is determined by what your body decides is its new set point. I hope you are celebrating your loss and the changes this will have made to your body. You must feel like a completely different person now. I totally understand the anxiety to lose as much as you can - I think most of us had (have!) that. Good luck. -
Revision Denied by BCBS of North Carolina
Ambular replied to Liv_94's topic in Revision Weight Loss Surgery Forums (NEW!)
BTW this is what BSBCNC said to me. They just seem like they auto deny and don't even check records as we have been so compliant and have plenty of evidence. It sucks because I don't even live in NC - I only have this because I work remoltely for a company in NC and live in CA.. We are gearing up for the peer 2 peer now but here is what was said: Revision of a primary bariatric surgery to a gastric bypass is covered when you meet one of the following scenarios: (1) You have regained weight after your original surgery. In this case, you must continue to meet basic criteria for weight loss surgery, including nutritional and psychological assessments, and you must have documentation of compliance visits (including compliance with nutrition and exercise recommendations) after your previous weight loss surgery (2) You have severe reflux disease that has not been responsive to optimal medical management (maximum medication therapy, diet alteration with the assistance with a nutritionist, and change in activity and positioning). Failure of medical management must be documented, and studies to support persistent untreatable reflux must be submitted. Review of your provided records reveals that you have regained weight after your previous surgery; however, we have not been provided with compliance records from your prior post-surgical visits. Additionally, it does not appear you have undergone optimal medical management for your reflux or that studies show severe signs of reflux. -
What was your “Moment” ?
NickelChip replied to GrannyMaggie's topic in General Weight Loss Surgery Discussions
A lot of things played into it, but honestly, it was when the doctor asked me if I would be interested in it. For background, I'm turning 50 next year, so yes, that milestone is in my head as part of it. My younger brother had VSG 15 years ago, and ever since then, I wished I could do it because he had such a great outcome. But at the time my BMI was 34, so I didn't qualify, even with high blood pressure. As my weight increased, my doctor referred me to the hospital's weight loss center. They started me on a non-surgical program, and it worked a bit for a while. And then it didn't, and I gained everything back plus some. I even tried Wegovy for a while, but I could never get it long enough to see if it would work because of the shortages, plus the discounts dried up and the out of pocket was crazy. But this past summer, my weight peaked at the highest it had ever been, tied with the day I left the hospital after delivering my second child. My BMI had reached 40. My body ached, my feet ached. I was bloated all the time. Nothing fit. My heart kept doing a worrying fluttery thing. I had to increase my blood pressure medication. With the pandemic, I had stopped going to the weight management center. My doctor told me to go back. This time, they asked if I would be interested in considering surgery, and I jumped at the chance. It was like the second the question was asked, I knew it was time. If they'd asked earlier, I probably would've done it then. But for such a long time I didn't qualify, and then I probably did but everyone seemed to think I should still keep trying on my own. When I found out my out of pocket costs would only be around $3k, I nearly fainted. I assumed it would be so expensive. My brother was self-pay and it was 10k. Instead, it's the same as two months of Wegovy! Now I'm just counting the weeks until my Dec 27th surgery date. -
Welcome to the forum OP. I wish you all the luck on your weight loss journey 😍
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my weight stabilized just a little after one year post post mark, but this was due to a months-long effort to stop weight loss by slowly increasing calories. reached goal at 7 months post (consuming sub-800 cals a day). upped calories after that lost another 10+lbs until around 14 months post when i stabilized (around 2000 cals a day) BUT this is NOT to say i stopped losing and/or gaining forever. i am 5 yrs post now and i have recently lost about 10 lbs in the last few months. it really just depends on one's metabolism and food consumption...the trick is to figure out what your sweet spot is (given your current activity level)
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When did you stop losing
summerseeker replied to Jennifer26's topic in Gastric Bypass Surgery Forums
You have a great reason to get to your goal. Have the IVF team said you need to be at 175lbs ? Huge congratulations on your progress so far. You need to have a little patience now. The easy part has ended and the work begins for you. I started at a similar weight to you almost 2 years ago. I have just upped my cals from 1200 to 1500 a day. I am still loosing but at a micro pace. I had a 3.5 month stall, a stone ago. I keep thinking I am done and then chunk ! the scales go down again. If I am truly honest with myself, I love the continued weight losses but my family and friends are saying whoa stop.
