catwoman7

nope - that's the same thing I told people! (except for other obese people - they know the "diet & exercise" thing is a bunch of schlock, so I was more honest with them. A lot of skinny people believe that, though...)

Doing many different duets including several VLC & deliberately skipping meals had done a number on my metabolism. Started doing this at 15 so did this for 40 years. The last VLC diet I did (<500 calories) I barely lost a thing - a couple of kilos over 6 or more weeks.
The surgery works because it changes your hormones & boosts your metabolism. It also resets your weight set point. This is the weight your body is happiest at & will keep returning to or makes it harder to lose the weight in the first place. I went from really not being able to lose anything to losing all my weight & more. I weigh
The other difference was if I did lose weight on a diet in the past as soon as I stopped I invariably went back to eating the exact same way as I did before & regained my weight. Which kept my set point high.
I’ve been able to maintain because I took the time while losing to change my relationship with food & changed how & what I ate. I took advantage of the benefits of the surgery. I look at flood differently. I adopted a way of eating (not a diet - to many negative connotations to that word) that works for me because it’s sustainable, complements my lifestyle, ensures I’m making nutrient rich food choices & I don’t feel like I’m missing out on anything.
You may find these links informative. Dr Matthew Weiner (Pound of Cure) has excellent resources es as does Dr John Pilcher.
https://courses.poundofcureweightloss.com/courses/weight-loss-hormones/

I met both of mine pretty much right away, but I know a lot of people struggle with this the first three or four weeks. Getting your liquid goals are the more important of the two since being dehydrated can land you back in the hospital. One thing I've done for a long time is to drink 16 oz of Water every morning as soon as I get out of bed - before I eat Breakfast, drink coffee, or whatever. Even doing 8 oz right off the bat might help..

I recall having some unusual pain, too - but not severe. As BabySpoons said, I think it had to do with everything re-aligning after a substantial weight loss. Fortunately, though, it was temporary.

I don't know about not losing weight AT ALL with a low calorie diet, but for most of us, the pattern before weight loss surgery was that we'd lose weight but then gain it all back within a few months. It's because you're fighting biology. Your hunger hormones, your gut biome - everything is fighting against you to get back to your previous weight. Weight loss surgery resets a lot of that. That's not to say you won't gain it all back. Some people let bad habits slip back in and take over. But as long as you watch that, the loss is "maintainable".

I 100% count everything as a win. I can't remember the last time I was this happy and felt this good.

YA'LL.... I am officially in a size XL (also known as a 1x).
It's one thing to be pretty sure (when you don't actually have that size but the one above it is too big, so you assume) and it's another to put it on and it fits PERFECTLY. Tops AND bottoms.
And the size 6 rings are starting to get a little loose. I have 18 pounds to go to hit my goal weight (I weigh 213 right now), and I wonder if I'll be in a 5 1/2 by then!!!
The last 30 pounds have been a REAL fight to get off, but seeing the changes in my body and clothes has been amazing and fun. I feel so much better, I can do so many more things, I look so much better, and on a fun note, I went to a higher end thrift store to get some clothes and I was SOOOO overwhelmed by the choices in my new size!!! I started off as a size 28/30 (5x) and would literally just take whatever I could find in my size. Now, there's so many styles and designs and colors and brands lol It's been almost 30 years since I've been this size. I had literally no idea how fun it could be to go clothing shopping!!!
And can I just say, my latest blood work shows my A1c is 5.5, fasting blood sugar is 98 and non fasting is 109, and all the rest of my numbers are literally perfect!!! This past weekend, my son and I went on a 8 mile hike, and other than being tired at the end, I didn't have any issues!!!
This surgery is literally the best thing I've ever done for myself and my family. Even with all the complications, the revision, the hernia surgery and THOSE complications....I would do it all again to get where I am now. 18 more pounds to go and I'M THERE, ya'll!!!!! OMGGGG!!!!!!

I went with Bypass because the sleeve wasn't an option back when I had surgery. The lab-band was an option and all the sales points for sleeve now were the selling points for lap-band then. The problems with lap-band weren't well known at that time.
If the sleeve was available I'm pretty sure I would have still chosen Bypass. Other than being extremely over weight, my core health was pretty solid, but I could see that about to change. I was a binge eater and wanted a surgery that would restrict meal volume which I believe both Bypass and Sleeve would have achieved.
I also wanted the additional bit of malabsorption that comes with the bypass. Then comes the possibility of dumping which at the time I had surgery was about a 50/50 chance. I hoped I would get dumping and as it turned out, I dump on both sugars and fats. It took an amazingly few bouts of dumping to keep my eating in alignment with not dumping. So with restricted volume and very limited amounts of sugar and fats, how could I not succeed?
Good luck,
Tek

they're both good surgeries. There are some health conditions that would make one surgery more appropriate than the other for you, though. Your surgeon will - or should - let you know their thoughts - but if they say you're a good candidate for either, then it really comes down to personal preference.
I had the bypass and love it - and I would make the same decision today. I went with bypass because I had GERD prior to surgery. My surgeon said that although he'd do either surgery, he'd recommend that I least consider the bypass because of my past GERD. The risk of my GERD getting worse with the sleeve was about 30%, and it wasn't worth the risk to me. Another reason was that when I had surgery nine years ago, the sleeve hadn't been done as a standalone surgery for very long - it was just then overtaking the lap band as the non-RNY option. I didn't really want to go with something that didn't yet have a proven track record or much research behind it. However, at this point, the sleeve has been around long enough that I'd no longer have that particular concern, but I'd still go with bypass in my case because of my prior GERD.

