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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 you stop eating food you will not lose weight. If you don't eat enough food you will not lose weight either... If your calories are too low you will drop into starvation mode and your body will lock down and refuse to lose weight as much as possible in order to keep you safe. Stressful events in our lives can cause this to happen too, but it is most commonly caused by not eating enough food. Your surgeon should have given you a caloric goal along with a sample menu. I think eating protein several times a day is a good sign, chicken and steak are good proteins, as is the yogurt, and most people post op end up using shakes for a while to meet their goals. There is one very big issue with shakes though---they are NOT filling. In fact they will often make you feel hungry. Looking over your menu for the day what I notice is a distinct lack of fiber. With the exception of the little bits you are getting in the fruit in one of your shakes, you have no fiber. Fiber is very important for fullness and many low carb veggies are very low in calories while being quite voluminous. You are 6 months post op, you should be cleared for all foods, that means veggies of a wide variety. Things you can try that are easier on the tummy: baby spinach (both raw and sauteed), baby bok choy (steamed or sauteed), carrots (raw, steamed, or roasted), cucumber, tomatoes (both raw or cooked), broccoli and cauliflower if they don't make you bloated (both raw and cooked in a myriad of ways), asparagus, summer squash (sauteed or roasted), zuchinni (sauteed or roasted), eggplant (baked), heart of palm noodles, spaghetti squash, and on it goes. Beans are also a good source of fiber while being high in protein too. Well cooked and rinsed beans are a great way to boost volume in your diet! You could also do split peas and lentils. A bean soup would be filling while still being low in calories. At least half your plate per meal and snack should be made up of fruits and vegetables. Personally, I'd drop the Atkins shake and add vegetables to every meal and snack. Make sure to pair them with protein: hummus with carrot sticks, peanut butter with sliced apples, boiled eggs made into an egg salad and paired with cucumbers, fresh mozzarella with basil, balsamic glaze, and sliced tomatoes, chicken with steamed asparagus, steak with roasted carrots and squash, small salads with protein toppers, yogurt topped with berries and a few spoonfuls of granola. These things will help you feel full and give you a lot of nutrients that you really need right now to feel satisfied. I'd also skip the macaroni for a whole grain or root vegetable if you are craving carbs. So try a side of buckwheat or quinoa, or roasted sweet potatoes, mashed redskin potatoes with the skins on, or roasted pumpkin or butternut squash.

Why are you trying to cut back? What do your doctor and dietician have to say about it? You seem to be losing weight very rapidly and doing well, so I don't see how you're doing anything wrong, unless the specific foods you are choosing are bad for you. But just because someone else ate less doesn't mean you aren't doing what is right for you! Remember that 1000 calories per day pre surgery would have been starvation level, and it's very hard to get in the nutrients your body requires in even that amount of food. You've had a metabolism altering surgery. Choose healthy protein and natural foods. Let your new metabolism figure out what it needs to function at the best level for you. If you deprive yourself of calories now, you're setting yourself up for a lifetime of deprivation. Remember it's supposed to take a year to reach your goal!

Hello - I had gastric sleeve in June of 2015 and lost over half my body weight initially, getting down to well below my initial goal in the first year. Started having issues with acid reflux pretty early on, and it's gotten steadily worse, especially in the past 3 years. I'm currently on omeprazole and famotidine, plus Tums in addition. A 24-hour PH study showed that I had over 100 episodes of reflux in that period. So I was approved to revise to a gastric bypass. I also have regained over half of what I lost, mostly since my reflux has gotten worse, and am about 50 pounds heavier than my ideal weight. The reflux makes me feel hungry all the time, and I'm eating way more carbs than I should because they seem to tame the acid somewhat. I understand that it's pretty much a pipe dream that I'll be able to lose anything close to that with revision, but I guess any weight loss would be better than where I am right now. My new surgeon said she expected that I'd get back down to 110-120 after revision (my preferred weight personally is around 125), but based on all the posts I've read here and on reddit, she is definitely exaggerating to make me more willing to go through with the surgery. The best it sounds like I could hope for is to lose maybe 15-20 pounds over the course of a year or more? I am scheduled for surgery on Jan. 18th, but I'm having second thoughts after reading so many horror stories of unpredictable dumping episodes and ever-changing food intolerances. I guess maybe my reflux isn't as bad as others, since the reality of daily life with RNY seems unbearably miserable to me in comparison to my life currently. I'm afraid that I won't be able to do my job anymore (or even leave the house at all) if I am unable to eat or drink anything without the risk of vomiting/foamies (I have pelvic floor issues, so I pretty much always lose bladder control when I vomit or dry heave) or having uncontrollable diarrhea. After revision, do you have to wear an adult diaper all the time? Has anyone developed an eating disorder based on fear of getting sick after consuming anything? Do you have any "safe" foods, or is it always a (literal) crapshoot? I know that continued GERD can cause esophageal cancer down the line, but wouldn't the same be true of daily vomiting? Has anyone who is several years out from revision developed cancer or precancerous damage to their esophagus due to the constant vomiting? Likewise, have your teeth been ruined from it? For those who revised from VSG to RNY and are past the initial healing stages, would you do it again or has it made your life even worse?

