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Congratulations on the surgery and improving your health! Sounds like you are doing well! Just a heads up, you're approaching the dreaded Week 3 Stall, as its known, but don't get discouraged. Everyone hits a wall for about 2-4 weeks around that point, but that's just your body recalibrating itself to deal with the rapid weight loss. It will retain water and try to hold on to fat because its panicking from sudden change. Keep the same diet and stay the course, and it will release that fat once it realizes its safe. Expect the same temporary plateau around the Month #3 and Month #6 marks as well. Our body has to readjust periodically. Weight loss will resemble stair steps, with a brief regain of a kg or two before resuming loss, instead of a straight downward line. Just remember it's normal when that happens! You're doing great!

Agreed! We all have a baseline weight from parts of our body that just have to be there (bones, organs, skin, etc). On top of that is muscle (good weight) and fat (we need a little of this, but excess fat is what we're fighting here). That's why tracking percentage weight loss is more important as we get closer to our goals. An example I was given, just using big/easy round numbers, is pretend your start weight is 300 and your goal is 200. That means you would have 100 pounds of excess weight to lose, and the 200 is your base weight your body needs to survive (again, just using easy numbers here, not an actual guide) So if starting at 300, and you lose 50 out of the 100 excess lbs, that's a 50% loss. After that, you're starting at 250lb over the 200lb goal. To lose 50% of that (25lb), you would have to put in the equivalent amount of effort that helped you lose the previous weight, because its 50% of excess. This is why it feels like we have diminishing returns on our work. 25lb total loss at this stage feels like its not much, but its still a 50% excess weight loss! That's why weight loss slows as we get near the goal. Our metabolism readjusts because if we kept losing at that original weight, it would put our body into shock since it can't adjust that quickly. Just expect it to slow down and taper off, but track that percentage rather than actual pounds. One more thing, as you put on more muscle, that will likely keep you from hitting the exact goal if it is too low. Muscle weights in excess of 1.5x as much as fat per volume. If you go to the gym now when you previously didn't, you will gain more muscle weight, which is a good thing. The more muscle, the higher your baseline metabolism, which burns the excess fat off quicker and keeps it off. The scale doesn't tell you everything. You're doing great, keep up the good work!

Great information! I will ask again since surgery was delayed for 2 months. I was concerned about certain limitations with other procedures with medications I take and other negative side effects. Back in 2008 I was so opposed to even the band at that time and wanted the least evasive procedure. I will do a little more research and ask, I do have some time due to having 2 procedures, (1) Removal and heal (2) ? sleeve, SADI, GB etc. To be honest if I loss 100lbs I will be so happy and just pray I can keep it off, it's a realistic number and my doctor agrees. Of course we all want to be at ideal weight but to loss 100lbs off my knees would be great. I'm 59 and 6'1 so I can live with that number. Thanks so much.

I am almost one year out from VSG. I am down 100ish pounds and am hovering around 225. My goal is 170-180. I, too, am struggling with continued weight loss. I feel hungry all the time. It's probably a lot of head hunger, I've been told, but I am almost never satiated. Uughh. The guilt when I go over my daily calories kills me. 🙃 My one year appointment is coming up soon and I'm afraid I will weigh about the same as my previous appointment. You aren't alone. Just keep going. Maybe change up your diet a little bit. Maybe increase cals? In my case, I feel like my body is happy with my current weight, but I'm not, so its a struggle from here on out. Lol.

I am almost one year out from VSG. I am down 100ish pounds and am hovering around 225. My goal is 170-180. I, too, am struggling with continued weight loss. I feel hungry all the time. It's probably a lot of head hunger, I've been told, but I am almost never satiated. Uughh. The guilt when I go over my daily calories kills me. 🙃 My one year appointment is coming up soon and I'm afraid I will weigh about the same as my previous appointment. You aren't alone. Just keep going. Maybe change up your diet a little bit. Maybe increase cals? In my case, I feel like my body is happy with my current weight, but I'm not, so its a struggle from here on out. Lol.

