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Thanks for posting the tip, I never thought about that. I've held off getting my new Star card and passport after hearing about ppl who had surgery, lost weight and then not being allowed to enter a country because they didn't look like their pictures - just one more thing to add to my list (A good thing)!

Is it possible your endocrinologist would consider prescribing one of the new GLP-1 medications? In cases where you've had the surgery, are doing everything right with nutrition and exercise, and still can't lose weight, I've heard a drug like mounjaro can make a huge difference. It's worth asking about as that seems to be something that some sleeve patients really benefit from during the maintenance years.

If you have access to a pool and don't mind being seen in a swimming costume aqua aerobics is nice and easy to get the body moving and help joints. If you have a yard/garden even just walking around it would be good to help get you moving, or stairs if you are in an apartment complex. I am not the best when it comes to exercise but I can certainly feel an improvement in my interest and energy levels as the weight comes off. I start each day with good intentions but often procrastinate or find something else to do but I do go to aqua aerobics once a week since February and since last month I am doing pilates once a week. I believe in turning up if I have paid so signed up for a year of the aqua aerobics and doing the pilates in 10 block sessions. At home I do the One and Done program, seven minutes every two days or three days depending on how I am feeling. Again as I paid for it, think $30, I use it and I can feel the difference. I also have an stationary bike that I use once a week or so if I haven't done any other exercises. I just do about 5km at a time as I find it boring but I am sure any little helps. My main problem area is my legs (ankles to thighs) as I have bad lipedema and while they have gone down in size since my sleeve surgery they still do me no favours in the appearance department so I am just trying to target them as much as possible.

This is a really great place to start. Start making small changes which are much easier to adopt & adapt to. And yes the head work is incredibly important & it is also the hardest thing so starting now is a good idea too. If you do decide to go down the skin removal path, waiting until you’ve stabilised your weight for a few months is a good idea. I haven’t gone that route as I don’t have a lot of loose skin - two finger pinches so not worth the surgery. It doesn’t limit me in any way & like @catwoman7 I can hide it easily under clothes. I even wear body con clothes without shape wear. I was fortunate as I hadn’t carried my highest weight for long & didn’t have as much to lose comparatively. I certainly had my age against me but maybe good genes helped too 😉.

One of the things that I hate about my current weight is I ALWAYS feel so tired and sluggish. Well that and the constant pain in my back. My bed is my best friend. I have mobility and all that but when you have to use your inhaler to walk up and down the stairs it's not cool. I also have a gym membership but I always feel so tired. I'm hoping that once the weight is gone I'll have more energy. Did anyone have an energy boost after surgery?

a couple weeks ago i remember your post about your struggle to stop losing...are you still losing while this hunger appeared? perhaps its your body's response to the weight losses...? if thats the case, then perhaps listen to your bod and eat more? i can imagine that eating more is in itself a struggle...it took me 3-4 months to get over the mental block to actually stop diet mode (and like 2 years to get over the mental block of eating bread/rice/pasta lol) if im not mistaken you just recently reached goal? (congrats again btw), my suggestion would be to give yourself a bit more time (ie several months) to find your happy spot, it usually takes a while before you get to the autopilot of maintenance...great suggestions above...experiment with (small amounts) of (preferably nutritious) foods and amounts and see what help with the hunger. keep an eye on the scale in tandem to determine any causal relationships with certain foods. but yeah, i know, "easier said...". good luck, and it CAN be done! ❤️

