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From watching my 600lb life, it seems the fat does not weight as much as you think it does.

I am not surprised you are ticked off. You know what is right and working for you now and stick to that. You are not doing anything wrong and have much such changes in your life to get to where you are, well done. My surgeon is the opposite and he told my target should be 75kg/165lb and I said 66kg/145lb so as to be in the healthy range on BMI chart. His response was to not fixate on the BMI chart and just be happy and healthy. He said he thought I would look older and less healthy if I lost too much more weight. My GP doctor said similar about being happy and healthy. We agreed to reduce my target to 70kg/154lb but I seem to be stuck at 72kg/159lb anyway! I do think now that the target I set myself is probably not the best for me, as my bones and brain probably weigh 70kg 🤣🤣

SO I am pretty early in my journey. I am about 5months post op and have about 11lbs to get to "goal" I may be okay where I am at. I did increase my calories by 100 to see if that would help things. I do weight lift and workout so I am starting to look on the side of "too thin" We will see what this week looks like I weigh in on Wednesday. Its the first week I increased them. I may go back down, but I have been consistently losing 3-6lbs a week so I was worried that I was withering away LOL

I suffer from GAD as well (and bipolar and ADHD). I am 2.5 weeks post op from a revision to SADI and doing great. Taking the vitamins have taken a while to get used to but honestly it’s not that bad now that it’s habit. I take my multi in the morning and get out three calcium’s to take throughout the day and then take my magnesium at bedtime (you may not need it). The bypass type surgeries are quite a bit more scary. I think it’s because they are not as straight forward as just making the stomach a little smaller seems but honestly a cut is a cut and the risks aren’t much higher than the sleeve. What you need to ask is what are the risks of all the weight related diseases And illnesses if you do nothing. Not to mention your quality of life with GERD. What I found most helpful to get through all of this was reminding my team about my anxiety when I felt myself freaking out. I told them I just need patience and I can deal with this. I asked loads of questions. I scheduled a couple of extra appointments in order to get everything answered and I over prepared. The day I walked in for my surgery I knew that I had done any and everything humanly possible that I could do to control the situation for the better and I let the doctors and nurses take the wheel. All the while continually reminding myself that they do this procedure every day and that chances were it was going to go on without incident but if it didn’t then I was in the absolute best place to be and get the help that I needed. Best of luck with your surgery. You’ve got this!!

39 down, 11 more to go... submit your stats if you haven't already and I will reward y'all with a nice little report, LOL! keep 'em coming people...!! 1. Basics: GENDER, AGE, HEIGHT 2. Total Weight lost in the 6 months BEFORE surgery (if any) 3. Weight on DAY OF SURGERY. 4. Weight at 1 MONTH POST surgery 5. Weight at 3 MONTHs POST surgery 6. Weight at 6 MONTHs POST surgery 7. Weight at 12 MONTHs POST surgery 8. Type of Surgery (Sleeve, ByPass, etc...)

Don’t think the small amounts you eat in the beginning is how much you’ll eat forever. After surgery your stomach muscle is very tight so it can’t tolerate much. But as it heals, and you start to introduce more foods, it slowly starts to soften (not stretch) & is able to tolerate more. I was told, though I began with 1/4 - 1/3 cup from the puree stage, by about 6 months I’d be up to about a cup. Which was pretty accurate for me. I’m 5 years out & from about 2 years, I was pretty much eating a recommended portion size. Check the nutrition panel of processed pre prepared foods and google recommended portions of other foods or ingredients to give you an idea. Generally about 3-4ozs of protein & a cup of vegetables, 2 eggs, a small apple, etc. Some days I can’t/not interested in eating that much, other days it’s the perfect portion. The liver shrink diet is not to actually shrink the liver but the fat around the liver. This is to allow your surgeon to have better vision of & access to your tummy during the surgery. This diet does differ surgeon to surgeon, patient to patient. Generally it’s two weeks of a shake three times a day. However, some are four shakes, others two shakes & one lean protein & steamed vegetables meal. Others are only for a week or a couple of days. Mine was keto for two weeks (I started a couple of days earlier). Some people lose seemingly a lot of weight, others only a few pounds. It’s one of those things linked to how much weight you carry. It can be tough as you may experience withdrawal like symptoms (from stopping/reducing sugar, carbs, caffeine) for about 5 days. Apparently my surgeon’s patients who did the two week all shakes called the first week hell week. While tough, remember it is only for two weeks and the big picture benefits & wins makes it so worth it. All the best with your surgery.