hiya! and congrats on the weight loss and 18 year maintenance! thats awesome to your questions: (1) can't really comment for U.S. surgeon recommendations as i'm up in Canada and had mine done up here. though sometimes when i read U.S. prices posted on here, it seems like prices up here are cheaper than the U.S., and its in Canadian dollars so thats like monopoly money for you guys. 🤷🏻‍♀️ (2) I had a breast lift in 2019 no implant nor fat transfer (a had an arm lift and tummy tuck as well...all 3 in one shot) and i actually stayed the same bra size before and after surgery...the bras just fit differently on my lifted boobs. I technically should be wearing a 28D (my torso circumference is on the small side of normal), but since 28D is like finding a unicorn in the stores, i mostly have 30Cs in my closet. so while the bra size remained the same, i fill them out better now....i used to just stuff all my boob material in the cup of a full coverage bra. Now, i can wear those demi-cup style bras without looking like im carrying two bowls of jiggly pudding on my chest ahhahahha. And i can wear those triangle bikini tops and NOT look like i'm spilling out the sides NOR do i have the separated-elongated cleavage look anymore, if that description makes sense. AND i can go commando and not wear a bra at all and still remain relatively perky. good luck! ❤️ p.s. i'm curious as to the reasons why you are not pleased with your thigh lift?

That makes so much sense! I kept comparing to other people’s weight loss per week and I am along myself down. But with their percentage calculation it is a much better way!

hiya! i remember you from a post about a year ago I remember you were concerned about the number on the scale back then and were resolved to take measurements vs weighing since you are a body builder...did you end up keeping records? you didn't mention in this post what your current weight is, but at 5'6" (assuming age 25 and weight of 266lbs) your current calorie intake is well below your BMR, even if you sat on your couch the entire day...which you aren't. so if your calorie count is indeed accurate, its not an issue with your intake. besides the number on the scale, how do you FEEL? joints better? sleep better? move better? less winded? off any meds? pull out the measuring tape and compare from your measurements last year...like a poster suggested a year ago, as a body builder, the tape will tell you the truth more than the scale will. have you taken pics of yourself this past year? can you see a diff? i know its difficult, but really try not to go down any shame spirals, stress is not a friend of health and weight loss. ask your team for advice and guidance during your appt next week. good luck! ❤️

I was 118kg back then till 27th Jan 2024. 10 days prior to my surgery, the liquid diet plan was quite challenging but managed well. I lost 5kg at Day 10... I was discharged from the hospital 26hrs later as 12hrs after surgery i started to walk with the support of my wife. Im on support of Multi-vitamins, Calcium Citrate + D3, blood thinning injection for 1 month, and Gastric medicine for 2 months. All vitamins or medications need to be crushed from solid pills to compound or powder base before consuming. This has to be for only the first 1 month of post surgery. Being just on liquid diet, plain water for the first 2 days, 3rd & 4th day took young coconut water, 5th till 7th day took sieved apple orange beetroot carrot & celery juice (200ml every 2 hourly) and by end of Week 1 post surgery, i lost another 6kg. Week 2 post surgery, continued with liquid diet by consuming protein milk shake 100ml at 8am, 10am, 12pm, 2pm, and 6pm. At 8pm and 10pm i take same sieved juices 100ml only. By end of Week 2, i lost another 6kg. However, this is my Week 3 post surgery, continued with liquid diet by consuming protein milk shake 150ml at 8am, 10am, 8pm and 10pm. At 12pm and 6pm i boiled small piece of cabbage and cauliflower, then i air-fry a small piece of chicken breast with 4 small slices of egg-tofu. Total weight of my lunch(12pm) or dinner(6pm) meal is within 80 to 100 grams only. This will be the diet for my Week 3 & 4. I weigh myself on a weekly basis. So let’s see by next week how much i lose again…😁😁😁

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?

Oh yes the hunger returns. It was around a year for me too. Think you’ll find developing a better eating routine helpful with more complete meals. Ensure you’re including some vegetables or other food group with every meal. Will help ensure you’re meeting all your nutritional goals too. Maybe find a dietician to help with meal planning & menu ideas. They’re way more qualified than a nutritionalist. I know it’s easy to grab a few nuts & jerky for a meal but each are really just snacks. And I’ll put my hand up, I was guilty of grabbing a chicken tender I’d pre cooked from the freezer & reheating it for lunch while I was losing. It’s likely why you feeling hungry after you’ve eaten. Differentiating between head & real hunger is an important learning. Are you craving a specific food, flavour or texture? That’s head hunger. If you’ve eaten recently it’s head hunger. If you do something to distract yourself (go for a walk, water your plants, read, phone a friend, craft, check social media) & the hunger decreases it as head hunger. If you have a warm drink (like tea) & the hunger decreases again it’s head hunger. If your tummy is rumbling (hunger pangs) that’s usually head hunger too. Real hunger feels vey different to me. I feel restless like something is wrong. Don’t crave or want anything specifically. Takes a while to realise I’m hungry. And there is always a logical reason why I am hungry. I reached my goal at 6 months but lost another 11kgs in the next 11/12 months. The weight loss got slower & slower until I was losing grams a week. So don’t give up yet.

