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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.

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!

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.

I don't know how much this will help. My highest weight presleeve was 283 pounds(p) in 2014. When I got to the table, my weight was 243p. My lowest weight postsleeve was 181p. 2017 started gaining weight and really bad GERD. It took until 09/25/2023 to have revision. I am now GERD free and losing weight. I have no regrets. Fight for your health like your life depends on it, and that's what I did. Yes, sleeve to bypass. Sent from my SM-G996U1 using BariatricPal mobile app

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!

I'm 6'1 and my weight pre-op was at 265 at my heaviest. I am 6-month post-op and sitting at 175lbs.

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

Its been a few months...Lets get some Updates on your Recovery and weight loss!

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!

From my understanding from all I have seen from others post op Weightloss is slow at first. You have gas weight from the anesthesia they pump into ya. The pre op is to reduce your liver out of the dr way so he has more room in there. My understanding is that you are feeling normal with the “WTH did I do “ feeling. Also once the weight does start coming off you might hit a stall. This too from my understanding is normal. Just keep moving forward. It will all come into place just slowly. you might even hit a point you gain a little. Don’t be scared or discouraged just stay on plan and give the number on the scale a break. Just record it and you will see it start to move in the right direction. The best thing to do is weigh your self the same day every week. Starting with today. Then wait and see how you are next week. Go by your scale and don’t sweat the dr scale they are always higher. (You have to remember you have on clothes, the time of day matters and other variables). That is why I track my scale, butt naked same day and time every week. That is how you will see the best effects (up or down).

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?

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!

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.

as long as you're sticking to your plan, then it's likely fluid retention (have you been eating more salty things lately?) - or hormonal stuff - or full intestines. A 5.5 lb true gain would mean you've eaten 19,200 extra calories this past week above and beyond what your body needs. So that means an extra 2700-ish calories a day - on top of whatever calories your body needs. If your normal intake is about 1200 kcal, that would mean you're averaging 3900 kcal/day. I'm betting not. I'd say it's likely fluid - or poop.

Near the top menu bar there's a circle with your avatar, username, and a down arrow. Click the down arrow. Look down past the content area to the settings section. If you select "my surgery" from this list, you can update your dates, weight, goals, etc. If you select "my tickers" you can create a ticker to count down to your surgery date or to track your weight loss. To get the ticker you make to show up in your signature, you have to select that option (I think it's in the last step) as the default is for it not to show up. There is also html code if you want to add it to a blog or something similar.

Update: Gastric Bypass Date 8/16/2023 Starting weight 376 Current 270 Down 106 pounds. My heaviest was 387. Current 270 Down 117 pounds

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!!!!

@AndreaJD Yea. I woke up with an abdominal binder after surgery and I had to go home with meds too after my sleeve. The binder is just a fabric thing that Velcro’s around you. Warning. Once you take it off. You will most likely need someone else to help you get it back on as snug as them had it if your still in pain. I didn’t really want mine back on though. They told me it was just a matter of personal preference whether I wore it. The meds I went home with were a PPI and pain meds of course and it seems like I got an antibiotic too.this time they told me I will also be on something that is supposed to prevent the hall stones that are common with quick weight loss. Omg. The before pictures. I need to have my husband take them too. I am the same way with photos. I see an entirely different person 😩. If you can, take pictures like every month or so and look at them side by side. It can be just as hard to see the loss iN the mirror but side by side photos really help to see them. Measurements help too, anything to keep you motivated when the scale doesn’t move for a few days and you’re getting discouraged. Ooh yea. The spirometer. I had one too @Greekmom4 after my sleeve. It’s just a little device you blow into that has a little ball or something to let you know you hard you are blowing that you try to get to a certain place and keep trying to get it higher for anyone who’s never had one.

i often brought the following on road trips/vacays during weight loss phase: - beef jerky - frozen grapes and blueberries (if u bringing a cooler) - chicharron/pork rinds (if your calorie goals allow it) - protein powder

