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My doctor just called me and told me that my insurance approved for my surgery . I’m so happy and nervous I can’t wait for a June 6th

For the first time in years, I'm under 200 pounds. Woo hoo. Lost 34 pounds pre-op and now 24 post-op. Surgery was on October 2nd. Weight loss has been slower than I expected, but my nutritionist said that I have lost 48% of my excess weight and am right on track. Yay!

There's a reason why we have to start on liquids and slowly work our way up to solid food. You have sutures that can get pieces of food stuck in them. Also, your sutures could break. Peritonitis is nothing to trifle with. Buyer's remorse is quite common. It will get better. No bite of solid food is worth your life.

So I have been really quiet on here because I was just trying to get rid of the last of the health issues I had going on. Polyps are gone and uterine fibroids are gone. I had an appt with my bariatric surgeon today and we discussed getting the revision now that I have a clean bill of health. Looks like it'll be mid July sometime. BUT...my revision is a little more complicated. Here's what I was told: Normally they leave the bottom part of the stomach when they do the bypass because there might be a need for a feeding tube at some point, or something like that. HOWEVER, with my situation, the part they would normally leave is where all the polyps were. So the surgeon is going to completely remove the bottom part of the stomach (making my stomach about 2oz instead of the 4-5oz it is now) during the bypass surgery. He said that's not ideal, but given my situation, it's the best course of treatment for the GERD, esophagitis, gastritis, and getting me back to being able to work out and live a normal life again (which is really all I want). He said it does present a problem later on if I need a feeding tube or whatever, but that's a big "if", and considering all of my issues right now, it's worth the risk, if I agree. I agreed with him and I'm waiting for the coordinator to call me to schedule the surgery officially. I'm so close to this being over. I can see the finish line FINALLY!!!!!

I think it's fine to be prepared, but on the other hand, death and major complications with these surgeries are VERY rare. These aren't the same surgeries that they did 30 or 40 years ago, which WERE very risky. Mortality rate on the modern bypass is 0.3%. It's even lower on sleeve (can't remember the stat on that since I didn't have sleeve, but I do remember it was lower than bypass). So you have at least a 99.7% chance of sailing through just fine. And you will. Those odds are actually excellent - better than those for a knee or hip replacement surgery, and they do those all the time. I read all those horror stories, too, and almost talked myself out of having surgery. I suppose it's good to know what kinds of complications are possible, but at the same time, you need to keep in mind that very few people have those. Most of us have no complications at all or only very minor ones that are "fixable" or preventable. A friend of mine who'd had her surgery a few years before mine (and served as my "mentor") said she was at greater risk of complications and early death by staying morbidly obese than she was by having the surgery, and she was right. there is a slight risk of death from any surgery. I'm remembering the girl in California who died from a tonsillectomy a few years ago. But that is exceedingly rare - and death from WLS is exceedingly rare, too. It's fine to prepare, especially if it gives you some peace of mind, but I'm sure. you'll be fine and we'll be seeing you on the forum again once you're a couple of days out of surgery!

I was curious what causes the 3-week stall, and this is what I found out in doing a little digging. When we experience calorie deprivation, whether a diet or after surgery or just not having the usual amount to eat for a bit, our bodies first turn to our store of glycogen to keep things running. Glycogen is a form of stored sugar, and for each gram of glycogen in the body, it's bound to 3 grams of water. So, if you burn a gram of glycogen for energy, you lose 3 additional grams of water as a bonus. Your body will always burn glycogen before it burns fat because that's how we've evolved to handle brief food shortages. Which means most of the weight you lose right after surgery is not actually fat, but water (and that's fine!). But after a few weeks, your body is low on glycogen and you still haven't hunted down a wooly mammoth to eat, so now it starts burning fat to keep running. At the same time, it does what it can to replenish those glycogen stores with whatever calories you have coming in, because it's a little worried you won't survive the next famine. Glycogen makes me think of the $100 cash my mom always kept stashed in her sock drawer for an emergency. If she used any of it, as soon as she got more cash, she replenished that first before putting anything in her wallet. Remember, each gram of glycogen comes with 3 grams of water. So you might burn 4 grams of fat, but also replenish 1 gram of glycogen (along with the 3 grams of water that tag along for the ride), and the scale shows you the same weight. Now you feel like nothing has happened and start to panic. But you still lost fat, which is the goal. And once your body does what it needs to do to replenish that glycogen, it'll start showing on the scale again. I really wish doctors would explain this process to patients before surgery! Some mention plateaus in general, but they rarely explain what causes them, and the 3 week stall is the type of thing they really should explain in detail so we know what's going on because it's basically a given.

I have a surgery date 10/18/2023!!

It is 1000000% normal and generally unavoidable. Your hair naturally goes through growth and shed cycles and any major trauma to your body (surgery, stress, pregnancy, etc.) can impact that cycle. You just had major surgery and now your body is losing a significant amount of weight in a very short period of time, which triggers that shed cycle to accelerate. For most folks it lasts a couple months, slows down, and then you start to see regrowth. Take your bariatric vitamins, hit your protein goals, and stay hydrated. Those are your best tools for helping minimize it and ensure regrowth comes in strong. Some people also supplement with collagen and biotin, which certanily can help, but they won't stop the shed. Hang in there, its totally normal and doesn't last forever!

I'd be a lot more afraid of NOT having the surgery than having it. I hesitate to say this, but you're more likely to die from obesity complications than you are from the surgery. These surgeries are much safer than they were years ago - mortality rate is very low - even lower than hip replacement surgeries, which they do all the time. I was heavier than you are (although fortunately, I didn't have any co-morbidities), but I knew it for me it was either have the surgery or die from my massive weight (I was well over 300 lbs). Having that surgery probably gave me an extra 10 years of life. I'm much healthier today in my 60s than I ever was in my 30s and 40s.