Did your surgeon discuss Gastric Bypass or the SADI or Duodenal Switch with you? With your starting weight, you might want something that gives you more than the restriction of the sleeve. Especially if you only lost 100 lbs with the band... All three of those surgeries have varying degrees of malabsorption which help you lose weight for longer and the SADI and DS are usually used in patients with a high BMI. But, not every surgeon is trained to do these surgeries. If your surgeon didn't offer them to you, I'd highly recommend finding a surgeon that will. The convo is worth it. Unfortunately I can't comment on how the sleeve feels vs the band, since I never had the band. I have a sleeved stomach (as well as rerouted small intestines) and for the most part it feels normal. Do NOT believe anyone who tells you that you won't be hungry post op. Some are lucky enough to lose their hunger for the first year, a few lose it permanently, but some of us never lose it at all. I woke up in recovery hungry and boy was I mad! LOL But my surgeon had warned me that not everyone loses hunger. The portion of the stomach that is cut out contributes to a number of hormones that can affect hunger and satiety... The rerouting of the intestines that the Gastric Bypass, SADI, and Duodenal Switch do controls a whole host of hormones too, some different than the ones in the stomach, this is why these surgeries are more effective at helping with comorbidities like diabetes and high blood pressure, and why they are a bit more effective for higher BMI patients.

There are things like miracle noodles, heart of palm noodles, and of course most of our "fullness" should come from veggies once we are a year out. Think high volume low carb veggies like lettuce, mixed greens, cabbage, cauliflower, broccoli, as well as colorful things like bell peppers, tomatoes, onions, green beans, etc... These paired with a little fat and a decent amount of protein should help you feel fuller longer. I think it is very well possible you could be experiencing true hunger. You are MUCH taller than the average woman (if you are not a woman I apologize for the assumption) and the dietary guidelines that surgeons and nutritionists hand out are usually useless if you fall outside their standard patient. If you are exercising enough to get your heart rate up for a consistent amount of time or doing weights/strength training, you could be burning a fair number of calories too. Both of these things would make me think you may have a higher caloric need, even though you are a sleeve patient, than the average sleever would. If your surgeon's nutritionist isn't interested in customizing your true caloric need given your frame, height, and activity level, you may need to have a few sessions with someone else who is trained in bariatrics and will actually help you work through this so you can stop feeling guilt when you eat more than your surgeon wants you to. Also, have you tried the Millie's sipping broths? You can get a sample pack of their flavors on Amazon for a pretty reasonable cost. They might help ease the hunger between meals until you find a dietician to talk to.

I told everyone I had the surgery. Most of my friends and family have watched me struggle for decades and have been supportive along the way, so I wanted them to be able to celebrate with me! NONE of them think I took the easy way out because I'm very transparent about how HARD this is. I wanted to be able to encourage open dialogue about the surgery and reduce the stigma around it. Even people I don't know very well have been really accepting and encouraging and curious.... It has been interesting for me to experience. Sometimes people judge us less than we think they do. I have had a hard time most of my life dealing with other people's judgments of me. But I decided a few years ago that was a THEM problem, not a ME problem. I have a few choice phrases for people who judge me to my face. Those that do it behind my back have issues and I really don't need to know about them... That said, I tend to live most of my life as an open book so people are used to it. LOL Every person's journey is their own and I support people who keep it completely secret the same way I support people who shout it from the rooftops! You do you. It is perfectly okay to keep it to yourself, it is your body. You do not owe anyone an explanation for how you've lost weight. Just smile, say thank you, and change the subject. If they keep asking you can give one of the suggestions here or just say it is something you are still working out and you don't really care to talk about it. People need to learn to respect boundaries! I may be considered rather blunt (or a b***h) by some but I try to be kind about it. It has taken me years to eradicate the people pleasing side of my personality and I don't really want her back. 🤣

