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I was worried about losing too much weight too The thing is that they can suggest changes all they want but we already know how we are supposed to eat. If we could do it we wouldn’t be where we are now. Chances are you are not going to be able to stick to any diet for a full six months. I know I couldn’t. Also, the surgeries are known to help with sleep apnea and GERD depending on which one the dr feels is appropriate for you. I can’t imagine that being a reason to disqualify you. I have heard of a lot of people getting a hernia repair done at the same time as their surgery.

I got pregnant with pcos, but that was way WAY before I ever thought about weight loss surgery, so I can't help you with any of your questions, really. I had so many losses that I had to do treatments to get pregnant with my daughter (got pregnant with my son naturally). Never was able to get pregnant again after my daughter, and I just recently had a total hysterectomy (including ovaries) now that I've lost all the weight I want to lose after my surgery, so I won't be having more babies. I second what @ShoppGirl said...posting on 1 or 2 existing pregnancy and pcos threads is definitely the way to go to hopefully get some answers.

I don't know how other programs do it, but my 6 months of supervised diet was basically just a logbook of what I was eating, when, how much. My team didn't have me on any restrictions until 2 weeks before the scheduled surgery. They certainly followed up with me consistently, but it was more to suggest how I could adjust my food after the surgery -- ie, "I see you had 2 cups oatmeal for breakfast! After the surgery, you'll probably start at half a cup and go from there, you'll want to make it with either a higher protein milk like fairlife or even a protein shake, you'll want to use thicker oats rather than instant or minute-oats," etc I did lose about 20 lbs total pre-op -- just because having to measure my food made me more aware of how much I was eating. I don't want this to come off the wrong way, but I don't think losing too much weight before the surgery will be an issue for you -- or for most people approaching it as an option. If your BMI is high enough to qualify you starting the program, it's highly unlikely you'll be able to lose enough on your own to drop your BMI to a point that it would disqualify you. (I'm not saying it's impossible! But most people turn to WLS as a last resort after so many other methods have failed -- if we could successfully lose a big chunk of weight by ourselves just by being on a supervised diet, we would have done it without turning to WLS.)

Now that I'm 2 years out from my sleeve and 1 year out from my revision to bypass, I can tell you that I eat around 1200 calories per day when I'm not working out and 1400 - 1500 per day when I'm working out (depending on the type of work out I'm doing). I'm on my feet all day at work, so I increased my daily calories from what they were before. Same with my work outs. I can't work out as often now, so I go harder than I used to on the days I can actually work out (now that I have full medical clearance with no restrictions). I noticed pretty early on that if I didn't eat enough calories during the day, but was still working out, my body thought it was starving and it would hold on to every single thing. As hard as it was to wrap my brain around, I took the advice I saw on here and increased my calories on work out days by a couple of hundred each day and I actually started losing again!!! I was floored!!! So as I increased intensity of my work outs, or increased the weight I was lifting, I increased my calories a bit. I didn't go crazy, but enough to let my body know it's still healthy and not starving. BUT....I had to initially give myself grace and time to be able to increase calories. Work outs or not, I had to do it on my body's timeline, not a doctor or nutritionist's. No way could I have been at 900 or 1000 calories at 2 or 3 or 4 or 5 months. There just was no way. And honestly, mine didn't expect that. They didn't want to see us above 700 calories before 5 months post op. I had JUST hit 900 calories at 7 months post op. I'm actually thinking about increasing my calories a little again, because I'm still losing, and I'm nearly 10 pounds under my goal weight, and I really would like to start maintaining lol If I drop to 179, I will definitely increase my calories by 100 everyday and see what happens.

when i first started getting the "you are too skinny" comments, i was annoyed...because i was still considered overweight for my height and i thought the people saying this to me were blind. or stupid. then i started to feel secretly good about it, cuz i felt i looked great and was super proud of my weight loss and thought people saying this were just jealous. or stupid. THEN i started to doubt myself and be self-conscious about my looks as i began to take these people's comments to heart. i thought these people were mean. or just well-meaning (this was the worst stage...luckily this phase didn't last long...maybe a couple months). after a little more time, the comments began to just get boring. i finally knew i looked and felt awesome. so those people went back to being stupid. now, no one makes any comments at all (despite me weighing LESS now than when all their "concern" started showing up). almost all the people that knew me as fat are now used to me being skinny. others never even remember knowing me as fat. i'll be six years out in October. so long story short. eff all the people and their comments. so long as YOU feel great, you're golden. try not let others' opinions change your own good opinion of yourself. ❤️