I don’t know. That would take more research to figure out because the SELECT Trial was conducted on the basis of participants being 45 or older, having preexisting cardiovascular disease and a BMI of at least 27 but no diabetes (link 1&3) However some of the improved cardiovascular metrics occurred before significant weight loss (link 2 explains). Interestingly, on Novonordisk’s website under their R&D pipeline (link 4) Semaglutide is not listed (yet) as being in trial for cardiovascular disease as a primary treatment. If anyone else has more info please chime in! https://www.novonordisk.com/news-and-media/news-and-ir-materials/news-details.html?id=166301 https://www.tctmd.com/news/full-select-results-affirm-cv-risk-reduction-semaglutide-nondiabetics https://www.nejm.org/doi/full/10.1056/NEJMoa2307563 https://www.novonordisk.com/science-and-technology/r-d-pipeline.html

aaaahhhh ok... put this way, i'll have to say i did notice some unexpected body composition changes in the year immediately following rapid weight loss: - went from looking deathly skeletor-ish (gaunt and drawn and frail looking) to pretty healthy looking despite weighing less now than those skeleton days. - my hair is actually thicker and "healthier" and even slightly curlier than even before surgery (which was a very welcome surprise after all that hair loss from months 4-6 post op omg) - i don't get pimples anymore. like ever. - those weird dark little bumps on my upper arms are gone. - when i do any sort of sustained exercise it's immediately noticeable. for instance if i do like 30 situps or 60 bicep curls i look shredded right after. no joke. - my dentist says my gums have receeded faster than expected since the weight loss (dunno if this is related or a coincidence??) - despite probably being the most "fit" i have ever been since my 20's, i still feel unbelievably weak compared to my heaviest days. i swear i can't open jars anymore nor can i carry multiple bags or groceries at once like i used to. - i used to be bottom heavy (hips/butt was my widest part) now i am top heavy (shoulders/back are my widest part). - i no longer have armpit hair ...but this is likely due to my arm lift? so i never have to shave there...which has the side benefit of the skin lightening up in that area...no more dark armpits for me! yay! - i have no ass. like zero. looking at me directly from behind is semi-normal looking, but from a side view, its a straight line from the base of my neck to my knees. - the hump on the back of my neck is gone - not sure if this is related to my overall weakness, or because i just do wat more stuff now, or im just getting old, or a combination of it all, but i get injured ALOT. multiple sprains, torn ligaments, torn muscles, pinched nerves, tendonitis like everywhere, abdominal hernia, bruised ribs, carpel tunnel, ingrown toenails, omg. ive had more doctors/physio appts in the last 5 years than i've had in my entire life. times 2. ok...this post is getting too long. gonna stop now lol

Good for you! Your nutritionist needs to be working somewhere else. It's sad that everyone thinks it's OK to judge us. I educated a personal trainer at a gym (young guy) who, instead of giving me a personalized workout, gave me a lecture on diet. I told him I knew more about dieting than he ever would because I've read all the books and tried most of the fad diets because I've been dieting for 40 years, and that he should stick to his specialty. The doctor in charge of my nutrition team tried to talk me out of the surgery because I'd lost so much weight already. I told her I'd never had a problem losing weight, my problem is it always comes back and more, I want the metabolic reset so my body would be OK with me weighing less. No one understands the complexity of our metabolic set point. Scientists are studying weight loss surgeries in mice and have discovered all their theories are wrong or only part of the reason these surgeries reset out metabolic set point. No doubt their studies are funded by some pharmaceutical company so they can make a med to replace the surgery. Genetics, premature/low birth rate, health and neutrition issues, our culture and upbringing, stress and depression, habits that our bodies have become to crave... It isn't all about discipline. Compare people's attitudes toward Smokers, alcoholics and drug addicts, who get more understanding and less blame for the habits they can't quit (as long as they don't live on the street, beg, or look/smell bad). Broke people can get free rehab. Where is our free surgeries?

