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you'll lose bone mass. You lose everything when you lose that much weight - fat, muscle, and bone! But then again, you need a lot of infrastructure to hold up 300+ lbs. It just isn't needed once you lose a ton of weight. Exercise and protein will keep you from losing too much protein. Exercise (especially weight-bearing exercise like walking, dancing, strength-training) will keep you from losing too much bone mass. But losing SOME of both isn't necessarily bad, since it's not needed. hair - not everyone loses it, but most do - but it's temporary. I didn't lose enough for others to notice. In the grand scheme of things, it's a small price to pay, and at this point it's just a blip on the screen for me.

I'm curious if you've had any discussions with your surgeon about converting your sleeve to a duodenal switch if your weight loss continues to be disappointing from the sleeve. I've heard there are some patients who just don't see the results they need from the VSG alone, and that might be an option for you.

I get your frustration. I gained 5 lbs after Christmas and it just wasn't coming off. Last week I graduated off of Hint water and can now drink any water however I did change my diet. I know this is going to sound weird but it worked for me and I'll be 67 in a few weeks. I eat high protein, no sugar, sweetened with erythritol yogurt then my coffee with a small amount of sweetened flavored creamer and whipping cream. Lunch is usually a protein bar and a cheese stick. Protein bar is sweetened with the erythrirol.. Then the snacking begins - I make jello cubes out of unflavored beef gelatin, monk sugar and allulose, unsweetened kool aid and water. I make it thick and cut into 1/2" cubes. Place a hefty serving into a baggy and I can eat as many as I want. I snack from 3 til 8 on jello cubes, not non stop but maybe 3 baggies worth. I too was hungry all the time until I started eating the jello cubes. IDK why it works but in 5 days I lost 6 lbs. I pee non stop but that's ok with me. My jello cubes are about 35 calories a baggy but it's all protein and if you take a tryptophan with it it becomes a complete protein plus its tons of collagen. I've lost a lot of hair the past 6 weeks so trying to fight that. My surgery was 8/14 and so far I've lost 91 pounds (lost 45 before my surgery). I need new knees something awful so highly motivated. 17 lbs to go. I did join the gym 2 weeks ago in preparation for the new knees. Gotta get these old legs strong again. I hope things break for you soon.

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

Anyone else at 5 months noticing the weight loss is slowing down? In the last 3 months (my scale averages it out) I've lost 20.4lbs. From December to today 3.8lbs - less than a pound a week!! I'm not happy. I do exactly as I was told: 1. No more than 800 calories 2. No more than 50 carbs 3. Low calories, low low sugar, low low fat 4. Drink the equivalent of Lake Superior every day 5. I'm always active, stairs, dog walks, cleaning, treadmill, Occulus, etc etc... 6. Take all my vitamins I didn't go through surgery, liquid diets, being hungry all the time (including now) to have weight loss come to a screeching snails pace this soon after surgery! Is there such a thing as a complete slow down/stall 3-4 month post op for several months? I worry because everyone says its "normal" to slow down at 6 months..but this started at 4, what will happen at 6?

I just wanted to say it sounds like you've been through a lot, and I hope the plan you're starting now with the enzymes will have the results you need. It must've sounded like a dream come true as an obese 19 year old to get to eat all you want and not worry about weight gain, but it starts to sound like a nightmare when you're told you must eat thousands and thousands of calories every single day or you could die. That's terrifying. And then again, taking the enzymes could mean gaining more weight than you wanted, and that's not great either. My only advice is to keep a really close eye on things and work with your doctor and nutritionist as much as you can to get the right balance of working out, food choices, and medications/enzymes to get yourself healthy again.

I don't remember the weight when my face got smaller, but I will say that I look 12 years older. I'm 59 and never looked my age. Getting bigger and bigger kept the wrinkles filled in. It bothers me because I'm not used to it. I have to look at other people my age and tell myself I don't look old, I just look my age.