Looking great, and I hope you enjoyed the beach! Last summer, I took my kids to an indoor water park at just around my highest ever weight. I had to buy a new suit because nothing I had fit anymore, and looking back at the pictures, oh my goodness. I even looked uncomfortable. We went again a few weeks ago, and I was 4 months post-op. Let's just say that thankfully, the suit from last year went straight to the giveaway bag, and I had to order a new one because even my "skinny" suit from a few years before was a bit roomy. I ordered two new ones and ended up with one that is perfect and one that was a bit tight, but I'm hoping it will fit me well in a few more months. Such a great feeling, and going on the water slides was so much more fun this time than 60 lbs ago, for sure.

That's so smart - I have been trying to get my house in order this week, too - this sounds like great motivation to me because I TOTALLY would be doing the same thing; you're right - going crazy about everything I see that needs done at the worst possible time to deal with it! I hope your EKG is good as well! I'm sure it will be *crosses fingers* I go in on Monday for my Pre-Admission Testing; I'm not sure if they'll do an EKG or not but I'm glad you mentioned it! I was just reviewing my paperwork and it says that "You will have non-fasting labs drawn at this appt. and may have other testing done." so I guess it's possible; I hadn't even thought of it. I'm sure they mentioned it and I lost it in the overwhelming amount of information I've been trying to process. It really is a LOT to keep track of. I lucked into hearing about that app I mentioned, Finch, from another friend who also had WLS. (Weight Loss Surgery - it took me an embarrassing amount of time to figure out that abbreviation! ) She had the sleeve, and another friend of mine had the Roux-y about a year and a half ago done by the same surgeon I'm using. I've watched her recovery, and it's been rocky. I think doing a 'virgin SADI' as you called it will be way better for me. She's already got an ulcer due to continuing to use NSAIDs and drinking way too much coffee. She also went back to smoking cigarettes. It's been quite the motivator to do this right, I'll say that much! I start Colace and the Liquid Diet on 7/29, so we'll be on about the same track! I've got the one week pre-op diet, and then surgery on Aug. 5th as long as I get the insurance and other clearance! Best of luck!

Oh I’m so excited for you to have gotten your authorization. I asked my Dr yesterday about the Colace since I was there and he say I could go ahead and start it too. I don’t remember constipation being an issue last time but maybe it’s something in the protein shakes that can cause it when you have so many in the day? If you mean your bariatric vitamin I would definitely call. My book says to START them with the LSD. I’m obviously already on them because I had the sleeve but the book is for the general audience who hasn’t been on them for years. 😆 OMG the pincushion thing happens to me too. I wonder if our veins are harder to see because of our weight and that will get better. I have started to actually get a little anxious when I go because it’s always such an ordeal. They usually do a butterfly needle in my hand and then the girl always complains because it just dripping and sticks me again. This time I was like idk how long it takes veins to recover but I have surgery soon and they are gonna need a vein so please let it drip. It will fill up eventually. A friend of mine said they always have a hard time at drs offices and she has much better luck at stand-alone labs. Kinda makes sense since they do nothing but draw blood all day whereas a nurse only does it when a patient needs it. I assume you are allowed protein shakes. If so take your meds immediately as you finish one of those. I take my bariatric multi that way and it makes me nauseated without enough in my stomach but with a FULL shake I am fine. I tried to get in a hurry one time and took it when I had only finished half so I could get out the door and it came right back up but I have taken it forever with the full one and it’s fine. The protein in the shakes is actually quite satiating physically. It’s the head hunger that will get you and the jello does help with that. So do the sugar free popsicles if you are allowed those. It just feels good to sorta chew after a while. As long as you are conscious of the fact that you may be a little testy because of your diet you should be okay. You could tell your family ahead of time to tell you if they feel like you are not yourself if you think that would help. I am on day two and as long as I keep busy it’s really not THAT bad. Now ask me Again on day 16 and it may be a different story.