As @summerseeker was told, 65% or so weight loss is about the average excess weight loss for Roux-en-Y (RNY). Personally, I find such averages to be next to useless. I'm not average. Heck, it's axiomatic that the average person is not average. At any rate, what to expect. My plan is forever. From day 1 post-op I was intent that I would never be on a weight loss diet ever again. My plan is foods I enjoy that fit my life goals. No crash diets. No counting calories, carbs, or whatever. No weighing myself at home. Working out is one of those things everyone agrees needs to be done which I didn't do. Ever. There is nothing like exercising for it's own sake. No thanks. I did do a lot of walking, what my spouse and I call 'people watching.' When I got down to about 100 pounds overweight I challenged myself to run 5K. I did a plan similar to "Couch to 5K" (C25K). When I got to 5k I realized I enjoyed it, so I kept doing it. I started binge running. Running was a time just for me, that I could contemplate the coming day and listen to audiobooks. A great start or end to a day. Long story short, I ended up running 5 marathons. That is something I never thought I'd do. I got to run across the Golden Gate Bridge. Extra skin for me was inevitable. My deflated stomach hung way down. To a lesser extent all the places one would expect extra skin I had it. I started with an Abdominoplasty, after which a bleeding disorder almost killed me. No more elective surgeries for me. So I've had to get used to things as they are. Not the end of the world. What life is like now. I've been my current weight for about 17 years which is a weight loss of a bit over 500 pounds. I am still happily eating to plan. Some of the things I wanted to do after I lost weight I didn't end up doing. Other things I never thought about I thoroughly enjoy. Mostly, things just got easier. Good luck, Tek

I'm getting surgery on january 29 th.... they told me on the 19th my official date and I started my liquid diet yesterday. I had my last meal on saturday... i went to all you can eat sushi Sooooo.... I'm on day 2, it's going great. Not easy but i'm okay for now. Any advices ? Also, I'm a 5'9 woman and my weight is 262 pounds. I'm 26 years old, anybody have similar numbers to me ?

I'm not sure a PCP would have too detailed an understanding of complications from any bariatric surgery, even a more common one. At least I wouldn't rely on that. Although I have a feeling if she has a patient who gets a certain procedure, she might be more likely to read up on it. Is your surgeon attached to a weight loss center of some kind? Mine is, and I'm expected to go for a follow up at the center yearly, basically forever, so I'll always be in close contact for questions. Honestly, I think you need to choose your surgery based on which one will work best for you, which could very well be the SADI. A long term complication is going to be rare, but also you'll know to bring it up if something happens. You don't have to rely on your doctor to think of it, and any doctor will know how to find out more of needed, even if they don't really know much about it now.

OK - firstly, you are doing absolutely fine. Anyone who has lost 60lbs in 5.5 months is WINNING! We all stray from the path a little at times! You have already identified where you strayed - carbs. So from tomorrow, get back to your surgeon's plan. I suspect it will be protein first, veg second, carbs last (by a long way). Stick to that. I have a sleeve and I was still losing miniscule amounts of weight almost 2 years out. You have loads of time to get to where you want to be. I wish you luck!

