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I'm 8 months almost 9 months post opp and have stalled for a month. I'm like maybe 20 pounds from goal weight. I'm not going to stress about it! I hear it happens often and I dropped hella weight extremely fast with all my exercise I do daily. I also started strength training and I know muscle weighs more than fat. I'm gonna give a update in a few months to see where I'm at. I am in a freaking size 12 jeans BTW never f%]%>] Thought I'd ever see that number again! Obesity is a lifelong DISEASE! We got a lifetime! We GOT THIS!

When my wife and I were first looking into WLS 20+ years ago, there were several newer procedures, including the MGB mini-bypass, DS duodenal switch and the VSG vertical sleeve gastrectomy, that were circling the periphery of bariatrics, which at the time was mostly lap bands and the RNY gastric bypass. These were the only procedures that were endorsed by the ASBS (American Society of Bariatric Surgeons) - the predecessor name for today's ASMBS. Since that time, the DS, VSG and newer SIPS/SADI/"Loop DS" that have gained endorsement from the ASMBS and general insurance coverage in the US. The MGB never made it past that hurdle here in the US, so isn't commonly done or covered by insurance. Bile reflux seems to be the major legacy problem that caused the profession to move away from it at the time. There are claims that some new techniques have been developed to minimize that problem, and maybe they do, but it's a hard sell to make it mainstream in the US. It has become more accepted in other countries. Overall, being in the States, I wouldn't be overly eager to go with the MGB as it is not commonly done here, so there are fewer MDs around who are familiar with its' care over the long term; the RNY, in contrast, has been done for around 140 years for reasons other than weight loss, so is a well known configuration in the medical world, as are the problems one may encounter over the years. If you have an unusual configuration like an MGB or BPD/DS, it can be harder to isolate any health problems one may have years down the road owing to the general unfamiliarity with the procedure -at least the DS has significantly better weight loss and diabetes results than the other procedures to make that a worthwhile consideration. If you live in a country where the MGB is commonly done, then it would be a worthwhile consideration, but the US has too many other mainstream procedures commonly available and accepted that do as well or better than the MGB that it doesn't make much sense here.

What a nightmare for you. I think you know so much now about how to manage your diet that hopefully you'll be able to work around the new rules being imposed upon you. It's so unfair that you have to stick to those when you know it's not what you want. I hope the new regime sorts your colitis and you can stay on the immunotherapy - that's what's most important now.

I feel the exact same way about when I don’t eat clean. I don’t sleep as well and I feel fatigued all day. It’s weird I didn’t realize how good I was supposed to feel until after this revision and now I know when I eat poorly because I feel like crap. Oh sugar free popsicles. I forgot about them. I am pretty sure I’ve got some in the freezer. Them will help at night. I wake up at night, several times a night, when I am off the wagon with carbs. That’s when I usually give in just so I can go back to sleep.

Yea since I was a revision to SADI they did not operate on my stomach. My portions are the same as they were years out from my sleeve which was about a single serving of most things. The weight I have lost is really just from eating 100% clean and exercising quite a bit. I really don’t worry too much about portions (although I still can’t eat a ton at once). I truly do believe that I am a carb addict though. It’s hard every single time I eat a lot of them to get back off of them. My plan is just to allow myself to have as much fruits and veggies as I want until the cravings ease up and then go back to my normal portions. We celebrate on Christmas eve and just have breakfast on Christmas while we watch the parade so I started yesterday and my plan worked, but I still ate a lot of calories because of eating all day long and I still want carbs just as bad today. My body just screams out for them. And for a while too. It’s really almost not worth it.

My goal is just to stick with my fitness and nutrition as much as I am able in the midst of my other medical stuff. I actually just left my doctors office today because I didn’t like the plan the nurse had for me that took me off my bariatric diet and I was gaining weight. We came up with a new plan that hopefully will get me back on track for both goals. Well after I detox from all of the carbs anyways. 😩

That’s an awesome goal. I am rooting for you. Can you train some days on a stationary bike if it’s like lightning at least.

Kindle unlimited is great if you don’t have it already and don’t mind electronic books. It auto renews so I put it in my calendar as a recurring monthly reminder for a while to make sure I didn’t forget to cancel it if I wasn’t using it (I am the worst with them subscriptions things). I get my moneys worth for sure, though. You also don’t have to buy a special device. You can just download the app on your phone or tablet. I also learned about an app that the library has that you can check out audio books on for free. I thought that was pretty cool too.

So sorry to hear about your loss. You look fantastic though. If you do get a reduction you may want to wait a bit just to make certain your weight had stabilized. Insurance does cover it sometimes if it’s medically necessary because of rashes and such as mentioned by @NickelChip which requires alot of documentation but your bariatric dr should know what to do for that and also for back pain but I was told that they have to remove a pretty significant amount of breast tissue that may not leave you with the cosmetic result you desire to do it for back pain through insurance. It’s certainly worth doing a consult with a cosmetic surgeon though to get their advice though.

Well I'm still pending results but they think that the immunotherapy is causing colitis and if so and we can’t control it that I may have to stop the med. This med of course is the most effective treatment along with the chemo for my type of cancer so it’s not good. Well I talked to the oncology dietician and she gave me a low fiber diet to start with. If that doesn’t work there is an even more strict one for me to try but it’s basically everything complete opposite of what we have been doing with the bariatric diet and I am so worried it’s going to make me gain all my weight back. I mean I have no choice but to do it but this just sucks. I have worked so hard. I am supposed to eat like saltines, white rice, white bread, white pasta, etc. Basically carbs and fat with some protein options. Hardly any fruits or veggies. I can have lean meats but without anything with them they are hard to get down right now. I gotta do this though. The doctor mentioned an even stronger steroid to reverse it or having to stop it alltogether and I just can’t let that happen. Part of me is tempted to just not eat a lot but I know I gotta keep my strength up to keep doing these treatments. I’m having a bit of a pity party this morning since I stepped on the scale and of course I have gained. 😢 I know that I know how to lose it now though so I’m just hoping that once I get through this I can. Maybe I can get the GLP-1 if not to help with the appetite suppression to get me started. It’s another year at least so hopefully they will be cheaper and more accessible by then.