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So glad Im not the only one who feels this way. Its funny not in a humorous way that everyone has an opinion on this surgery. Just diet, work out more.... Ive done it all. Now then, I haven't told anyone Im actually going to have this surgery. I have no idea what I am going to say about not eating certain things and or losing weight. I think Im leaning toward an ulcer or hernia surgery.... Good luck to you too. Can I ask why you chose GP and not something else like a sleeve? I was told I was a better candidate for the sleeve but originally, I was leaning toward GP.

short answer: yes! upper/lower/mid back pain improved! as did foot pain, knee pain! long answer: it got better, then it got bad again, and then better. apparently rapid weight loss results in weird aches and pains as your body musculature re-adjusts to your smaller size. lower back pain returned and i got a new hip pain, but then both went away. aside: but one thing that was new and annoying and hasn't gone away is that get back pain now when i sleep on my stomach (i never had this problem before)...my guess is because now that i don't have a larger stomach to prop me up, my back is actually hyper-extending now when i'm on my stomach which results in pain in the morning. boo.

Hi there!! Thanks for sharing your experience! I will let you know that mounjaro does make my reflux worse!! because it slows down my digestion. It also causes constipation in some people. But if you don’t have these issues it’s good! I have not had it yet but I’m going to get vsg. However I do wish I could get the SADI but my insurance won’t cover that one. I have heard people do so well with the weight loss and reversing diabetes. It’s just expensive without insurance. But would if I had the financial freedom! Bypass is also very successful too! Check out some podcasts like “the skinny truth” or check out Dr. Roller’s instagram. I listen to “Core Bariatrics” and “The Bariatric Grind”! They’re good listens in the car and super informative. Of course following your trusted surgeon’s recs are #1!

7 years after VSG I have gained back 40 pounds (lost 102) and now I am dumping. It is very strange because it happens with almost anything I consume and any quantity. I am thinking of going on a mostly liquid diet to get the 40 pounds off and hopefully stop the dumping. Any advice is appreciated.

A good way to remember the difference is to ask yourself "Is this processed? If so, how much?" For instance, white flour is a simple carb, it has had the fiber and such stripped from it, which causes the carbohydrate in it to hit the system faster and spike blood sugar rapidly. Stone ground whole wheat flour is more of a complex carb, because it has the fiber intact along with all the nutrients that come with it and spikes the blood sugar less rapidly because of that fiber slowing the release. Eating it with protein and fat will slow the spike of blood sugar even further. Potato chips? Simple carb--they are white, starchy, and fried. A baked sweet potato? Technically a complex carb, though it does have a lot of sugar in it. Still, much better choice nutritionally than potato chips! Most fruits and vegetables are complex carbs, as their fiber and nutrients are intact. But some can be higher in sugar than others, so it is good to be mindful of their glycemic load as well. Whole grains like quinoa or brown rice and beans are complex carbs, though due to their high carb content they are best eaten in moderation. Most white, starchy, processed things you buy in boxes or bags are simple carbs. Cakes, cookies, white rice, sugar, semolina pasta, ice cream, all simple carbs. Most SADI and DS patients have issues with simple carbs causing gas, or large amounts of complex carbs. So, a big slice of cake may cause gas. A large fruit salad could also cause gas. Their sugar sources are different, but the digestive system sees sugar as sugar and reacts in kind. Apples in chicken salad? Probably fine once you are far enough out to digest fruit. A wedge of watermelon with a bunless hamburger? Also fine once you are far enough out to digest fruit. A few bites of cake or fruit salad? That may also be fine if you are able to practice restraint! Personally, at 6 months out, I have never had any issues with onions like I used to. But I cannot eat beans in any form, not even pureed on the soft food diet, they immediately went through me and caused gas! I can eat small amounts of a cooked fruit, like blueberry muffins, or frozen blueberries microwaved and stirred into yogurt. But I cannot yet eat fresh/frozen fruit. The nutritionist suspects it is because berries are really fiber dense. This is likely to change in the next year. But that first 18 months is prime weight loss time and prime weight loss is boosted by being in ketosis, which means I have to keep my fruit portions small anyways for now. Once I'm at maintenance I'll worry about adding fruit and complex carbs in. Right now I focus on protein, then low starch veggies, then a bit of starch if I have room, like a bite or two of potatoes (I'm Irish, I can't cut them out forever), or a few bites of quinoa.