I didn’t loose any weight with the liquid diet because I had already been following the bariatric plan for a whole year before the surgery so my body was used to being calorie restricted. The salt levels sound kind of high… like others have said. Don’t be surprised if you gain weight while in hospital because the IV fluids are full of salt too. Just keep drinking water and it will come off. Best of luck with your recovery!

that's not why some insurance policies require a six-month supervised diet. They require it because they want to see if you're able to stick to a diet long-term, because they don't want to fork over thousands of dollars for patients to have an elective surgery only to blow it big time by not following their clinic's plan. On top of that, some surgeons require that you lose a certain number of pounds before they'll let you have surgery. I lost 56 lbs on my six-month supervised diet, and no way were they going to tell me I couldn't have surgery because I could obviously "do it on my own" (and honestly, fewer than 5% of people who lose a lot of weight can maintain it for more than a few months. Bariatric surgeons are well aware of this fact)

You are having a head moment. You know that you are doing everything right but your head is saying WHAAAT ! TF ! Just breathe for a moment and think. There are a few things to consider and you probably know this, Its a stall, Its water retention, you are over doing things and your body says no way or you have eaten salty foods. You have gained the pounds and you need to stay away from the scales for a few days/ a week. Its a tough ask I know, I am the worst at it. Watching the scale will screw with your mind. Keep to your plan and it will work its way right.

I was in the same spot you are up until last week. I stopped losing at 7 months, gained a few pounds and watched the same 2-3 pounds up and down for three months! Then, at 10.5 months lost 8 lbs in a week. I completely understand your frustration. I'm keeping my fingers crossed that I continue to lose now. Its very frustrating! Have you gone to your dietician or surgeon and at least confirm all is well? I did and even talked to the clinic psychologist (I was becoming angry about it). Just know it will eventually break, I know hearing/reading this doesn't help like losing pounds does but... But you'll start losing again.

Hello! I had the sleeve gastrectomy 9.5 months ago. I've been working on exercising and eating right, but I've been in a bit of a stall these past 5 weeks. I went down from 290 to 170 pounds, but I've been stuck at 170 for 5 weeks. I've been eating 1200-1500 calories a day and still not losing weight. I've done some research, and apparently, your body adjusts to low calories after a while of eating at that rate. At the beginning of my post-op phase, there were some complications on my end. I didn't eat ANYTHING for two months straight, not even protein shakes, and I was only hitting about 20oz of water daily (which landed me in the ER, but I'm fine now lol). I've looked online, and it says for my height, age, and weight, a good maintenance level would be 2100 calories. I'm eating well under that in a deficit and heavy weight lifting, so I don't know why my body won't drop anything. I'm worried that my body adjusted to the 0-calorie few months I had, then the 500-1000 calories three months after that. I've only started hitting my 1200-1500 calories in March when I joined the gym. I know the stall is not due to "muscle gain" because I'm not eating in a surplus, and I'm only eating 65-80 grams of protein in hopes of simply maintaining while I drop fat. I also read online that apparently people who go through rapid weight loss have even lower calorie maintenance than the average person, and that makes sense, but surely it cannot be under 1200, right? The majority of bodies need 1500 to operate. I'm so confused! When I ask my surgeon about calories, he says not to worry about them and eat healthy, which I'm doing. It's just frustrating because I want to work on building muscle, but I want to lose some more fat before that. I guess my question is, does anyone know anything about calories after surgery, and/or how many calories are you eating after surgery to help lose weight?

They may still consider you for the sleeve even with GERD. It’s gets super complicated and I don’t understand how he knew exactly what was causing what but I have MILD GERD post sleeve and I take only 20mg Omeprazole which controls it. The surgeon said if I wanted to revise to bypass I was good to go but if I wanted to revise to SADI that he had to do some tests first. He did a Endoscopy which found a hiatal hernia but because of my sleeved stomach he wasn’t able to turn the camera to get a good angle to determine the exact size of it. He then ordered an upper GI (I think that’s what he called it, but some call it a barium swallow test) and also a gastric emptying study). Then when he had all the results he said that the hernia is very small and he wouldn’t even repair it. Anyways, i will still have to be on PPI’S but he thinks they should control the GERD after the SADI. Many people choose the bypass so they don’t have to take the PPI’s again or if it’s so bad that PPI’s don’t always work but being able to take the occasional NSAID and the better weight loss statistics made me choose the SADI over the bypass anyways. That being said, just be aware going in that there is a percentage of people who need a revision post sleeve because they have inadequate weight loss or regain by like 3 years out. Your surgeon should go over all that with you. I have seen a few people on here say their insurance does not cover revision surgery so that’s something to consider when you make your decision. I hope I didn’t add to your confusion but it is a big decision and the more info you have the better to know what to ask at that appointment with the surgeon. My surgeon did not make me decide at the first visit either. I got to ask the NP questions every month at my weigh in and then decide which surgery I wanted (for my sleeve, the process for the revision was a little different).