Hi everyone! Just got my surgery date of August 12th. Suddenly it's all so real. So it looks like we'll all be surgery buddies!! I am really excited, scared, hopeful, and anxious. But at this point, I just want it done. I started my liver shrink diet yesterday. It's going great except that protein shakes really don't agree with me. I found one that is not so bad, but when you're drinking 3 a day (that was my doctor's minimum) it's a lot. My husband is super supportive although he doesn't like the idea of me having this surgery because he doesn't understand why I can't just lose weight and keep it off. (I bet you all do, though!) The good news is that he is a great guy and he's been with me every step, which is good because he's the cook at our house. I had my pre-anesthesia call today and I have my last appointment before surgery with the Physician's Assistant on Friday. Two weeks to go from today. I have done a lot of things to get ready. Since I work from home, I got a treadmill and an adjustable desk, so I can get up and walk on my treadmill during meetings. My goal is to walk 30 minutes 3 times a day (I'm up to 2 mph so that's 3 treadmill miles, although I know it's easier to walk on a treadmill than on the street). I don't always get 3 in, but it's SO much more exercise than I have gotten in years. I want to be in the best shape I can for surgery and recovery. I also got a bullet blender, tiny silverware, an electronic food scale, new measuring cups and spoons, and tiny storage containers to put pre-measured portions in so I can grab n' go. (Amazon makes it TOO easy to spend money!) I have read The Big Book on Gastric Bypass and I got several bariatric cookbooks so I can plan meals that meet the post-op requirements. I think the biggest part of all this for me is the idea of eating differently for the rest of my life. I have failed SO many diets (or they've failed me...) that it's really difficult to think I will really be able to lose my excess weight for good. I know that it is all up to me, and I am really hoping that having a tiny stomach and the new, shorter path for food digestion will be the key I've been looking for. I think it will be, because if I have a reason why I must eat small portions of nutritious foods and cannot eat sugar, that will make it much easier. Before, I could always say, "Oh, screw it, I'll just try again tomorrow" and give in to "mind hunger". That is why, like many of you have said, I will definitely need your support, and the support of my surgeon's clinic, to be successful in the long run. Thank you all for sharing your experiences and may we all be celebrating our successes together soon!

It can definitely feel intimidating. As someone who would categorize myself as a "gym girly" now I will tell you that not one person in that gym started where they are now. They all were beginners at one point, they all fumbled to figure out the equipment, they all made mistakes. Heck I still drop weights, forget how to move stuff, etc. Also, most of us are so focused on what we are doing that we aren't paying attention to those around us. I will also say that most gym people love helping people. We love talking about fitness and sharing knowledge and I am sure many people at your gym would be happy to help you out. A lot of gyms also now have the QR codes on the machines that show you how to use them and some gyms like crunch and planet fitness have preset workouts on the app that you can walk through. My next BIG thing though is going to be about safety. Your diet pre-op sounds VERY calories restrictive and chances are you're not going to have a lot of excess energy for activity at that low of a calorie intake. So many sure you feel up to it. If you feel tried, lethargic, dizzy, have a headache, etc. I wouldn't do a workout. Your body is trying to just function at that stage and might not be up to the excess activity just yet. I am really into post bariatric fitness and just got my certificate in nutrition health and wellness. Reach out anytime on IG @ anastacia_bari_life

You are doing so well and have many more months of weight loss in front of you. As a smaller person you will lose slower I lost weight for almost 2 years and then got to a size I was happy with. I increased my calories from 1200 to 1500 a day to find my maintenance calories. I don't do very much exercise but if I did then I would be able to eat more.

When I was still losing & exceeding my goal, my surgeon said he thought I’d lost enough & needed to up my intake. I said I’m not deliberately trying to lose more but I could only eat what I could eat at that time & I thought the extra loss would help if I did have a regain - some wriggle room. Of course I kept losing & they stopped commenting as my surgeon & his colleague realised I was actually more finely built & my weight was okay. They prefer me to be a little more than I am currently (more 50kg) but I weigh what I weigh. I slowly started adding snacks to my intake to slow my loss as I was able. In time though I was able to eat more for a meal so I reduced my snacks until I found that balance/sweet spot to maintain. I’ll always need to snack because I generally eat pretty cleanly & therefore lower calories. Over time I’ve worked out what foods I’m better off avoiding & what foods I can only have occasionally. I’m not a calorie counter or food tracker but do random checks - it works for me. Watching what I eat & being aware of portion sizes will be a lifelong behaviour. As others have said it wouldn’t take much to start down the weight gain path. To me it comes down to what weight you feel most comfortable at, is easy to maintain & working out a way of eating to support that weight that is sustainable & doesn't restrict or affect your life/lifestyle. All the best.

There are a few ancients on here. I was 62. I had a few issues with the surgery early on. My scars always swell and my internal stitch line was no different. It took a while for the swelling to go down so that I could eat again. I lost slow but continually for two years until I had found a weight that pleased me. I then increased my calories to stabilise and its working. I have massive amounts of loose skin. At my age the elasticity went years ago. This seems to be the only issue for older patients.