Oh!! And never look at the number on the scale and compare it to others. If you really feel the need to compare, use percentages. Those at a lower weight tend to lose slower, those at a higher weight tend to lose faster. For instance, your excess weight is 50 lbs. That's the amount you want to lose. A 10 lb loss means you have lost 20% of your excess weight already in 4 weeks! That is a lot even though it doesn't look like a lot on the scale. In comparison, my surgery weight was 307. So for me, 20% is 27.4 lbs. It took me until 9 weeks post op to lose that much... So you are a bit more ahead of schedule than it feels! Percentages are a way better gauge of where your progress really is.

Your feelings are valid @Nan CC, surgery is stressful and the idea that we have done so much for so little loss in the beginning is discouraging and depressing!! I have some thoughts to share about your experiences... 1. That hunger you are experiencing is normal. It doesn't go away for everyone. I woke up in the recovery room ravenous which pissed me off because all they kept saying is I wouldn't be hungry! And I ended up more hungry than I'd been in years!! The first two months I was hungry all the time. True hunger. I think it is because the body is panicking and trying to figure out what is going on. Plus we've been lied to, that growling sound is often not hunger, but just our system digesting and moving air and fluid through our system. After surgery our internal digestive process sounds louder to us for some reason. Maybe because we are paying more attention?? I don't know. But I had true hunger constantly. One thing that will help this is a PPI (proton pump inhibitor). Our tiny tummies are still making enough acid for a normal tummy and that can irritate it as it heals. That gnawing hunger can often come from this and gets worse at night... 2. No, you aren't supposed to automatically feel full with 1/4 cup of food. A lot do, but not all by any means. The reason for this primarily is because all the nerves that communicate fullness to us were cut during surgery. It takes at least 3 full months for those to heal enough to accurately communicate again. The 1/4 cup portion size is to keep you from inadvertently overeating and stressing your healing stomach. At about 8-10 weeks you may notice you can eat more, that's because the internal swelling has gone down. By then you should be able to start gauging your fullness signals. They are often different post op and can look like sneezing, a congested or runny nose, hiccups, pressure in your breastbone, nausea, etc... By 3-4 months out you may be eating more like 1/3 to 1/2 cup of food at a time. Not everyone progresses that way, some have high restriction all the time and have to stick to smaller portions. But the key here is to start building that relationship of listening with your body and learning that the feeling of hunger does not mean you are starving. If you are eating 1/4 cup of food 5-6 times a day, you are getting enough nutrients for your stage in the process. As @AmberFLmentioned, I suggested Millie's sipping broths (you can get a sample pack of all the flavors on Amazon) they help a LOT when you want something, the warmth and savoriness can really soothe the extreme hunger until it balances out on its own. 3. Stalls are normal and can happen early and often. I lost about 15 lbs in the first 3 weeks and then proceeded to stall for 6 weeks and gain and lose the same 4 lbs!! I was horrified and really worried my surgery wasn't going to work. I lose weight VERY slowly, my body is resistant to losing, and I have diabetes and such like you, which I think makes losing hard too. This stall was normal, even though it didn't feel normal. DS patients are known for losing dramatic amounts of weight and my surgery weight was 307, there was no good reason for the stall. But my body needed to take a break and recalibrate and heal, so it did. Finally after those 6 weeks I SLOWLY started losing again. Then at the beginning of February the weight loss finally started to pick up! A lot of people lose a ton at the beginning, I didn't. Apparently my body needed 3 months before it felt safe to start dropping weight steadily... All you can do is get good movement, good sleep (sleep is crucial to weight loss), good hydration, eat every few hours, and stay off the scale for a bit...it will break when it is ready to. 4. Hunger does eventually return to normal, or whatever is normal for you... I'm almost 4 months out and mine is back to what is normal for me. I still have to eat every 3 hours, if I don't I feel drained and irritable and my weight loss slows... I drink plenty of fluids during the day, it helped with the hunger. I feel my fullness signals clearly now, I think all that healing is finally done. I just have to eat slow enough to allow those signals to get to my brain (it takes longer than you think!). Broths, milk, coffee, tea, flavored waters, all these will ease hunger pangs, but the best cure is time and learning to heal your relationship with your hunger so you can feel it and not feel stressed about it. The great thing about eating every 3 hours is the next meal is around the corner, so I can drink something and tell my system to wait until mealtime. This helps heal the insulin resistance too by allowing your body to go through the full insulin response cycle post meal. I'm sorry this feels so hard. I hope your stall breaks soon! And I hope it helps to know you are not alone. ❤️