I do, I alternate upper body and lower body everyday for 6days. Plus cardio. I change up my weight lifting too. I am kinda thinking that I may need to cut down to 4days weight lifting and do two cardio days or 1 cardio day and 1 rest day....I did read somewhere too that we can over work out bodies and then it just stops changing...Might have to do something like that. Thank you!

Throwing my anecdotal experience in the ring here, as well! I had a Vertical Sleeve Gastrectomy (VSG) at the end of November 2023. I was a "slower loser" the whole time, and then I hit a major stall about 6 months post-op, just bouncing around the same ~5ish pounds for months. I set up an appointment with my team for July 8th, discussed the issues I was having (mainly just being hungry and therefore eating larger portions), compared the different options, and we settled on trying out Phentermine. I did have to have a mobile heart monitor for 30 days prior to my surgery, as I had these weird heart "flutters" for YEARS and nobody could really figure out what they were (they ended up being PACs, or Premature Atrial Contractions, which apparently almost everyone has at some point and most people can't feel. I'm just unlucky! They are benign if they are not occurring in excess). My team had me do an EKG in-office that day, as well. They asked about any family history of heart issues, sudden death at early ages, etc. With a normal EKG, I was started on half of a 37.5mg tablet for 4 days, to increase to a full tablet after that if there was still residual hunger and I didn't have any major side effects. They said I'd know within those first few days if it was going to cause any issues. I did increase to the full 37.5mg after 4 days, and I've broken the stall (dropped 5lbs since July 8th, and part of that was spent at a music festival with few healthy food options), and I feel generally great! I do also have ADHD and Narcolepsy, so the stimulant properties are helpful for me. I'm feeling satisfied with much smaller portions and not experiencing cravings at all. I did have some mild insomnia the first few days, BUT I am already a night owl with a bit of insomnia due to the Narcolepsy, so it wasn't a big issue. Other comorbid conditions include depression and anxiety, which I am taking medication for, as well. The anxiety has not been exacerbated, which WAS an issue I had with previous stimulant use for Narcolepsy. Cost-wise, it ended up being roughly $7 USD with insurance. For me, trying Phentermine is definitely worth it, and I will follow up with my team later next month to see where I'm at. I had feared I was done losing after only 6 months post-op, and Phentermine has restored my hope that I can keep going to get to a healthier weight. It's important to remember that, while Phentermine will decrease your appetite, it does NOT cause you to burn any more calories than normal unless you also increase your activity. You have to decrease your portions - the Phentermine just makes it easier to do that, if it works as intended. So, your personal experience may vary, but it's worth discussing with your team if you feel stuck! EDITED TO ADD: My team said that I need to take a break from using it daily about once a month (like, not take it for a couple of days), otherwise I'll develop a tolerance and it won't work as well. This is pretty typical for stimulant medications in general.

tomorrow July 10 😌 Weird because 1200 calories for the past 2 weeks and liquid diet 24 hours before the surgery. This is gonna sound nuts but I hope that my liver isn't a fat gigantic thing... so embarrassing. I had gastric sleeve back almost a decade ago and managed to regain the weight. It's the same surgeon for this gastric bypass.

I am sure you have just reached a stall period, don't let it worry you, EVERYONE has gone through it, or is going through it, as it is raised as a topic here every few days it feels like. Your body is trying to adjust to the new you, new routines etc. so even if the scale has stalled (or even goes up a bit) you may be loosing inches etc. Over the last year I have had a few stalls and it is frustrating but part of the process. It also gets harder/slower as you get closer to your natural weight as there is less to loose. When it has happened I have upped my exercise (an extra walk or longer walk, more time in the pool etc.) to try and give the body a little nudge to get loosing again not sure if it helps or not but makes me feel better. Try not to stress and just keep up the positive changes you have made. It is seriously not that long into this part of your journey.

Hmm, that is true actually! It feels as though we have skipped Summer here 😅 I shall hold off from buying anything just yet, as I am conscious of how fast the weight loss is right now! I think I am suffering a bit from imposter syndrome right now - I feel like a fraud if I were to buy smaller sizes if that makes sense! Like my body won't actually ever fit into them (which I know is insane, given that I am and have lost weight) but my brain hasn't caught up yet. I have heard nothing but good things about M&S - I may create a holiday wishlist on there! I admit I have never even worn those kinds of trousers before! But I think that was just due to me not feeling like they'd suit my shape!