I did. I noticed no difference in my blood sugars, blood pressure, nor my weight. I took it for 6+ months. Of course this was all before WLS. My bariatric team took me off all my supplements other than my multi and calcium post op.

@Spinoza is correct. It is easy to do because you can’t tell you’ve had enough yet. Besides the staples & sutures holding your tummy & digestive system together, a lot of nerves were cut. So signals we used to rely on aren’t working or aren’t working properly yet so those messages just aren’t getting through. It takes a good 8 weeks to be fully healed. So it may not be until you’re into your third month before you start to feel signals again. Oh, and your signals may be different to what they were. And, no you won’t have stretched your tummy or impacted your weight loss by doing this this one time. And you would know if you had damaged your tummy. Just tread carefully & slowly & follow your plan to protect your healing tummy & support your recovery.

I have a question for folks that may have experienced this. I'm not convinced it is 100% related to my surgery since I had some of these symtpoms, albeit milder, prior to my surgery. I felt like the dizziness and general weakness went away the first 4 weeks following surgery, and I was able to walk 2 miles easily without stoppoing, and 4-5 miles a day with minimal rest. I was really looking forward to going back to the gym once I was cleared to lift weights. However, I caught Covid, and was mostly stuck in bed for 2 weeks over Christmas and New Years, around the time I was working in solid foods again. Since then I'm barely able to walk 1 mile without stopping, and even then I need to rest for over an hour to feel right again. It's gotten progressively worse, especially in the last two weeks, to the point that I don't feel comfortable driving when the vertigo and extreme fatigue hits. It's to the point that I'm falling off my treadmill if I go more than a half mile. It went from being somewhat disruptive previously to debilitating now. Luckily I work from home, but even that is starting to get disrupted. Over the past year I was evaluated for heart issues, had 3 MRI's, a CT scan, echocardiogram/ultrasound, had my carotid checked, been to two opthamologists and tried two different pairs of glasses, checked out by a Neurologist and Neurosurgeon, evaluated by an ENT, went to a hearing and balance specialist (no Menieres disease, inner ear crystals, etc), normal BP (between 110 and 130 systolic, and 70-85 diastolic), Blood Sugar has returned to my pre-diabetic levels (92-98 fasting, and no higher than 130 when checked 2 hours after eating). Pulse Oximeter is showing O2 staying between 95-98. CPAP was re-titrated to treat sleep apnea following the weight loss. Blood labs showed Total Cholesterol and LDLs somewhat high, but decreasing steadily since my surgery in November, High levels of Iron and Calcium though, but everything else plus thyroid were normal. Heart rate has dropped from pre-surgery rate averaging around 80-90 bpm down to 40-55, but my PCP wasn't able to determine why. My father and grandfather (currently 92) both have a normal heart rate between 45-55 for their whole lives, so maybe that one is hereditary. Thanks for reading and any advice is appreciated!

Has anything changed? New medication? Lifestyle change? Has a little complacency slipped in? Not as active? You’ve been through Thanksgiving & Christmas recently could they have contributed? Go back to tracking your food & fluids to check you’re meeting goals. Go back to how you were eating before you reached your lowest weight in regards to portion sizes, calories, macros, etc. Protein first, then vegetables & finally only if you’re able any carbs you’re allowed. Check in with your dietician to ensure you’re not missing something. Remember not everyone reaches their goal. The average weightloss at the three year mark is 65% of the weight you would need to lose to put you in a healthier range. You’ve got this.

I call it hot girl fit (stole & twisted it from some recent movie). Look good, have muscle definition but have no strength or stamina. Gym fit but not life fit. Lol! Oh, yes the changing body shape when your body resettles. I remember looking in the mirror bemoaning the loss of my hour glass figure. I was all straight up & down when my weight first stabilised. Then one day I realised I had a definite waist & hips again (breasts remained larger - E cup & smaller band - just empty on top). Yay! Still no butt. And like @ms.sss, if you look at me sideways, you can’t tell my front from my back around that area. There are trousers I can’t wear because I have no butt to fill out the back & have that saggy, baggy butt look from the excess fabric. PS - Hate to tell you @ms.sss, your dental issues may be related to menopause & being in that ‘certain age’ bracket. It affects so many parts of our body besides the obvious cessation of our cycle. Pretty crappy really. Men get it so easy!

