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**Trigger warning: domestic abuse** My name is Georgia, I am 27, and I have been 'bigger' for my entire adult life, and a lot of my childhood too. I have PCOS (Polycystic Ovarian Syndrome) insulin resistant type, and an Underactive Thyroid, both of which cause me to put on weight quickly, retain weight, and makes losing weight extremely difficult. I can't even remember the countless amounts of fad diets I have been on, or the amount of times I have tried to lose weight, but failed again and again. When I was 18 I was going to the gym 5-6 times a week for over an hour, I was doing HIIT training and Tai Chi, and I was jogging, eating well etc, but I still only managed to lose 2 stone in a year - make it make sense! I didn't know back then that I had underlying conditions that made it hard for me to lose weight, so I internalised a lot of the guilt in not being able to get healthy, and it resulted in me putting on around 6 stone from then until now. I was also a victim of domestic abuse/violence, and a lot of the verbal abuse that I suffered was centred around my weight - constantly being told by my ex-partner that I was fat, he would pinch my thighs, tummy, arms etc, telling me he was seeing how many inches I could lose. It completely broke me, and I started binge eating in secret. He ended up leaving me, telling me that he could no longer be with me due to my weight and how it made me sexually unattractive. I think I am probably just over 20 stone now. My back hurts when I walk, I cannot look in any mirrors without feeling low, I don't feel comfortable going out in public, and I am exhausted all the time. Every time I went to my GP about something, I was always told I needed to lose weight, as if it were a miracle cure and so simple to do just by trying hard enough. It was always blamed on me not putting in enough effort - and those in the UK will know that the NHS isn't a simple thing to navigate and the waiting lists for obesity support are long and often disheartening. Around 2 years ago I was put on a waiting list for weight loss management with the NHS. I was finally accepted in September of 2023. This is a year long commitment to the weight loss management pathway (Tier 3), in which you have to lose 5% of your weight in order to then be put on to another waiting list for a referral for the actual WLS (Tier 4). I have been told that this can take a further 4-6 years. I had a harrowing thought that by the time my WLS actually came around, I'd be well into my 30s, still desperately unhappy with myself, and I would have put on even more weight and probably be immobile. I can no longer do this to myself. I deserve better. I made the decision to look into private weight loss surgery, and I had a free consultation with a recommended surgeon just before Christmas 2023. This was genuinely the first time that a medical professional sat me down and talked to me with some humanity about my weight. He told me that with my conditions (particularly the insulin resistance, and hormonal imbalance), that my metabolic rate needed an entire reset, and this was not possible to do without surgical intervention. He explained that the difficulties I have had in trying to lose weight and being unable to, are not my fault (though of course I accept responsibility that getting here in the first place is my fault), and that surgery is recommended as perhaps the only thing that will enable me to lose the weight. I have never felt so seen, and so heard. I booked in my surgery for May 2024 there and then. So, now I start my journey, and I was looking for support, and here I am. I look forward to posting on here and using this thread to update everyone once I have had my surgery! I am quite an open and honest person, so if anyone wants to reach out to talk, my inbox is open

My partner does keto (very successfully) and has for years. He stays a mile away from processed foods that purport to be keto friendly. Ditching those allows for much more leeway with your carb goal. Cook everything from scratch and you will honestly never go wrong. In the immediate post WLS period it's hard to do full keto, or full any eating plan. Once you progress through the stages you can have whatever protein you like or can tolerate (and bear in mind that might change after your second procedure so don't be afraid to experiment!) plus green leafy veg/salad/mushrooms/cauli/broccoli/celeriac/whatever and smaller quantities of other veg (should not be a problem for you as all quantities are small quantities post WLS)! Cauli rice is fab with loads of meals. Sauce wise my partner eats bolognese/ragu - just no pasta. Curry - just no rice. Casseroles with no carbs and limited veg. I add the juices of meat or fish to the final protein part of the dinner and sometimes dress that up with a little cream or spice paste.

I have been slowly napping less and less every day, and yesterday (day 6) I still slept a long time at night but I didn't nap at all during the day, so it's definately getting better, and I'm getting closer to my hydration goal every day I'm awake more. Thanks for the support!

I am so glad that you are still reaching out to your team and posting here. I won’t get too far into my story but because of “confusion,” about my mental health, interactions with meds and embarrassment the help I got from my team was not working for me and I gave up. I continued to gain and now I am back here facing revision weighing a little more than when I started this journey. People here are very helpful and understanding but your team should be giving you answers too. Sounds like they have a plan for the next step if need be and that’s great. if all else fails, The phentermine is the one medication that I could try which did work amazing during the day for me but I suffer from insomnia and when I can’t sleep I eat. So, the meds worked wonderfully during the day but at night, with my larger sleeve and being awake so many times, I was able to consume too much for the whole day and I still gained. But I can see how if you sleep throughout the night it really could work. I didn’t get to try mountjourno or any of the other brands it’s sold under because of financial reasons but if you can swing it, I have heard AMAZING things about that medicine too (there are some side effects for some people to consider). People claim they think they must know how skinny brains feel after taking it. They just don’t ever have to think or worry about food. One lady has to set alarms if she is busy to remind herself to eat something. Another drawback is how long you have to take it. Some say when you go off it you start to gain. They are doing studies now where they are trying to work out a maintenance dose that may be less than the regular dosage though. There are also places that are starting to “compound” it at compounding pharmacies. I wouldn’t necessarily trust the stuff from random sites online but my PCP was telling me they were working on getting it in their office and it is less than half the normal cost that way. I don’t know much about the other weight loss drug options because I couldn’t take them with my bipolar meds Interestingly, i just seen an ABC special Oprah did on weight loss injections the other night. (Ironically it was the day I went back to see my surgeon so I thought maybe it was meant to be which is why I inquired about them with my PCP). I’m really hoping that reached someone that has the power to change how accessible these meds are. I asked my pcp and she said it’s probably going to take a little while like everything else and she thinks at this point I shouldn’t wait on surgery for that but if your interested keep asking questions because these things tend to just change in the middle of the night and the word takes a while to reach you if you not the one asking. Anywahs, kudos to you for not giving up. Let your team do all they can to help you and keep posting here!!. I think when I stopped that I lost all hope. I was so isolated. Surrounded by skinny family and having only one heavyset friend who is perfectly content being that way I don’t have a lot of real life people who understand me the way that this community does. I felt so ashamed and I didn’t want to drag down the vibe here with my failures. Since I have returned I have been welcomed with open arms and honestly don’t know why I ever doubted that I would be. Keep doing what your doing and you will work this out. I know it. 🤗