Lol this made me smile. Im literally an outgoing person but lately Ive been quiet and to myself …. (Not fully seeing my weight loss like everyone else does is added to my sadness). Im trying to be patient

I've been home for a few hours now. I passed out pretty much as soon as I got home. I'm currently sipping on a Gatorade Zero, and now that I'm out of the hospital I can do a liquid diet instead of just clear liquids. So there's that, at least lol. My biggest problem is water. Doesn't matter if lukewarm or cold, straight water makes my stomach cramp. But because I am able to consume other liquids just fine, they went ahead and sent me home. The water thing is just something I'm going to have to keep working on. My other big issue was my body did the opposite of that they expected it to do in regards to my blood sugars. AKA, every time they tested, I was in the 200-300 range when they were expecting me to go down post-op. So I came home with rapid-acting insulin on a sliding scale. Hopefully soon we can discontinue that. For those of you asking about recipes, my doctor has me use the Baritastic app for my logging and tracking. It does have recipes on there as well, if you are looking to spice things up in the land of boredom. Now time to catch up on posts. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ @ShoppGirl - Amazing that they had you drink Gatorade 2 hours prior to arriving for surgery. I had to drink mine the night before, and absolutely nothing by mouth after midnight. It's wild to me how different doctors prefer their things to happen. As for taking the shots, I'm sure you are going to rock it. I struggled with the idea of giving myself shots, but over the years it just became another thing for me to put on my calendar to remind me to take. Your question about how long to wait between trying new things, my doctor said I could not try anything new on the same day. So if I tried something and it seemed to work, that would be my thing that day. Then the next day, I would keep that for the first meal, and then as long as it still agreed, I would try something new for the 2nd meal. Maybe that helps you out some? Thank you again for the recipe/website. The site has been bookmarked for me. So the straw thing is for life, it sounds like? At least based on your experience. Chewing your eggs to liquid is still really good. My nutritionist said that every bite I take from now on needs to be the consistency of applesauce before I swallow it. And that chewing even beyond that would be great. But you're rocking it! ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ @Pepper_No_Salt - Thank you for the idea of mixing things in. I guess I've been scared to do that because I didn't know if it was allowed or not. How do you like the Orgain powder? I use the Owyn premade shakes and Vega powder. They sent you home same day?!?! Holy crap, and I mean that in the best way possible lol. My doctor and nutritionist vehemently told me no straws. Apparently because you can actually suck up air as well as the liquid if you use a straw. I just don't know if that is forever, or just in the post-op period. But my stomach cramped drinking straight water no matter what temperature. However, I did exceptionally well with ice chips - letting them melt in my mouth and then trickle down with a swallow. That didn't affect me at all, so maybe see if you can get some ice chips from Sonic or something similar to maybe give you an idea of how much a 'sip' is? Another suggestion I got from my nutritionist as well as people who my husband work with that have had the RYGB is to buy shot glasses for your water. It should take you about 10-15 minutes to finish a shot glass of water. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ @AndreaJD - Thank you for the well wishes! Water was a struggle, but I was up walking on my own the next day. So I feel like I was doing pretty good for myself! I get to start my full liquid stage today now that I'm home. But man, I can't stay awake enough to do much of anything. Hospitals and rest do not go in the same sentence, unless it's discussing negative rest. (My care team was absolutely great though, so I very much appreciate all they were doing for me even if it meant not getting nearly enough sleep.) This will be an experimental phase for me as I have to find dairy free options to make my life easier. But even if I had to literally water down yogurt, that would be better than the chicken broth I had in the hospital. lol ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ @Hiddenroses - I have a bunch of staples as well, and have never experienced them before. So thank you for that explanation. Hopefully when I get mine out at the 10 day post-op, I'll be able to at least tolerate it now that I've kind of been forewarned. And yay, WrA peeps! Honestly we probably did cross paths, but in the early days of RP for me I was stupidly shy. For your chair question - I noticed sitting in any chair for longer than an hour bothers me currently. Which they didn't like in the hospital, because they wanted me in the chair for two hours at a time. And I just... could not do it. It ached too much. Even being home now, sitting in chairs I've sat in previously, I have about an hour long time span before it starts to ache. I take that as my sign to get up and move around. Dry mouth is a problem in particular for me. I still try to sipsipsip but I hate the feeling of dry mouth. And that's made worse by the fact that I'm a diabetic. And yes, I was thrilled (/s) to find out I was starting my period. Thank God for mesh panties and pads they had on hand. They assured me this happened quite often, but it still annoyed me to no end (especially when I'm on multiple birth controls to prevent having said periods due to endometriosis). As for poor executive function, I have that in spades as well. I had to come off my Adderall a couple of days prior to surgery because you know, they want me to go to sleep during anesthesia and not be on stimulants. And hoooo boy did that make the problem that much worse. If it wasn't for my poor husband, pretty sure I would have lost my head and left it laying somewhere. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ @Onemealplan - Did your doctor allow ice cream for the puree foods? That's kind of awesome. I don't have recommendations for that stage yet as the earliest I will get to it is 8/28 after my post-op appointment. I do remember a recipe back from one of my diet days (Weight Watchers, maybe? I don't remember) that I think might be helpful. You take a helping of ricotta, mix it with Splenda (or whatever sugar alternative you prefer), and some cocoa powder that has no added sugar. Makes it a friendly chocolate treat. I can't give exact measurements on it because I played with it some to get the consistency I liked at the time. I also don't think I could handle the pureed proteins lol. I'll be saving those for when I get to the final stage. I can survive on tuna for a while, especially when I'm having protein shakes alongside it. They gave me a walking goal of 4 laps per 12 hour shift. i was doing those just fine, and when they finally let me walk on my own I extended how long a lap was. But I could not pass gas until they started giving me what is essentially children's Gas-x. And even now, I only pass gass within the 2-3 hours after I've had it. So thankful they sent me home with some. As for in the hospital, the only options i had was water, chicken broth, ice chips, and no sugar added hot chocolate when I specifically asked for it. They brought in 10oz bottles of Dasani water, and it would take me 12 hours to get through one of those due to the cramping. But everything else went down fine. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ @Rob Nissam - Thank you for that explanation. My left shoulder was hurting the most over the last day, and they said it was the gas pain. It was the thing that made sure I did not skip any pain medicine, because I was almost in tears over it. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Okay, I think I got through all the posts and everyone. If I missed someone, I am really sorry. For those of you in recover, I pray the pain lessens and the intake gets better daily. For those of you who are still waiting on surgery, YOU GOT THIS! I'll be praying for a safe and healthy surgery for you, and that your recovery process is simply fantastic. ❤️