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.

Try not to be too discouraged at your "stalled weight loss." Your body has undergone a lot of change and just needs time to catch up and adjust. If you're following the recommendations, I'm guessing the stall will only be for a week or so. That was my experience. I am 7 weeks out from my RNY, and I had a "stall" as well, which lasted about 5 days. Since that point, I have had a pattern of staying the same weight or even increasing a pound or two for 3-4 days of the week, and then having a 2-3 pound per day drop for the other days in the week. As long as I am trending down, I don't care how I get there. Also, I'm curious about your not tolerating foods past soft. I had immediate trouble when I tried to advance to meats, and had testing done which revealed a surgical stricture. My body had reacted to the surgery site by closing down too much. I had an endoscopy with dilation and am doing better. I do still have to really focus when I eat to not eat too fast or too much. When my pouch gets too full, I get chest pain, which is just me feeling that stretch of the pouch. We all will experience differences in our bodies. I think it's really important that we all listen to our bodies and learn our new subtle signals in order to have success.

How do you work through a weight loss plateau? Thank you!! amanda

Things have been going well! After some very slow weight loss in late April thru May, June is really looking up. With my 4-month mark just a few days away, I'm down about 61 lbs from my highest weight, which includes 35lbs since my actual surgery. I'm looking forward to hitting the "overweight not obese" milestone soon, just 5lbs to go! And 35lbs to go until I reach my weight goal! My hair thinning is just starting. My hairdresser styled it a bit shorter when I went yesterday and she'll suggest a new style if it becomes needed. But it's not too bad yet. Thankfully, I don't have any issues hitting protein and water targets. I usually have a protein shake in the morning to start the day and I put around a cup of Fairlife skim milk in my 32oz morning decaf tea, so that's 36g protein before I even have food, which I do a few hours after I get up. I can eat around 15-20g protein when it's solid food. I like Greek yogurt with berries and nuts for breakfast and often do a salad with chicken strips for lunch. Dinner is all sorts of things. The protein shake I use is Syntrax Nectar Natural in orange flavor, which vaguely reminds me of orange TANG. It feels sort of like having a glass of orange juice, enough to not be too weird in the morning before I'm fully awake. The rest of the flavors are just disgusting, although I am okay mixing a scoop of vanilla with some frozen pineapple and a splash of water or milk in a blender to make a frozen treat on a hot day. I do have about 1x a week issues with vomiting, triggered by different foods each time but usually either due to eating too fast or something being too dry. It's hard because a single bite can trigger it so it's very unforgiving. I've started carrying a small hospital-style vomit bags (found on Amazon) in my car and purse so that I won't be caught in an uncomfortable situation in public.. So far, I haven't needed them, but it makes me feel better to have it with me. I'm going on vacation next week and planning to bring along some protein bars and easy snacks like roasted edamame and beef jerky (which I found in 50-calorie packs at Dollar Tree). Once I'm home, I'm hoping to do some meal prep and try some new recipes because food is getting boring and kind of a chore. I don't really experience any hunger, so remembering to eat and making myself eat regularly is a nuisance.