I had the sleeve 3.5 years ago and just had a revision to SADI a week ago today so I can answer for the sleeve and the “bypass type” procedure. With one thing to note. I also had my gallbladder taken out this time but it sounds like you would be the one to ask how much of my pain is due to that. 1. I have dentures will the rapid weight loss effect how they sit in my mouth? Does not apply to me 2. What are some of the best Protein Shakes out there in order to ensure I get the Protein I need? Premier Protein is a popular one If you like iced coffee the caffe latte is excellent but it does have caffeine and a lot of surgeons will have you off caffeine at least for a short time if you love your iced “proffee” though try mixing their caramel with decaf instant coffee and having that over ice it’s yummy too beyond that I prefer core power protein shakes by fairlife. Many people love the chocolate and say even their kids drink them as chocolate milk. I prefer the vanilla and their strawberry banana. I also like protein water for the liquid diet when you sorta get your full of shakes The Protein 2.0 in strawberry watermelon is pretty good . All of these are sold at Walmart. The premier protein is cheaper in the bigger packs but is sold in 4 packs and the core power is sold up front in singles and surprisingly it’s cheaper that way . The protein water I think only comes in 12 packs though . I would check a couple convenience stores for it first if you just want one to try. 3. How long were you down after surgery? How long until you started driving again? The biggest thing that will determine this will be whether you are on pain meds. After my sleeve I refiused pain meds even in the hospital but what I learned after my revision is that the most painful part for many is the trapped gas . After my sleeve I had no gas at all and I went home the next day on Tylenol. I could’ve driven right away if I had to. But I just got lucky because plenty of people with sleeve do have gas and incision pain. Post revision, I had a lot of gas pain and ended up staying 5 days starting off on morphine and oxy every two hours because the pain was horrible. Finally on day 4 I passed gas and realized that was the majority of my pain. Each subsequent toot brought more and more relief and I had about 7 big ones that one morning which I joke and say were life changing. I was able to cut back to just the one pain med less often and in a smaller dose immediately. Spent one more night and went home with normal post op pain script which I took one pill before I realized that the pain was mostly when I got up and down and the pain meds didn’t do much for that anyways and I wanted to be able to drive so I said I was gonna just take it at night but I forgot and then realized it was just silly to take it if I made it without. I did drive without issue on post op day 6 but honestly I did feel pretty fatigued and just wanted to get home. Some people are at a whole other extreme though and they do have a great deal of pain even after they are home and it lasts a lot longer. Long story short I can tell you my experiences but unfortunately no one can really predict this because it is honesty all over the map. 4. Did you have a person helping you with after care and if so, how long? Just my husband both times who is quite possibly the worst nurse ever. Didn’t need much of anything the first time except for things that require lifting, bending and straining this time I did need him to go and get things for me a little more. They want you up at least every two hours walking to prevent blood clots though so as long as something is within reach you can get it yourself. 5. I am disabled due to a nerve disorder; Is there anyone here who has a disability that has gotten the sleeve and how was your recovery? This does not apply to me BUT I know that a lot of diseases and disorders resolve some of completely with weight loss so this is certainly something to ask a surgeon about.

You sound as if you have a great deal going on in your life. You need to take a moment out of your busy life to just breathe. Three months is still a long time to decide which way you want to go, either with surgery or not. You can cancel right up to the minute you walk into the hospital. A few have. This may not be your time. So lets take the things that you are most worried about, Your hair. You will not go bald. You probably will loose some of your thickness. You are young, you have masses of hair. When you are as old as I am you would have already have lost lots of hair due to menopause, so I started off with a deficit. It did get a little scary and I needed to get my hair cut really short but I do love the freedom that it gives me. I felt it was worth it. This surgery was my last chance at a normal life. You will not loose too much weight, you will stop a right place for you. You need to up your calories until you get to a balance. I am ok on 1500 calories a day. I have a slow life, I dont work anymore. I go out with friends, I eat and drink as before. The only thing I do not do is overeat. I don't miss doing that, my friends might do. Especially if they liked to overeat with me. How do you see yourself ? Not how others see you. They may want a fat friend to bolster their own negative ego's. Do you put weight on every year and keep it on ? We all did. We did diets after diets and put it all back on again with added weight. Lots of us ended up with weight related illnesses like diabetes and blood pressure. If you think you can loose weight yourself and keep it off then you need to try. Give yourself 6 to 12 months to do it. Bariatric surgery is not an easy option but if you stick with it, it is a solution. If you do not follow the guide lines then like a diet, it will fail. You should go back and chat with your surgeon. You need to be totally happy with your decision. Give yourself the time you need.

Hi everyone! This is my first post, so please be kind 😅 I'm currently 18 years old and my surgery date is set for March 26th, 2024. Only two more weeks to go! Both of my parents have had weight loss surgery, and the main difference between the program they went through and the one I'm going through at my children's hospital is how long it took. I had to complete a six-month program which started in July, plus other miscellaneous appointments. I'm just curious if anyone here had their surgery in their teenage years or as an early adult. How was adjusting to the new diet while also being in school? Is loose skin more or less common in younger patients? Please comment if you have any answers, tips, or words of encouragement. I look forward to hearing from the people! Lol

I am set for my surgery December 20th.. Exited and nervous at the same time. I been struggling with weights loss after my kids and could not lose that weight. So Dr has me staying away certain food before surgery but I am running out of ideas to sback on . Any ideas?