Now that I'm in maintenance mode, I'm getting a into a routine for my meals. Every day, I start out with 8-16 ounces of water, and then a proffee, which I have come to look forward to even the night before. My proffees are simply a black coffee with a protein powder added. There are three products that I cycle through: Premier Vanilla, Orgain Vanilla, and Dymatize Vanilla. For second breakfast on workdays, I will have a low-fat yogurt with two tablespoons of PBFit and two teaspoons of no sugar added dried cherries. I will have ingested 35-45 grams of protein at this point between the two breakfasts, with 250-285 calories, and about 20 carbs. For second breakfast on non-workdays, I will prepare two servings of plain, instant oatmeal with a tablespoon of an olive oil-based spread. This means I will have had 34 grams of protein, 365 calories, and 38 carbs. Non-workdays are when I am being very active with training sessions, so I allow myself more carbohydrate fuel. Snacks on any day are always mixed nuts, even when I am travelling. I will have 0.2 cups of a blend that I make myself. It consists of dry roasted peanuts, cashews, pumpkin seeds, sunflower seeds, pistachios, and Brazil nuts. This is 5 grams of protein, 163 calories, and 7 carbs. Breakfast and snacks have been the easiest to nail down. Lunch and dinner have more variables, and I prepare enough for leftovers. I concentrate on protein first, and then add vegetables. Typically tempeh, tofu, or Field Roast products with roasted or sautéed vegetables. Today, I will be eating leftovers from last night. Two ounces of tempeh with four ounces of roasted vegetables that consist of red and yellow sweet peppers, sweet potatoes, small purple potatoes, zucchini, and carrots. I will add a tablespoon of olive oil-based spread, break up 3 walnuts to sprinkle of top, and garnish with two tablespoons of grated Parmesan cheese. This particular meal will be 19 grams of protein, 377 calories, and 28 grams of carbs. Bear in mind that I do eat more carbs when I am not working, and I focus on ingesting healthy carbs instead of breads/crackers/chips/crisps. It's a helluva journey and I'm thankful to be on it!

Honestly all you have to do is ask here and someone will do their best to help. More people will be along shortly too with much better suggestions. I cannot thank this community enough for all the assistance I have had. Given the (minimal) information given to me before, during, and after my surgery I attribute 90% of my loss to you all. I wouldn't have had a clue otherwise.

Woohoo..... after a crappy 8 months post surgery I have finally gone from being in the obese class 3 category to the overweight category according to the BMI charts. I am delighted as I wasn't sure I would get here given all my post op complications. I still have a way to go to get into what they call the healthy range but I am already much healthier and fitter than I was before the surgery so it is already a win.

Honestly this is the best place I've been ever. Nobody will judge you (well unless you need a complete reality check, LOL). There is so much knowledge and expertise and people are so willing to share. I would never have got to where I am now without these guys. Do you have a date or ballpark date for your surgery? So sensible to look at your eating habits well in advance. With respect to your original query - if you can eat soup then everything will be fine. 😍

Southern Indian Chole Batura (my favorite), What’s everyone’s favorite regional food?

Happy to have you!!! I have been overweight most of my life, my first diet was at 12 with Weight Watchers because mom kept telling me that If I lost 20lbs I would be so pretty (it was never about health). My dad would tell me that I would never have a boyfriend because I was fat or I would struggle with acceptance because of my weight. I did not have my first relationship until I was 20 because of my self poor image ( I was about 240lbs at this point). Ended up marrying him and he was the most emotionally, verbally, sexually, physically and mentally abusive human being. We moved across the country and that's when the abuse got worse. He would degrade me and tell me no on would want me because I was disgusting and he had to imagine other women while we were intimate. We ended up having a daughter together and she was the best thing that's ever happened to me, but after 10 long years I left with my daughter when she was 18months! When I finally left I was 325lbs. Since then It opened me to a whole new world opened up for me and my daughter. I was able to focus on just us and my health was something that I needed to control- I started working out, eating right and got down to 240lbs met the love of my life and now I have happy weight. He is the best thing that has every happened to my daughter and I. Her bio-dad is not in her life, and we ended up having a son together and I shot back up to 297lbs. After some health scares with my family I decided WLS is the way to go!! I am set to have the Sleeve on the 24th!