I supposed the OP has already worked this out since the post was 2015 but I just want to add that the surgeons do then to weight loss drugs as one of the tools in their belts post surgery now. They have quite a few in addition to phentermine nowadays too. For anyone out there experiencing weight gain please touch base with your team. I was unable to take the meds because if interactions with other meds I was on but that was definitely an option that was presented to me early on and for someone with only a fair amount of weight to lose it could help. I have taken phentermine in the past and it did reduce my appetite significantly. My problem is I wake up several times and night and eat too so once the med wore off I was hungry. For those reasons they didn’t work for me but they do work for many people.

I'm in the same boat as you, my weight is regain at an alarming rate. To those who say don't weigh yourself everyday it was weighing everyday that kept my weight in check

I made a post about losing weight slowly and I just kept doing what I was doing, and dropped 5lbs this week…WEIRD! But I am officially considered overweight and not obese!! Below is a before and after picture. The before is not even my heaviest!

I'm guessing whoever did you scan isn't a bariatric surgeon, so they might call any weight loss surgery an RNY (?). Not sure. If what you got is a sleeve, and it was confirmed by other MRI's and scans, then I'm guessing that's why that person put "RNY" on your summary. He or she just isn't familiar with the various WLSs.

Hi @Yahoo! so i was updating your info in my trusty spreadsheet, but the info provided in the above two posts don't line up exactly...can you confirm the full details so i have the right info? 1. Basics: GENDER, AGE, HEIGHT 2. Total Weight lost in the 6 months BEFORE surgery (if any) 3. Weight on DAY OF SURGERY. 4. Weight at 1 MONTH POST surgery 5. Weight at 3 MONTHs POST surgery 6. Weight at 6 MONTHs POST surgery 7. Weight at 12 MONTHs POST surgery 8. Type of Surgery (Sleeve, ByPass, etc...)

I say any kind of water exercise and also riding the exercise bike. My brother has severe knee and hip issues and wears 1 1/2 pound ankle weights all day. He doesn't specifically go on walks with them, just wears them throughout the day and not only has he lost some weight with them, he's also built up a little bit of leg muscle and his joints are slowly getting stronger. He said it doesn't take a lot of weight to do the trick, just a smaller amount of weight over a longer amount of time. He said his joints don't hurt at the end of the day, but his legs are tired and feel like they got a decent work out.

I am considering taking Mounjaro to deal with a 35 lb weight regain after 9 yrs post gastric sleeve. Has anyone done this and what were results?

Congrats!!! The first 2-3 weeks seriously suck. After that, it gets easier and you really start to learn your new body. Just prioritize walking, getting in your fluids, and getting in your protein. Don't rush things, stick to your meal plan, and trust the process. Weight loss stalls are NORMAL and to be expected. Watch for NSVs (Non Scale Victories) when the scale isn't moving. You got this!!

I'm the same way, one little off step for me is a slippery mountain. Knowing this I am very regimented, I have a schedule/routine for taking my vitamins etc., it becomes muscle memory for me that way. One "just this time" and I start sliding full clip. Unfortunately, it IS a full time job, but as the saying goes the best for your future is to be your own boss - you never get rich working for others. Work towards your health and future. This is how I put myself on a routine: 1. Purchased a "Hidrate Spark" (water bottle that lights up to remind me to drink with an app to track and also remind me) annoying but it helps. 2. Purchased a 4 times a day 7 days a week vitamin container that I have set up with reminders on my phone I put right next to my coffeemaker. I used Velcro to attach it to my phone case. Its always with me. 3. A picture of myself on my frig/cabinets at my heaviest to remind me why. 4. Remove ALL temptations from the house. My husband wants junk food he goes out. Lastly, I hate hate working out so I purchased a weight vest and weight gloves which I wear all the time as I'm cleaning, walking etc. I also, IF I want a "treat" (Yasso Greek yogurt ice cream bar) or a no sugar fudgcicle I do some squats, leg lifts before I treat myself etc.. Just remember its baby steps, if I deny myself all at once I become resentful and angry. So, start with one improvement and do it consistently until you no longer have to remind yourself or you do it regularly then add the next health improvement to your routine. If I can do it, YOU can do it. I come from an entire family of smackers and grazers who are all thin - I recognize its a battle, unfortunately now its a lifetime battle and I finally decided being thin is soooooooo much better than being fat so I strap on my warrior armor and do what I have to do. Ask yourself what YOU want out of life and win the battle - period!