Well, I have low energy sometimes. I'm at 225 right now. My goal is 170-180. I guess it could be some "head hunger", but I also have spells that seem to me to be hypoglycemia. Also, my stomach growls and I feel sickish. Idk. If it is "head hunger", do you have any tips for getting through it? My psych suggested sipping a warm drink when hunger hits. I'm not a warm drink fan, but have tried herbal tea a few times. I just feel like my weight is coming off so slowly now. Like a pound every 2 weeks. At this rate, I will never reach my goal. I do exercise at least 3 or 4 days a week. I try my darnedest to stay under 1200. But, there are lots of days where I go over and the guilt murders me.

How do you know you are hungry? There are lots of veggies that are good: broccoli (no cheese or sauces), cauliflower, cucumbers. What is your new weight? If you go online, what does it say you should be taking and exercising? How much water are you getting in a day? Are you sure its not head hunger vs real hunger?

I need to rant a little! I have always struggled with excess weight in my adult life. Over the years I tried Weight Watchers, Nutrisystem, Jenny Craig, my own thing, you name it. For the past 8 years I have been struggling to lose 50-60 lbs. It was extremely difficult for me to lose anything at all unless I severely limited calories - like 800, 900 per day - which I could only do with the help of prescription medicines. When I'd stop taking them the weight would come back despite that fact that I was rarely overeating, usually around 1500 calories per day. Over the years I gained and lost the same weight this way. I took Contrave, but it hyped me up so badly I couldn't stand it. I took Belviq, which worked well - I didn't care if I ate or not so it was easy to consume so few calories, but it was taken off the market. I used Qysmia, which also worked the same way. I lost 30 lbs, but I was paying out of pocket and couldn't afford it any more. One of my issues is that I lose weight VERY slowly, and it was frustrating to work so hard and lose a pound or 2 a month. After gaining all the weight back plus 10 more pounds in 2 years, I knew I could lose it again by getting back on Qysmia but I couldn't bear the thought of the "yoyo" again. I'm 67 and have diabetes and heart disease in my family, which I was afraid of developing if I didn't take and keep the weight off. I'm on blood pressure and cholesteroI meds already. I can't play with a yoyo any longer at this point in my life and so I began to consider sleeve gastrectomy. I researched and thought about it for a long time before finally having surgery 1/24/24. Yesterday it was 4 weeks since surgery. In the 1st 2 weeks I lost 10 lbs. While I hoped to lose more, this was a good result because before surgery it would have taken me about 6 months to lose 10 lbs. Victory!! Or so I thought. Since then, however, I haven't lost any weight. I've read about the 3 week stall, which I guess is what I am experiencing. I think I get it. And at the same time I am enormously frustrated and sometimes find myself thinking that I made this drastic and permanent change in my life only to have the same result - consuming very little calorically and the weight just not coming off. Except now I'm consuming even fewer calories (still on purees). And on top of that, I am hungry almost all day. After breakfast, I wait 15 minutes and start on water/fluids again. Fifteen minutes after that, I am hungry again. And yes, it's genuine hunger - with growling and an empty feeling. Eating 1/4 cup of food is not filling me up. I am getting usually around 70g of protein each day in what I'm eating and drinking, so it's not that. I had some wild expectations, I'll admit. My doctor gave me a goal weight that requires me to lose 50 lbs. (60 for a "stretch" goal). I (crazily) thought that it would take about 2 months to lose that much. I've since realized that with relatively little to lose it will go slower, but geez! For who knows what reason, I also thought I would hardly ever be hungry. Five days post op, natural hunger returned. I was mad! And surprised, but I relied on this forum and learned that hunger was still normal. I thought once I could actually eat something it would be more like "normal" hunger - like before surgery - when it was about time to eat. Instead I find that I am often just hungry all day (usually worse at night) and the amount I'm eating isn't enough. I eat the recommended 2 oz of food and I never feel full, but I stop because that is the recommended amount. The instructions I've been given have implied that this should be more than enough to fill me at this point and that I might not even be able to finish that much, but it hasn't been the case for me. In 30 minutes or so, it's like I didn't eat anything and I'm hungry again. Of course I realize that a lot of my problem is my unrealistic expectations. But sometimes I do feel frustrated that I did this drastic thing only to have nothing change - I still can't lost weight. Mostly, reason prevails and I know that sooner or later the weight has got to come off. Reason is reassuring for the mental issue I have here, but reason does nothing to help the hunger. Ok, rant over. Does anyone have experience like this? Very slow loss and constant hunger? Does the weight loss pick up? How long does the 3 week stall last? Does the hunger ever return to normal? Help!!