I completely understand your frustration, in the last 8 weeks I've lost and regained the same two pounds. I'm 9 months in..so very close to your timeframe. I read in my bariatric clinic handbook to contact the clinic if weight loss stops longer than 4-5 weeks. I have an appointment next week at which time I will be asking for answers. Like you, I am always at a calorie deficit, I watch every single calorie, fat, sugar and carb gram sticking to my 800 calories a day, 80 protein grams, 50 net carbs a day. My labs are "perfect"... So yeah I do understand, I'm sorry you're going through this, especially for longer than I have. What did your doctor recommend/say? As far as being cold, there are numerous posts here on the forum with other WLS patients discussing being cold all the time - do a search to find them. In fact, as I type this I have a heating pad on my back and an electric blanket on in front - its 56°F here too cold!!! Before surgery I would have been fine, I kept my heat on during the winter at 55° and was comfortable where as everyone else was chilly. So, its completely normal. I was wearing a long sleeve shirt in 76° sunshine the other day and was still chilly. So rest assured your being cold is completely normal! Let us know what your doctor said and keep us updated!

I'm not sure what she actually meant by that, but I know I take certain comments differently now that I'm normal size than I did when I weighed almost 400 lbs. If I was eating dessert now and some friend or relative called me a "piggy" (that is, if they said it in a joking manner), I would have just assumed they were teasing me was because I was eating dessert. Before my surgery, I most definitely would have assumed they were referring to my weight. I also remember my mother-in-law teasing my 20-something niece once when we were having pizza for someone's birthday. My niece was wearing some new outfit or something - can't remember - and when she grabbed her third piece of pizza, my mother-in-law jokingly said "you'd better watch it or those pants aren't going to fit" (or something to that effect). She said it in a joking manner and I knew she wasn't referring to Sarah's weight, but Sarah is obese so at the same time, I knew exactly how she (Sarah) would have taken it - and she did. My mother-in-law has never been obese, so she wouldn't have understood how that comment was taken. When I explained it to her afterward (when the party was over and it was just me and her and my husband), she felt terrible about it. I knew she did because she brought it up several times over the course of the next week or so (she also apologized profusely to Sarah)

Only being able to eat small portions is very normal & to be expected especially only being 3 months out. Remember how small your tummy is now. Your stomach is also still tight from the surgery but it does soften over time & becomes a little more flexible as so you slowly will be able to eat more than you can in the initial period. Initially I was eating 1/4 - 1/3 cup from purée & was barely eating a cup of food at 6 months but by years two or three I was eating pretty much an appropriate portion of food for e.g, about 3ozs of meat & a cup of vegetables. Most fast food & chain restaurants servings are hugely bigger (like 2, 3 or more times larger) than what is an actual recommended portion size so leftovers are expected. If eating out, order an appetiser or ask to share a main with someone else. And ask to take leftovers home. I always had left overs in my fridge from unfinished meals. Actually I still do - right now I have left over rolled oats from breakfast (I’ll eat it as an afternoon snack) and some leftover beef cheeks & vegetables from last night’s dinner. Usually it’s because I’m not all that hungry or simply have had enough. The reason behind eating slowly is for us to learn to be more conscious of actually eating & to consider whether we really need the next bite or just wanting the next bite or mindlessly shovelling food into our mouths. Also it takes at least 20 minutes for the message you are full to register. If you eat quickly you can easily eat to excess & way past being full and not eating only what you need. I also love my microwave if food gets too cold. Constipation is common. It becomes less common once you’re close to your final weight & when you’re eating a more balanced diet and larger portions. Add a non swelling soluble fibre and keep on top of the constipation by taking an over the counter medication. I’d take coloxyl if I got to day 3 without movement. And as @learn2cook suggested, speaking with a therapist (your bariatric team should be able to recommend someone with experience in disordered eating if you need) can be very helpful. All the best.