Well I signed a contact twenty years ago and I wasn't informed all that much about what I signed up for... Maybe because it was so long ago.. I do now know and understand the deal but the problem is simple.. So I had a car hit me when I was crossing the street and spent six months in a hospital followed by six months of a resting home to recover followed by a heart failure and another five months in the hospital followed by multiple hospital trips and lost all my original muscle.. I was always average strength but it's another thing to be told you might have a heart attack if you don't gain muscle. So I did everything I was told to bring me to this point. I have gained ten pounds of muscle in the last two years and I gain average of a pound a month. Only in the sorta person I need advise and someone to tell me what to do so that I don't make mistake. This might be a result of brain damage from my accident or maybe I'm just a big dumb guy I dunno.. But I did my own math if I eat 4200 calories I absorb 2200. So it does make sense I can't bulk however I'm taking enzymes and my doctor said the enzymes turn your ds off so that you can absorb everything you eat with them.. Now I'm fine tuning everything. Maybe my ds is to powerful and I'll learn that I really can't bulk and yes I look more defined in the mirror I think. But because my skin is stretchy it's hard to tell. I have gone from 175 to 178 so hopefully that's going to keep going up. My only real goal of taking the enzymes is to increase my protein which is 6.1. Before I worked out I was capable of maintaining my weight but my doctor told me I lost so much muscle that to not regain it would be dangerous to my health So regardless of anything I have no choice but to gain weight. If that means eventually eating 6000 calories so be it. But I really think the enzymes alone will solve my problems. I plan to take the enzymes for 3 months then get off then for two months then back on them in a bulk cutting kinda formula however I'll admit I don't know that this will work. I've gained weight in the past getting up to 240 in the resting home but that was eating six full meals a day with no working out and tons of high fat snacks and sense then I've gotten hypoglycemia which makes gaining weight difficult because I can't just devour sugar like I used to be able to. Man I used to love pudding cups... Anyways no I didn't know what I was getting into I was 19 and all I wanted was to lose weight but to still be able to eat as much as I wanted. Which is what I got. I never understood the risks. Never. That's why I got all these problems and it's hard to dig your self out of a ditch.. I would work out more if I thought it would help but I just lift weights 3x a week and I have a trainer and a bunch of great doctors who help.. The thing is the DS shouldn't kill me.. I should be able to figure out a way to make this work and my real issue is I'm 6"3 and a man so I require 3200 calories a day is what my trainer said. I only absorb 2200 thus I'm taking enzymes I'm focusing on absorbing protein and enough calories to feed my muscle building and I'm getting blood tests and scanning my body for progress it's a really scary time for me because I know I can lose muscle fast if I forget anything.. finding this website has helped me relearn just got crazy this surgery can be... For real you all helped me so much... But I can not except life as a weakling I'm 39 and a man and people need me so I can't just except things the way they are. If a normal person can build muscle I can to. It may take more work and more intelligence on my part but that fine I'm willing to do anything to be average if that makes sense.. in fact I was debating going to the gym today because my back hurts but you just motivated me to go . 😁 Thank you. Have a nice day. Please information is key here any advise on maybe how many calories you eat or your macros would be helpful to me because I do have a little problems working stuff out in my head and so the more information I can't the better I can deal.

I don't think you fully understood what you signed up for. I work out 6 to 7 days a week and do not have any bulk muscle. I had the Sadi DS 10 years ago and I can eat a horse without weight gain but also no bulk muscle. Instead, I have excellent muscle definition and can work out at a level not possible before wls. The DS fortunately keeps the weight off, so you will never bulk up. You signed up for this, and it's a fantastic thing for you to be able to work out, eat what you want, and be healthy, especially given you previously weighed over 400 lbs.

@Allen, I had no choice once the weight loss started. I lost slowly but steadily and had an initial goal of getting down to 185 lbs. I was concerned about the traditional Hess DS being too extreme so I opted for the SADi due to the much longer common channel (mine is about 300 cm). When I hit 135 lbs my Dr and I were concerned but not panicked. Over the next 2 years I gaind back 27 pounds to reach 162 where I have been very steady. I feel like my body knew the right weight and I needed to let it get there over time. I'm very happy with the Sadi and would not change a thing.

Congratulations on making positive decisions for your health. I had/have GERD. I got bypass and hiatal hernia surgery to correct it. I still need PPI but less of them, and only feel the burn or the flip of the esophagus once in a while like with eating nuts (high fat) or coffee. So, I avoid my triggers or have only very small portions. I was a slow looser, even lost half of total weight loss before surgery. I believe it was due to menopause creating such a dry environment in my throat. The research on gut health and menopause is still so new that I can only mention it without solid peer reviewed evidence. The research is still ongoing. I only know my experience with menopause caused worsening asthma, eye infections, sudden tooth decay, arthritis and GERD. The underlying commonality was a lack of mucus production ie. menopause. Maybe it’s Sjorgrens but it slammed into me at 45 and DHEA helps, and I never developed full diabetes, nor Lupus, nor non-Hodgekins Lymphoma which are hallmarks of Sjorgrens. I applaud your scientific curiosity. Keep letting us know what happens!

I went through all my "small" clothes too. I was able to wear the smallest ones until about 10 pounds from my goal. When my pants fell down walking up the stairs with my arms full, I knew it was time to buy. I like Ross and thrift stores. I also bought from TEMU, though I return half of what I buy. TEMU ships from China and takes 2-3 weeks, so I had to predict my size or order something that would look good a little tight. My daughter in law and 2 of my friends are thrilled with their "new" wardrobes too. One of those friends is right behind me in her weight loss, so she really needed the clothes I gave her.