That's what made me nervous, too. People don't understand that the surgery doesn't make you lose weight, but that it's all the work you put in after.

I have zero help or info for you but Massive congratulations on the weight loss and your pregnancy.

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!

Hey! Very very new here however not new to the band! (Banded Oct 2022) when I first had it fitted I lost most of the weight I wanted to. Took a good couple of months and 1 fill of 1ml (taking me from 5.5-6.5ml in a 10ml band) I was happy. The weight was coming off, people were noticing, I felt better in my body (less weight to carry around and I felt loads more confident in my appearance too!) over the summer months I really struggled to eat anything with the weather being hot I put a lot of it down to that.. I had 0.5ml removed taking me down to 6ml in total. During winter I debated having some back in but figured with Christmas approaching I wasn’t overly concerned with my weight. I stepped on the scales a few week back and realised I’d regained a whole stone. So I booked in for a fill. I only had 0.25 put in 6.25 total) and I’ve realised very quickly that I literally cannot eat anything!! I can have two bites of a sausage and be done because anymore I’m at the toilet with regurgitation! :( this obviously is not healthy and so far my weight has stalled but I don’t know what to do for the best as if I have some removed, I’m going back to weight gain… can anybody offer any advice on what is the best thing to do?

Wow congratulations on the massive weight loss! Sorry to hear that you’ve had such difficulties getting there though, my heart goes out to you. I haven’t had any complications from the procedure, but my poo situation did change dramatically. I used to eat a ton of veggies and fruit, and had bowel movements 2-3 times daily on average before the operation. Obviously afterwards my diet had to focus on protein, so I lost most of the fibre in my diet. As I was taking Metformin, my stool was very soft and I didn’t notice at all until my Dr said I didn’t have to take it anymore (which was great), but then I quickly realised that I was constipated all the time. I started experimenting with different fibre supplements, and I’ve found a regime that works with my body. Nowhere near the problems you’ve experienced, but boy was it awful! I've lost 25kg/55pounds so far, and I’m definitely plateauing. Not sure if I’ll lose more, but my Dr is very happy and so am I. I’m walking every day and not calorie counting anymore as I have a good routine going. Hope you solve all your problems! Always around if you need any support or help!

I haven't told anyone -- even my family -- that I got surgery. It's none of their business, and people can be really ignorant and judgmental about WLS, and I don't want to debate about it. Sometimes when someone says, "Wow, you look great!" you can divert the conversation away from weight loss just by saying, "Thanks! So do you! It's great to see you; how have you been?" My go-to answer when people ask me how I lost the weight is, "I made a lot of lifestyle changes..." That alone is often enough to make them lose interest because they're looking for an easy answer. If they press for more information, I'll talk about using MyFitnessPal to track my food, getting a FitBit to track my steps, waking up early to work out before work, finding healthy recipes on Pinterest, incorporating more vegetables into my meals, using grocery delivery to avoid temptation, etc. Which is all true. I'm 3.5 years post-op, and over time, the surgery itself is less of a factor and the "lifestyle changes" (I used to hate that term, but that's what it is) are what matter. Nowadays, weight loss drugs like Ozempic are pretty socially accepted, more so than surgery. I would be more willing to admit to using Ozempic than getting WLS, except that I haven't used weight loss drugs and I wouldn't lie to say I did (and wouldn't want to have to answer questions about side effects, cost, etc. that would probably follow). But since weight loss drugs are so common, people might just assume.