Absolutely. I had the sleeve four years ago and now the revision and you definitely want to make sure that you’re in a good place with your mental health because it takes just as much mental energy as it does physical to deal with all the changes you will be going through. It’s like a whole new lifestyle post surgery if you’re doing it right. They are really great changes, but it is still alot in short time. Be honest and trust their judgment- they have done this a lot of times and they just want to make sure that you’re in the right headspace when they do it so that you can be most successful immediately post surgery to keep you safe but also long term so that you will be successful in your weight loss. One thing I did too was to ask my team if it would be okay for me to just check in with them a little more often than they typically require. They agreed to that and it has made the process a lot less stressful this time. I just get super anxious about everything and medical stuff is even worse so stuff like this creates a million questions and it’s hard when you call the front desk and they don’t know about your mental health for them to not be annoyed when you call a bunch of times. This time I just go in and have a chat with the NP about all my concerns and she reassures me everything is fine and I’m on my way. Also, you will want to let your prescribing Dr know about your surgery at some point if you haven’t already. They will want to check in with you a couple of times post op because sometimes with the absorption changes in the body your medication doses may need to be adjusted a bit. And keep posting on here. There are so many people who have been through anything you may have a question or fear about or if you just want to vent about a stall. People are so wonderful here and eager to help. Staying active on here and the in person support groups has really helped me. Im excited for you. It’s a pretty incredible journey and you will get there soon enough.

Congratulations on your surgery date. That’s a pretty long liquid diet but I guess it’s because you have a specific amount of weight they need you to lose. It will be well worth it because it will make your surgery that much safe plus be that much less you have to lose afterwards. I can’t suggest much for the wedding but When I did my sleeve I celebrated my birthday early because of the pre op diet. I guess you missed that window but you can celebrate late (a half birthday this year perhaps). But honestly one thing you will learn from this surgery is that we tend to celebrate things with food but there are many other ways to celebrate. You can take a weekend trip somewhere you’ve been wanting to go, spend a day at the spa or buy yourself something you have really been eyeballing. And you can have people around who will inevitably need to eat something but not have the day centered around food. Or you can schedule something between lunch and dinner and ask people to not bring food. It’s your day so you get to celebrate it how you want.