Hello all o/ I am hoping some of you can help me with some questions about life post SADI. I had RNY in 2013, and on 6/2023 I had it converted to SADI. This is a new procedure at my doctor’s office. They’ve never done duodenal switch procedures and I was one of the first people to have SADI. The Dietary information given to me was the same they give for RNY/Sleeve patients. There isn’t anyone for me to really talk to at the support group about it and while my nurses try to be helpful, it’s not the same as getting info from people who have lived through this. Ever since surgery I have been extremely hungry. I haven’t had any kind of restrictive feeling you would have with the original RNY surgery. My doctor said part of it was because when she reversed my RNY she left me with a bigger stomach than normal (to help prevent pressure on the suture lines and leaks). When people were eating 2oz of yogurt I was able to eat a whole cup, and my doctor told me it was fine, she wanted me to eat more with this surgery. The problem is she has never said how much is too much. She said just meet my protein goals (80 -100grams) and everything else will follow naturally. As the months have passed and I have been trying to eat more normal food, I have noticed that I am already slipping up. I am constantly hungry and find I am just watching the clock for when I can eat again, and I am overeating. And eating the wrong things. The amount of gas I have been experiencing is unbearable. I am having a hard time pin pointing exactly what is making me this way (the only two things I know with out a doubt seem to be potatoes and Onions… two of my favorite vegetables ) I was sick for 3 days after Thanksgiving from eating stuffing and mashed potatoes. I am so grateful that I work from home right now because I don’t know how I can be around people like this. I am ok until around 3pm, then the bloating starts, and the gas keeps me up all night. It’s not gentle, it sounds like warfare. The tiniest poop might come out with gale winds force. I can’t go in public. No amount of Gas X or Beano seems to work. I need to get a handle on this. I am taking my vitamins/calcium religiously. I am eating about 60-80 grams of protein a day, but found I am eating larger portions than I think I should be, snacking, and eating too much carbs. Just basically I’m off the rails. I am still losing weight, but probably not what I could be. I do plan on talking to the dietician again but would like to hear from people who have lived this life first. Can some of you share your experiences with me? Are there certain foods you must avoid because of the gas? Is there a certain number of carbs/fats/protein you’re aiming for each day? Does it get better? Can you eventually eat friend onions with your fajitas again? Did you struggle with hunger? I would love to hear everyones experiences and what has/has not worked for them. Thanks for the support!

I can relate to the acid reflux issue due to having a hiatal hernia too. I was daily suffering with it for years until WLS. My stomach was also pushed up through my diaphragm. Docs found the hernia during pre-op testing and repaired it the same day as my RNY. I think your doctor was hoping by fixing your hernia, it might take care of your reflux along with you losing the abdominal weight from the sleeve surgery. I also carried the majority of my excess weight around my midsection and was told that my reflux was because excess fat was pushing food back up into my esophagus. That was before they discovered I had the hernia. But both problems contributed. After losing over 100 pounds, I'm finding that even though I am losing weight all over, my stomach is still the last place it is coming off. Very frustrating but I still have 40 lbs. to lose. And that's where it is sitting. I chalk it up to genetics. Sadly, the hernia repair didn't take care of your reflux and the sleeve is notorious for causing it. Even in those that never had it. One of the reasons I opted for the bypass and haven't had reflux since. As for your weight loss stall, maybe try backing off from hard workouts unless you are getting an adequate days rest in between. Increased levels of cortisol can cause abdominal weight gain. I lost all my weight from leisurely walking outdoors 2-3 miles 5-6xs a week.. GL. Your pics look great.

I'm 9 months out from WLS and I've been following this forum since January 2023. I can't count the number of posts here of people struggling to drink protein. I consumed a lot of them before ever having surgery. Back in my weightlifting days. Maybe it's an acquired taste sort of thing but never had a problem with them except for a few premade ones tasting too sweet. Food/drink aversions are pretty common post-op though. taste buds change etc. I can't help but wonder, when using the powders... if tasting chalky, use a good blender. I have a Vitamix and even the cheapest protein powders taste good. I tried Walmart's Equate Whey Protein powder for $18/18 servings. If you are mixing with a spoon or shaking in a cup, even the best powders will taste chalky. I buy vanilla or unflavored powder so I can change up the taste by adding frozen fruit, SF various flavor Greek yogurts, peanut butter or cocoa powder, Crystal Light or stevia to sweeten. I like to use milk and ice. It comes out tasting like a milkshake. Strawberry being my fav. Experiment to find what you like. Variations are endless and beats drinking the same premade ones day after day. GL on your weight loss journey!!