sounds like the infamous "three-week stall" (it's not ALWAYS the third week, but it usually happens sometime within the first 4-6 weeks after surgery). Almost all of us have our first major stall then. If you do a search on the three week stall on this site, you will find over 17,000 posts on it (and no, I am NOT kidding!). It'll likely be the first of several stalls during your journey. The best thing to do when you hit a stall is make sure you're following your eating plan to a "T", and stay off the scale. Instead of every day, weigh yourself once a week. As long as you stick to your eating plan, the stall WILL break. Usually takes 1-3 weeks. But it'll break. Mine lasted two weeks, and once it broke, I dropped like 6-8 lbs practically overnight. it's just a way for your body to come to terms with what's going on and re-calibrate before heading down again. It's a natural part of losing weight and happens to almost all of us.

I don't know where my other post went - I swore I typed one up earlier. Oh well - Here we go again! So, I'm at 3 weeks out exactly today from my SADI (Sleeve + Intestinal shortening) surgery and I'm definitely starting to feel less pulling and pinching with movements. I'm beginning week two of my puree diet, and I feel like it's going pretty well. During the Protein shake / liquid post diet for two weeks I did deal with constipation. It's still leveling out, but as I eat more 'regular' food (Even as a puree) that seems to be lifting a bit. I did still take some milk of magnesia yesterday out of caution because I hadn't 'gone' in two days, and didn't want to worry about it worsening. I'd say the hardest part for me continues to be the 'No drinking 30 mins before/after meals' but I use the Baritastic app to set a timer. I also use the timer to make sure my 'meals' take at least 30 minutes. Want to make sure I don't rush and end up feeling poorly afterward. Things that have worked well for me during my puree stage include egg drop soup, chicken/tuna salad made with puree chicken or tuna, light mayo, and sometimes a bit of relish, and for added protein a boiled egg or two, with or without the yolks per preference. (Dill relish is healthier than sweet relish). I did allow myself 2-3 saltines with those, usually about 3.5 oz of the tuna or chicken salad makes me feel sated. Other recipes that have worked include the ricotta bake and unstuffed cabbage rolls, pureed low fat/0 sugar yogurt or cottage cheese with Genepro powder and cooked, strained strawberries or blueberries (I added a bit of 0% Milk to make it more of a smoothie), Riccotta pureed with either a bit of fruit or avocado, small serving of oatmeal pureed with fruit (test yourself with an ounce or two less than you normally eat for oatmeal because it sits heavy and often swells - add some zero or skim milk to make it thinner if needed. Other recipes include homemade no-noodle chicken soup of sorts with rotisserie chicken, chicken broth, and pureed carrots w/a little bit of onion powder or diced onion. I also made a homemade 'philly cheese steak' filling of sorts with some sautéed bell peppers and a bit of diced onion, some roast beef lunch meat, and cream cheese. Others speak highly of pureed refried beans with a bit of seasoning to taste more like taco meat, adding either a bit of mild salsa or a combination of onion powder and perhaps a bit of cumin. That's a personal choice, and definitely suggest going slow with your seasoning due to possible heartburn. You could add a bit of shredded low-fat/skim mozzarella or even low fat sour cream to round it out. Today I made 'chicken pot pie w/no crust' which was basically just cooked carrots and finely diced celery and onions with finely diced rotisserie chicken with a can each of 98% fat free cream of celery and 98% fat free cream of chicken. I haven't had any yet because I'm a little unsure about the celery, even cooked, but pureed and in a small serving I'm sure it would treat me fine. The Ricotta Bake I made was super simple and I know there are a lot of variations to the recipe online. I made my own marinara sauce by peeling about 5 smallish tomatoes, dicing them, and simmering them with a little less than equal parts water, Italian seasoning, and a bit of diced onion. The ricotta mixture was easy; just used 8oz ricotta cheese, 1 egg, 1/2 cup of grated parmesan (I used the shaker but fresh is better) and 1/4 cup shredded mozzarella cheese. I put a layer of half the mix on the bottom of a buttered baking dish, topped it with 1/2 lb cooked and seasoned ground beef, then put the rest of the mixture on top. Poured about 3/4 of the homemade marinara over it then covered the dish with aluminum foil and baked at 400 degrees for about 20 minutes. It's basically a no-noodle lasagna. The Unstuffed Cabbage Rolls I made were equally easy - I used a rotary grinder (Works SO well, bought on Amazon for around twenty bucks) to grate half a head of lettuce. Instead of canned diced tomatoes I once I again peeled about 5 small/medium tomatoes and diced them, adding to the skillet along with maybe 1/8 cup diced onion and another 1/2 lb of the ground beef. For seasoning the recipe I used just had me add a packet of Italian Dressing Seasoning mix. The family enjoyed it and after pureeing the ground beef a bit I found it fine to eat, although slowly and very well chewed (same with the ground beef in my ricotta bake). Both it and the Ricotta bake probably make about eight 1/3 cup servings with about 22g of Protein each. I want to respond more to folks - @Pepper_No_Salt I hate that you're dealing with so much