Ha. I don't actually know which of these threads to post in, so sorry for cross posting! But here is the difference after a year. Still hoping to shift about 25 more lbs and gain back some muscle mass, and will probably look into surgery to remove some excess skin, but all in all pretty happy with my results!

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.

I am about to turn 57 and had my surgery almost 23 years ago. I have given birth to three children and stayed thin the whole time. I started at 250 and settled at 125 ( I’m 5’4.5” and that made me a size 0 or a 2) When I was done having my last child I settled back at 155, still wildly successful. When I entered into perimenopause, it became a fight to keep my weight off and I kept fighting. And then now through full-blown menopause two years since I’ve had menstruation, I’m almost as big as I was when I started. I’m wondering if there’s any help in this situation. Any doctors who will look at a revision I guess or make some practical suggestions. I have changed my eating, habits a dozen different ways to try and bring everything down but it’s like it was before, the weight loss is nearly impossible. I can get it down sometimes but then it comes back and it never goes down more than 30 or 40 pounds. I regularly get my hormones checked and I’m on progesterone and testosterone. My estrogen is always fine or even high. Looking for optimistic ideas. Thank you in advance for your suggestions.

TL/DR: Worried about losing weight by not eating enough. | Looking for tips to reach protein/calorie goals when not hungry. | Looking for others' experiences with lack of hunger this far out in WL Journey. ------------------------- I meet with my nutritionist for check-ins about every 3 months. For this last one, my 9-month, she told me not to be upset if I hadn't lost, as a stall was expected. Yet, I had lost just as much as I had been. We went over what I had been eating & she wasn't concerned about content but suggested increasing variety. [I'm a meal repeater 🤷‍♀️] Though, she again warned me that it is now especially likely that I would stall since I hadn't yet. Since that appointment, I've still been losing weight. I know it might appear strange to worry about meeting the goals we are here to meet, but my nutritionist is big on trying to relearn the natural cues of the body. So, as they are absent, you can notice pressure in your stomach, sighing, or a runny nose as indications of fullness. As indications of hunger return, you can utilize them to increase portions within the parameters of slow eating and not exceeding controlled sizes. The thing is, I don't know that the initial increase after, you know, the literal wounds healed, I have really expanded much more. I don't really get hungry until 'early-bird dinner' time. So eating during the day is purely done out of obligation. [& if I'm being truthful, there are times when I forget entirely until after work.] So obviously, that leads me to try to have all of my calories in one 'meal' in the day, which I have to eat over a couple hours [even if it is small] if I don't want to get nauseous or actually regurgitate. [The regurgitation has improved slightly over the last couple of months. I had a very reactive stomach that required me to prolong my dependence on protein shakes. Pre-surgery, I don't think I came even close to needing to vomit since pre-school 🙁.] To be fully upfront, I have not counted a single macro or calorie or weighed a single food item during my entire journey. I've tried tracking before in my weight-loss journey, and it was not healthy mentally for me. I realize that I may be under goals rather than over them, but straightforward counting of calories is just not something that would be part of a successful journey for me. So, all of this is a longwinded way to say: - Is anyone else struggling to eat enough this far out? - What helps you to reach your protein/calorie goals when you don't really want to eat? - Any other tips/tricks/specific brand or meal suggestions?

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!