Your body is in starvation mode, so it's holding on to absolutely everything you put in it. Especially with you exercising on top of it. You should be at MINIMUM double that by now. When I work out, I take in 1200-1300 calories per day. On rest days, I take in 900 - 1000 calories per day. You're actually going to have to increase your calories to lose weight again. I know that sounds crazy, but right now your body thinks it's starving, so it's hoarding as much as it can to try and keep you alive. If you absolutely will not increase your calories, you need to completely stop exercising. If you won't stop exercising, you need to increase your calories.

This makes me feel better! My shakes are the highest in calories for sure, I drank 2 yesterday! I see the scale moving, I’m 4days out and have lost 14lbs 😮 I haven’t been this low in weight in sheesh forever! I read on this forum that our nerve endings that tell us we’re full is still numb so I don’t wanna over indulge or go down a slippery slope I can’t get back up from if that makes sense?

You are not going to fail! You are so strong!!! You have alreay made leaps and bounds toward a better you. Dont worry about one fry. Did it taste good? Has your taste changed since your surgery? I am a huge pasta and pastry lover. To make matters worse, I made a human just like me and have married and man who can eat all day and night with no weight gain. Since I was loosing so well on my own, I wanted to schedule a Spaghetti night prior to surgery but felt guilty even thinking about it. I was going to my last nutrition appointment and told my nutritionist about my plans. She said so it! If we deprive ourselves, we will only want it more and then end up over doing. That night, I came home cooked a huge pot of sauce and boiled the noodles. I did walk that day to make myself feel better and that night settled in for my last big bowl of pasta. The anticipation was far better. It did not taste as good as I remembered and did not provide the comfort I had anticipated. I felt like I had cheated myself but at the same time, glad I got it out of my system. Surgery is tomorrow and I am down 55 lbs since I started. Morale of the story - you are human! Eat in moderation, exercise daily, and enjoy the ride! Don't have off limit food! But when you do have the not healthy kind, think about the taste, texture, and how you felt before, while, and after. Best wishes to you.

Babyspoons, do you get the cryotherapy on just your body or do they do your neck too? A very rude esthetician pointed out my turkey neck this week while I was roaming through the mall. I'm pretty self conscious about it because it is a hereditary thing in my family (along with jowls). I don't want to do a facelift in my early 40s so I am searching around to see what treatments might be available for me to do as I lose weight so I don't end up with quite as much loose skin there...

If just going to the gym was so easy to lose weight Americans and other countries wouldn't have medically necessary weight loss surgery and the diet industry wouldn't be a billion dollar sinkhole. Usually people who state that bariatric surgery is the easy way out have no idea what it entails. They believe you have something done to your stomach, you eat less and lose 150lbs. Educating them might change their minds but most of us don't care enough to try. I just ignore people. People will always have an opinion about what others are doing with their body.

Good morning, I am a 51 yr old woman and had my RNY on 3/9/2016 I am 5 ft and was 210 but 190 at surgery. I was on the smaller end,but I had a lot of comobidities that justified having it. Everything was normal for a while. I got down to about 118 at about 9 months and slowly creeped back up to about 135 where I sat at this weight for a while. Then fast forward to the end of 2019 and I started seeing the pounds come off rapidly for no reason. Now fast forward to today and I am 97 lbs and can't keep weight on,no matter how many calories,carbs, fat I eat. I have seen multiple health care professionals that up until very recently have all told me that this is my new normal. I have had an ultrasound that reviled a fatty liver, however I had a fatty liver before surgery? Has anyone else experienced weight loss like this? I am scared that I will never stop loosing.

I’m 5 years out and can tolerate anything including rice. It’s a blessing but it makes it a tad more difficult to maintain the weight.

I’m 5 years out and can tolerate anything including rice. It’s a blessing but it makes it a tad more difficult to maintain the weight.