nausea! I absolutely second talking to your care team about that. There are some nausea pills that dissolve under the tongue and work more quickly for me than the Zofran, they'd probably be willing to call you in some. Things that made me feel queasy were taking meds or vitamins before my meal had hit bottom, drinking too quickly, not walking around after I ate, and taking calcium and my multivitamin with iron too close to my Calcium. Not sure if any of that helps - I am also taking Prilosec for heartburn in the mornings and they had me add Magnesium Citrate at bedtime to help with constipation. Sometimes when I'm due to pass gas or have a bowel movement working its way through my system I'd start to feel a little icky and not really nauseous but more anxiety / feelings of fullness. I found that for whatever reason putting an ice pack on my chest or low back helped. I hope you find some relief! Oh, I also found that as soon as my thirty minutes post-meal is up it helps me to sip on REALLY cold water or Gatorade zero, especially if I do it while standing and moving around a little bit. I equate it to the need to get the burps out after eating, just like I had to do post-surgery. @ShoppGirl - Thanks for all of your support and input. I continue to read your posts and while I'm low energy on responding right now I hope the details of my recipe for the unstuffed cabbage bake is helpful! @draikaina8503 - Congratulations on your walk! I still wear out quickly even at three weeks out, but I knew the first month or two would be a slog and do feel my energy is rebounding. @Onemealplan - Sounds like you're doing great and I hope you enjoy the heck out of your vacation! I second what you said to @ShoppGirl about trying the crab, and hope the meals you do get to taste on vacation treat you well. I think her advice to just explain you're recovery from stomach surgery should more than reassure any staff concerned about your small portions. @AndreaJD I'm so glad your sister has been supportive! My 'chosen' brother and best friend has likewise done the same. He's been on a Keto journey for about two years with great results and I worried at first that he would think I was taking the 'easy way out' and now that he's heard more he's been great in reassuring me that he does NOT think that is the case at all, and in fact believes I chose a great option for myself that moves things along quicker but certainly with a lot of sacrifice and hard work. I also completely agree with you on the 'mind hunger' vs 'body hunger'. I'm lucky that I do feel a bit of pressure in my chest that I now identify as a feeling of 'fullness' as opposed to anxiety and I'm less worried about my protein goals now that I have the Genepro protein powder. I love that it isn't gritty when I mix it in with things as long as I mix it with something room temperature FIRST. That's on the instructions, actually, as is the fact that for your macros to count it as like 30-ish grams of protein per scoop rather than the 'weight' listed in Nutrition facts of 11g/scoop. Just wanted to make sur eI mentioned that! Oh - in regards to weighing - I get on the scale every day or so to kind of 'reinforce' what I'm doing, but remember that sometimes you see more from your measuring tape at the waist, hips, etc than the scale will show. Also head's up, a lot of folks plateau for a handful of days around week three and it will happen on and off moving forward, so don't be discouraged by that! @RRenaeL23 - I hope these recipes and suggestions for your puree diet work well! I'm still finding myself comfortable eating no more than about 3-4 oz at a meal, and certainly am following the no drinking 30 mins before/after meals. It's absolutely easier for me to do if I make sure my meal is on the moist side, even if it means adding a little extra water. It's better to add protein powder (Can't speak highly enough of the unflavored Genepro) to hit your protein goal than to overeat to make it, that's for sure! I'm always eager for my 30 minutes to be up so I can sip on icy cold water or Gatorade Zero. @Meme Campbell - Best of luck to you on your surgery tomorrow! Don't hesitate to ask for ice packs and pain relief and take advantage of the pain relief to get some walking in, especially the first couple of days. The pain lessons as you walk because it works the gas out. I also strongly suggest sipping your shakes / water / propel sitting as upright as is possible and not laying back until about ten minutes has passed or you've burped a few times! Keep us updated! Most of us in this thread have already had our surgeries but if you read through the first 3-7 pages you'll get a pretty good idea of what to expect if you don't already feel prepared. It's a bit of a process but the pain WILL start to lessen in the coming weeks! Don't be surprised when you get tired super quickly and be gentle on your body. Across the board surgeons seem to agree that your #1 priority fresh out of surgery will be walking as tolerated, focusing on your hydration, and getting as much protein as you comfortably can. Don't let yourself go more than three days without a bowel movement - Milk of Magnesia works wonders for that. I let myself go 5 days post surgery and that was a somewhat painful and unpleasant process to reverse. Colace makes your bowel movements 'smoother' but is NOT a laxative. If you deal with heartburn talk to your team - they put me on Prilosec for now. We're rooting for you! Sorry for anyone I missed; not sure what happened to my other post. Wishing you all the best in surgeries and recoveries!