@ms.sss said exactly what I was going too. Done all those things too. I still have facial droop, nasolabial folds & jowls though my skin is more even in texture, tone & colour so still a win in my book. Unfortunately, the skin on your face has stretched just like the skin on your body. However, once your weight stabilisers, if it hasn’t yet, you will notice your body & face sort of resettles & you may notice you look a little better & brighter in the face. I’ve accepted this is how I look I mean I am almost 59 & I’ve earned this face. I take great pleasure in seeing the real shape of my face, having a jaw line, cheekbones & not having really droopy eyelids. I’m still vain enough though to keep up the Botox, filler, SecretRF (same as Morpheus8) & retinol, vitamin C, serums, & other aspects of my skin care routine. lol!

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?

I'm not a doctor and you should definitely ask your doctor about these results! They are the only ones that can really interpret these things for you!! However I can tell you from experience that sometimes the B supplements they have us taking after surgery can really push up the B12 levels, even into the abnormal category. But far as I understand it, the body will deal with the extra B12 just fine. At least that is what I was told and it may be true for you, so try not to worry until you talk to your doctor! Also, rapid weight loss post op can do odd things to our labs overall, especially our liver labs. That is because all that fat we are losing has to be processed in the liver and it stresses it out a bit. This is one of the reasons we are advised to avoid alcohol for the first year, that liver doesn't need anything else going on to stress it out! Plus there is a risk of transfer addiction but that's a whole other story... So try to remind yourself that your body is working very hard right now and that will probably show up as some unusual labs for a while. Your doctor will let you know if there is anything to be concerned about. And finally, being in ketosis post op can do weird things to our labs as well, especially when it comes to what shows up in your urine. So again, try not to fret too hard until you talk with your doctor about this. It is possible this might be something they want to follow, or it could just be because of surgery and rapid weight loss in ketosis. Only they can tell you what is really going on. ❤️

I hope your weight loss is going well. My daughter is 28 and had to go through IVF for various reasons. I think if you stick to a plan you will continue to lose as long as you need to. Bariatric surgery, is one tool for weight loss. If you continue your hard work you can do it. Good luck,

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.

This if difficult to answer/compare. There are to many variables: 1. Type of surgery 2. How over weight someone is, 3. How surgery went 4. Type of job/work you have 5. How quick to recover 6. Pain management I say all this because it's different for each of us. I did well with surgery and was out the next day, very little surgery pain BUT my entire abdomen was a solid black bruise, so putting a seatbelt on to drive was impossible and it became only painful when I drove. My bruising lasted 45 days! I have two friends who had WLS, one went back in 2 weeks (the earliest her doctor would release her to go back) and another 7 days (although she said she wished she'd taken longer off - she was exhausted, sore and constipated). So, there's really no way to tell until you have surgery.

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 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.

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 love this topic, I'm recently thinking about how I will want to dress when I hit my stable weight. I've reinvented myself many times over the years and now I'm going to again. Right now I'm only wearing sweatpants and pajamas since it's so cold but come summer there will be lots of dresses. I'm 7 weeks post op and already my swimsuits are baggy and I'm hesitant to get new ones, I don't know what size I'll need now, and I don't think it will fit for very long, but maybe worth it anyways then donate it. I did splurge on a pair of jeans that I love but they're starting to sag on me. This is going to be fun and a bit scary I think.

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 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 had mine removed 2 years & 1 month after my sleeve. Could have been because of the weight loss, menopause, my high bilirubin levels or simply my past eating. Had a stone about 1cm diameter but it certainly made itself known. That pain is the worst! Never changed what I was eating after surgery. Was eating the same the day after it was removed. Some people struggle with fatty foods in the long term after (my aunt describes it as feeling liverish 🤷🏻‍♀️.) but of course I don’t eat a lot of fat so wouldn’t know if it sets it off. My sister-in-law doesn’t have any difficulties with foods post her gall removal. Probably a case of just how your body reacts. Only thing to watch for the first month or so (again depends upon you) is you may have more stomach acid & have issues with that. Your gall regulated the acid entering your tummy & without it you may have a more constant stream until things settle again. Eat small meals more regularly & try a PPI for a little while to reduce the acid. The excess acid can cause diarrhoea & some discomfort in an empty tummy. I had regular bouts of diarrhoea & I remember my surgeon saying to comeback if it persisted for more than a month. It didn’t but every few weeks I’ll get bout of it. Don’t really get cramps or any of the other usual diarrhoea warning signals just a bit of a grumbling & need to go.My sister-in-law is the same.