*raises hand* warning: this may get long.... now, for me, replace 'whiskey' and 'cognac' with Vodka Sodas or Red Wine or Espresso Martinis. i looked it up and according to North American AND European "standards" i would be considered an alcoholic in North America, as well as partaking in "harmful and hazardous" drinking if I were in Europe, based on my average daily alcohol consumption. I started drinking regularly during Covid, and basically never stopped. I too, consider myself a high-functioning alcoholic...i don't get black out drunk, i dont drink and drive, operate heavy machinery while under the influence, make bad decisions that would harm or embarass myself or others, etc. etc. since surgery i get affected much quicker, and on a lot less than pre-surgery. i'm pretty tipsy just after a single drink...legitimately drunk after 2. BUT.....i sober up really quickly too. the alcoholic buzz lasts me maybe 30-45 mins tops. then it's like i didn't drink a drop....which probably contributes to why i drink the amounts that i do. i am a boredom and social drinker (i.e,. i don't need it to sleep...i am a lifelong insomniac and need very little sleep all my life anyway *shrug*). so if i am busy doing stuff during waking hours that doesn't involve food, friends and sitting around, then i wont drink. i also have a chip on my shoulder, so often when somebody (i.e., Mr. or the Kid) challenges me that i couldn't stop drinking, I totally would just to prove him wrong. I've probably gone cold turkey 9-10 times for about a month each time in the past 5 years just to be right. Mind you, i never actually STOPPED for good, so maybe HE's right, ha. As for my current state of health, I am probably in the best shape in my adult life. I have maintained below goal weight since reaching it at 7 months post op. I am 5'2", 52 yr old woman, and this morning weighed 115.8 lbs. My body fat percentage hovers between 18-20% All my labs since surgery have been satisfactory, the last one being last fall. I don't take any medication any more (i used to take blood pressure and cholesterol and adhd meds). but I do have to take pesky PPIs i continue to need to keep my reflux under control. I have endless amounts of energy, bad moods and bitchiness are a rarity now, i am patient, calm, less stressed since losing the weight. I exercise (yoga, pilates, running, rock climbing) 20+ hours a week. I also dabble with swimming, hiking, volleyball, and dance for funsies. I consume over 2300+ calories a day so i'm definitely not starving myself (mind you, 400-500 cals are from alcohol...) soooo....sometimes i feel like i SHOULD worry about the amount of alcohol i drink, but really, if i'm honest, i don't, really. but if/when i do i feel like its becoming a problem, I can re-evaluate then (though this probably sounds like the alcoholic's battle-cry, no? ha!) p.s. may be worth noting here (not sure why) that i am also an ex-smoker at the moment. i smoked for 20 years, then quit cold-turkey for 10 yrs, then took it up again for 4 years, then quit cold turkey again last summer (am currently 14 months smoke free this time around, yay, me!). p.p.s. DISCLAIMER: i am in no way advocating nor opposing my M.O. to drinking to anyone who reads this. I am merely describing my own experiences. take or leave from it what you will ❤️ ...and scene. lol.

Ugh. Getting back on track after vacation is harder than I thought it would be. I have no desire to cook and I'm craving snacks and sweets like crazy because I know they're in the house. I had done a thorough job of getting all the snacks and candy out of the cupboards leading up to surgery, but with the kids home all day for the summer, I've bought some things for them, and we also brought home stuff from our trip. Resisting the temptation when it's just in the next room while I'm working is HARD, especially because having a snack was often the way I would deal with avoiding a project for work that I didn't want to do (I work from home). Add on top of that the beginning of hunger returning and an increase in how much I can comfortably eat in one sitting and it's a battle. Plus the weather has been miserably hot so if I don't get out to walk first thing in the morning, it's not happening. Needless to say, my weight has bounced up a pound this week. So frustrated!

Its crazy how different every Dr is. Mine tells me the same things to strive for. 3 meals plus a snack no more than 4oz or 1/2 cup. But she 100% understands that I just can not physically do it yet at 2 month post op. So she absolutely tells me to supplement with shakes because it is more important to “try” to get to these guidelines while maintaining my protein intake for the health of my body. Right now she says is the time to take advantage of the weight loss, to try all the foods I can tolerate so I can build that healthy diet. But telling my I am not allowed to supplement will only discourage me and make me feel like a failure. She said these are your goals, and every day you work to make it to these goals. But 3 priorities over everything. Water Protein vitamins…..

Hi everyone My surgery date is 4/30 so close enough to join the May group 🤣 1. I am excited to start this journey! I do have anxiety as well because I had a procedure done years ago that didn't work well. I had a lap band done back in 2005 with NO SUCCESS. The band was nothing but a problem. It flipped twice and the port moved so all of the saline was removed, and it's just been hanging out with me ever since. 2. For my hospital bag, I plan on wearing the same comfy clothes home that I wore in. I'm bring my crocs, chapstick, a long phone charger, a couple protein shakes because I was told by my surgeon that their options were not the greatest, and a heating pad. 3. I am excited to finally get some of this weight off of me!! I have lost the 60lbs (and gained the same 60lbs) since 5th grade, I swear. My son is 14 and I'm excited to be able to finally ride amusement park rides with him. We got this!!