Have you gone back to your surgeon or your dietician? Maybe they can offer some advice or alternatives (yes like medication). There may be something you are missing too. If you haven’t yet, clean out your pantry, fridge & freezer of any foods you may be drawn to (snacking). Cut out any high or ultra processed foods from your diet that may have snuck in (known to increase your hunger & decrease your satiety). Are you still meeting your protein & fluid goals? Do you still eat protein first, then vegetables & then only if you are able any whole/multi grain complex carbs? 1800 calories may still be too high for you. Remember ‘they’ usually say 1200 for a female to lose weight but that’s based on averages & not individual needs & stats (age, height, current weight, activity levels, health status & considerations, etc.). But your dietician will be able to advise you on what’s best for you. All the best.

That's good to know! I was shocked I lost so much in the pre-op phase. It took me 6 months to lose 15lbs from my highest weight this past summer, and then I lost the same amount in 2 weeks. So I imagine my body is reacting to that as well, like what the heck are you doing?! I just got to start soft proteins a few days ago (my doctor skips purees) and my calorie count is increasing as well. I seem to be able to get around 30g protein from food, and I'm still supposed to have 3 protein shakes, so I'm ending up with 90+ grams of protein and 600-650 calories. Pre-op I was at 600-800 calories per day and 80-100 grams protein, so maybe that's more of a sweet spot. Hopefully this will give me a nudge in the right direction!

I am sending you hugs. Your weight is still down from 134kg, so you are not a failure. I am sure that people more educated than me will be able to offer you more and better advice. But I will say that I think you should start tracking your food intake so that you know how many calories, carbohydrates, and protein that you are getting. Vi auguro buona fortuna e spero che ci terrete aggiornati!

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

Hey there, That’s awesome! Doing this journey going from not eating carbs and then reintroducing them as needed is key. I’ve lost weight, but it comes in stages. I’ll lose inches first, then the scale will be stuck. Then all of sudden the following month, boom, ten pounds gone. I was weighing daily then weekly and now I weigh every other week. Protein is vital.

I had surgery on December 4. I rapidly lost about 13 pounds. Since my appointment on the 19th I’ve only lost an additional 4 pounds. I’ve been drinking more water add I’m still on soft foods. Is this normal or not? I’ve also been utilizing my treadmill and weights three times a week.

I had my first weight increase since surgery, 2 years ago. Just 1 pound but I jumped straight on it and its gone. The weather has be atrocious here, very wet and windy and it curtailed my walking. I just sat around watching tv all the Christmas/ New year period, its so bad for me.

Oh thank goodness it's not just me! I lost 19 pounds the first 2 weeks, and I've been stuck ever since -- stalled for 2-1/2 weeks so far. I was convinced that I had done something wrong and have been very frustrated. I talked with my doctor about it and he was completely unconcerned and said "the scale will catch up, don't worry about the scale." Here's the explanation, which makes sense and gives me great comfort: Those first 2 weeks post-op when you are just consuming liquids and lose a lot of weight really fast, that's all pretty much water weight that you lose. Then as you start to add back real food, you gain back the water weight. So even though you are gaining back the water weight, the scale is not moving because you are losing fat (which is the real reason we are all here, to lose fat). So until the fat you lose eclipses the amount of water weight you originally lost, the scale won't move. But that is not a bad thing, because it means that you are still losing fat. So in my case, until I lose MORE than 19 pounds of fat, the scale will stay at about the same spot. But once I pass that 19 pound mark, it will start going down again. At the same time, I have not had to take any diabetes medicine or blood pressure medicine since the surgery. I sleep great, I have more energy, I can briskly walk 2 miles at a time without back pain (which was a major problem for me before!), I don't really mind when I have to park farther from the door of the store than I'd like, and my clothes all fit significantly looser. I can see in the mirror that my body has changed dramatically. So even though the scale is not moving, it's very clear to me that this IS working! I'm just impatient to see a lower number on the scale, which is actually pretty silly considering all of the other benefits that I can clearly see and measure and feel. So we just need to stick together strong, keep the faith, and trust the process! We will get over this hump together!