I will be honest. This is not making me feel okay, I have only been on this journey 6months and I didn't think this would happen this soon, I am weight lifting and my body composition is more muscular. I just am not ready to go up.

For those recommending medication over surgery: I am having the SADI surgery on July 25th. I considered medications initially, however, most of them aren't covered by insurance; and if they are, the insurance approval process usually requires a diabetes diagnosis. While I have a BMI in the 50s, my A1C is extremely health, which means I would pay out-of-pocket. The medications are intended as life-long commitments. Stopping them can have serious impacts including weight regain. Out-of-pocket for the cheapest meds I encountered was $900 a month. Out-of-pocket for my procedure is one-time $19,000 (unfortunately, not covered by insurance) If we look at the impact in 5 years of both... Meds = $54,000 Procedure + Vitamins = $19,000 + $3,800 = $22,800 How about 10 years? Meds = $108,000 Procedure = $19,000 + $7,600 = $26,600 The financial impact was a huge consideration for me. Please understand that the decision to move to surgery is not quick or easy. The financial impacts and health impacts are serious and really should be discussed with a trained medical provider. The purpose of this forum is to help guide others. We should be focused on the questions they're asking instead of offering an off-topic alternative. The OP made it clear in her posts that conversations with a trained medical professional led to the decision for another surgery. Shaking her confidence in medical guidance from her surgeon is not our place. We should accept that surgery is her path and give our own anecdotal experiences as references to help her understand what she might experience.