Well that’s another piece to the puzzle! I’m sure you’ve heard how hard it it’s to lose weight during these life stages. But don’t give up hope! You can still do it. Keep us updated if anything you do breaks through the plateau. ❤️

I follow all WLS guidelines so what does any of that really matter. I am allowed to eat some carbs as it’s limited and I don’t weigh my food. I use a small plate and I know what my measurements are. I do drink 30 minutes before and after. If I want sugar I’ll eat it within my own guidelines since I’m working out and that’s only once a month cravings. I’m only 5’3 and carry my fat in my belly. My surgeon has no problem with my stall since I workout 4-5x a week. I’m more worried about the daily medications I take for GERD for the past 13 yrs which isn’t good. They have me on 2 acid reflux pills and antibiotics so idk if that’s an issue too. I can lose weight I’ve always been thin all my life except after having my last baby which caused my hernia and issues; by then I couldn’t exercise no more gained weight plus perimenopause belly weight gain on top of that has been hard. The first pic on top was 1 yr before surgery the second pic is recent on new years.

The guidelines lines I’m referring to are : Limiting sugar intake to 5g or less per serving, protein forward meals, limiting carbs and fats. Separation of meals and drinks (30 min rule), limiting calories from drinks, etc. (I’m sure others can chime in with more Bariatric specific rules that they were given to follow). What is your doctors recommendations now that you have stalled? How tall are you? What does your exact calorie intake look like weekly? Do you accurately track it or eyeball the amounts? Have you used any online calculators to figure out your BMR, visceral fat, lean muscle mass, etc? These can help you figure out your excess body weight . Also InBody and DEXA scans will tell exactly how much excess fat you are carrying.

The food guidelines for WLS have acidic foods which isn’t good for a GERD patient. The guidelines for GERD patients the food is bland. I can’t always do GERD eating since I need my protein and consuming yogurt, cottage cheese with other nutrients sometimes triggers my reflux. I don’t think it’s the combination of the two that’s stoping my weight loss. I may have built more muscle especially in my legs and arms but the belly muscle I’m still trying to build up.

I'd say, chat with your surgeon about a quitting plan that feels right for you. And about the potential weight gain, girl, we all worry. Maybe focus on the awesome changes you're making with your eating habits. Small wins count! Oh, and by the way, ever heard of Bulk Buy Vapes? Word on the street is they've got top-notch stuff!

Days 6 & 7 Yesterday was just another day. I slept around meds and feedings until about 3pm then binge watched Netflix. I'm still sore, but managing. Today I had my post surgery follow up with my surgeon, Dr. Rodolfo Castillo Calderon. He said I'm moving extremely well and warned me to take it slow and not bend. I found out I was using the BBL pillow wrong. He didn't transfer much, but I'm hoping I didn't kill it. He had told me I didn't need a BBL pillow since I work from home and have soft cushions and explained how to use pillows, but my pillows kept shifting at night so I wanted a BBL pillow anyway. You are supposed to support your weight on your thighs and let your butt hang. I chose the circular pillow and it puts pressure all the way around, including fat transfer spots. The BBL pillows are more like yoga blocks than bed pillows, very firm. I also got another lecture on the importance of belly button cleaning and stuffing it with gauze to keep it dry. He was annoyed that the staff at my recovery house used tape to hold the gauze when the compression garment would have held it in place without. He put some antibiotic on the open blister and covered it. If I were staying longer I'd have another follow-up or two. The stitches will dissolve and he didn't use drains. The pain meds I was given are available here over the counter, so I asked the staff to call the pharmacy and order me a couple boxes. I have the written prescription in case they stop me at the US border.

At my largest I was size 24. I'm currently size 18 and I still have things in my wardrobe that are size 16. Once I shrink beyond that I will either have to buy new clothes, go to a tailor and have my current clothes altered or rock out baggy clothes until my weight stabilizes. I'm trying to have a no buy year for 2024 so my plan for this calendar year is to make due with belts, tailoring , baggy clothes and dresses until next January, with the exception of underwear and bras which I refuse to wear incorrect sizes for.

Some of them may have been their private thoughts that they are sharing with you now. That they were truly worried, especially if you're a good guy[emoji3590] and worth worrying about. I have been concerned about others who have put on a lot of weight but because I had a history of obesity myself, I know better how to phrase weight comments. The ones making fun of others is unacceptable behavior, period. I label them jerks, and would avoid toxic people. You've done great, congrats.

I recently got diagnosed with stage 1 type 3 Lipedema 1.5 years after my VSG. The reason that pushed me to explore because I had lost weight all overall but my legs didn’t change much compared to the drastic changes I had in the rest of my body. The pain, heaviness and bruising I had before surgery continued. I had originally thought it was related to my weight. My surgeries are booked with a Specialist Lipedema Surgeon, they will take place later this year (hopefully all goes according to plan). I was wondering if anyone else is going through this too? I would love to hear anything you would like to share.

I can lose belly weight it’ll just be my loose skin from having my kids that’ll need to be removed. Actually that pouch isn’t really big nor hanging a lot.