Hi all, the sun is finally out and I've made my 10k step goal today for the first time since Monday at least! Thanks again for everyones support - it does help! @gracesmommy2 I have thought about SAD, but normally I'm okay in all weather, I even prefer summer holidays in the north with raincoats and wool socks and fires! I reckon I'm probably a bit anemic and low on vitamin D... and that plus the exhaustion, the being cold and the being away from home is just a bit much. I hate lugging luggage around and so tend to travel light and where as when I'm home and it's cold I just wrap out and bundle myself under covers with a hot water bottle... but when I'm travelling it's hard esp as I've mucked up on my packing for the last few trips and not packed enough warm clothes. I do have a sort of lightbox thing at home that I usually use to deal with jetlag but I've been lucky enough since my operation to only be doing short hall... I do go to Canada and the US next month though so will get my lightbox out of whatever cupboard it's hiding in when I next make it home. I'm also aware that I'm loosing fast, which I think is pretty normal as I wasn't overweight for that long ( my BMI got above 25 for the first time in my life only in 2020)... I'm on Thursday I'll be 3 months since surgery and as of today I've lost 19.75kg (43.4lbs or 3st1lbs) since my surgery so over 21% or my body weight in under 3 months ... I know that this must be doing a number on my mental state too. I was 91.1kg on the day of surgery and am now 71.35kg - however I also lost 5kg in the 2 weeks before surgery, my surgeon didn't need me to do a preop diet but just to be safe I still pretty much did a broth fast for the two weeks prior. So all in all in 15 weeks I've lost over 25kg ... and I know thats why I'm so exhausted! However I'm also happy because my team wanted me to have lost 20% total body weight at 3 months and I've exceeded that with a week to go ... I know things will get better... but I would love some proper warmth and light for more than a couple of days! @LisaCaryl I've always shed a lot of hair but haven't noticed things getting worse yet ... but I guess I'll just ride it though when it does happen! On the bright side I have to loose only another 2.2lbs to have a BMI under 25 again ... I know BMI is a crap tool ( and honestly find it a tad unfair because I reckon I have at least a couple of extra lbs of boob!) but I'm still very much looking forward to no longer being officially overweight! Hope everyone has a lovely weekend and that all those far enough north got to see the boreal lights.

I get so angry when I hear people say that WLS is 'the easy way out'. It's not. If it were the easy way out, none of us would need to come on these forums for support. Some people make it sound like WLS is cheating, a dark and dirty thing. The implication is that we should all be able to do it with diet and exercise, and if we're not doing it that way it's because we're lazy and lack willpower. These people are, frankly, bullies -- even if they don't mean it that way. I think some people feel threatened by the idea of us having WLS. I have three of them whom are still in my life. One has become more supportive since the surgery but still makes it known from time to time (especially whenever I've facing a struggle) that he didn't think I should have the surgery. The other two were supportive pre-op but as soon as the weight started coming off, jealousy kicked in and they started talking about how 'easy' it was and how they want the surgery but can't afford it / don't qualify, etc -- all while talking about how they would 'cheat' by doing this, this or this. The people that want to support you, no matter your decision, will support you. They'll read any literature you give them -- or do their own research. They'll ask you questions about the process & the post-op lifestyle and will listen to your response. There are bound to be people in your life that will need a bit of a learning curve, or who can't get out of their own heads enough to really consider the different between helpful comments/criticism and cattiness/bullying/cruelty. Some might just need a little conversation or confrontation about their phrasing and word choices; others might need to be cut off until/unless they learn to not be sh!tty humans. At the end of the day -- at the end of every day, actually -- only you can decide what's right for you. You are the only one with full knowledge of your body, your physical/mental/emotional struggles, your trials up until now, etc. Even your doctor can only go so far in helping to decide if this is right for you. Try to push out the words of people who Don't Know your details, or even basic knowledge about the surgeries. Do your own research, talk to people who've done it, consult with your physicians, etc. ❤️ Good luck. Whatever you decide to do, make that choice with the faith and confidence that you're choosing for your best life, whatever that looks like.

We all lose at our own rate. There isn’t a date by which you must lose your weight. I always felt if my dietician & surgeon were happy I should be happy too. As @catwoman7 said the last 20lbs (about 10kg) can be the hardest & take the longest to lose. While I reached my goal at about 6 months I kept losing for another 11 months & lost another 11kgs (which was the weight my body wanted me to be at - my new set point). The last months I was losing grams each week. So, yes not everyone reaches their goal, but it may not be over for you yet. You are still losing. Remember a loss of 1-2lbs (0.5-1kg) a week is considered a healthy rate of loss. We just had a medically supervised kick start in the beginning. Congrats on your weight loss so far.