I just used the "diet and exercise, working with a dietitian" spiel with normal-sized people. Most of them believe that anyway. For other obese people, I was more honest since they know "diet and exercise" doesn't really work.

I’d ask simply him why. Why he’s removing it & why he wants to do two separate surgeries.
Lap bands have dramatically decreased in popularity over the last years & not many surgeons do them any more. Failure, side effects, effectiveness, etc. seem to be the reasons. Some studies say the life span of a lap band is only 7-10 years so you’re at your band’s end of life now.
Not all surgeons do the removal & revision in one surgery. Maybe your surgeon is basing his decision on your current health status. Maybe he wants to give you a recovery period between the two surgeries to ensure you’re fully healed. May be he wants to give you time without a weight loss tool to see how you respond in regards to self monitoring your food intake, etc.
Just throwing some ideas out there.

haven't heard of this in WLS patients - and I'm pretty sure Water isn't absorbed in the stomach. I just did some googling (although I know it's not always good to ask Dr. Google). Sounds like it can be caused by a lot of things - kidney issues, inflammatory bowel diseases such as Crohn's disease, diabetes, certain medications, etc. Sounds like they'll need to do some testing to figure it out (and you said the Zepbound is making it worse - so that might be one factor - although it sounds like it's not the only one since you had it even before you started on Zepbound)

10 lbs a month is pretty normal, and so is 40 lbs in three months. Unless you're the size of someone on "My 600 lb Life", you need to adjust your expectations or you're going to be disappointed. I was about where you are at that point, and I went on to lose over 200 lbs.
that said, you're eating way more than I was at that juncture...and I wasn't eating things like pizza and chips that early out, either. Maybe all of your activity is burning this off, but I'd be really careful and try to stick to the eating plan your clinic gave you. This is your big chance to lose a crap ton of weight - so take advantage of it!! Once your sense of hunger comes roaring back, it's going to get A LOT harder.
P.S. the women at your Tuesday Talks are only partly right. People will typically lose 10 lbs a month for a few months, but it really slows down the closer you get to normal weight. I lost about 10 lbs a month for the first six or seven months, then it dropped down to somewhere around five lbs, give or take, and then after I passed the year mark, there were some months I only lost about 2 lbs, despite sticking to my eating plan 100%. It's because at some point what you take in and what it takes to run your body reaches equilibrium.

10 lbs a month is pretty normal, and so is 40 lbs in three months. Unless you're the size of someone on "My 600 lb Life", you need to adjust your expectations or you're going to be disappointed. I was about where you are at that point, and I went on to lose over 200 lbs.
that said, you're eating way more than I was at that juncture...and I wasn't eating things like pizza and chips that early out, either. Maybe all of your activity is burning this off, but I'd be really careful and try to stick to the eating plan your clinic gave you. This is your big chance to lose a crap ton of weight - so take advantage of it!! Once your sense of hunger comes roaring back, it's going to get A LOT harder.
P.S. the women at your Tuesday Talks are only partly right. People will typically lose 10 lbs a month for a few months, but it really slows down the closer you get to normal weight. I lost about 10 lbs a month for the first six or seven months, then it dropped down to somewhere around five lbs, give or take, and then after I passed the year mark, there were some months I only lost about 2 lbs, despite sticking to my eating plan 100%. It's because at some point what you take in and what it takes to run your body reaches equilibrium.

Your weight loss rate is normal and where it should be at this stage, but in my opinion, your eating habits are going to work against long term success if you don't do some work now to establish the best possible habits.
You may have the luxury of not being able to overeat for now, but this is a fleeting luxury. It doesn't last. Furthermore, every bite of junk food at this stage when your capacity is so small deprives your body of the nutrients it needs from high quality food. That will not help you lose weight, no matter what the calorie count is, because you need a healthy body.
A bite of pizza or a couple chips from the bowl because you were at a party one weekend is totally understandable, if a bit of a slippery slope. But choosing them regularly will fast become a problem (or at least it sure would be for me).
And if you change nothing else, sugary drinks should have zero place in your diet now. Your body does not have a restriction for fluids. If you can consume your 64 oz of Water, you can just as easily consume that amount of a sugar sweetened beverage in a day. Just one venti iced coffee with classic Syrup has 30g of sugar! Request sugar free syrup or bring your own sweetener.
I watched this video last night and it really spoke to me, so I'm putting it here in case it helps you too:

I never had any expectations re: measurements, but I lost A LOT of inches.

As far as expectations the only important measurements I can think of is the waist to hip ratio. It is used to measure visceral fat as it directly corresponds to several health concerns but besides that it’s totally individualized.
I did take a lot measurements before WLS and a few years later after plastics (but it was mostly for tailoring clothing).

totally normal. Also, your weight loss so far is totally normal. I think a lot of people have unrealistic expectations because of shows like "My 600 lb Life" - but you need to remember that those people start out MUCH heavier than the average WLS patient. Most of us seem to lose somewhere in the 15-25 lb range the first month. Of course, you'll always find people who lose more or less than that, but most of us seem to fall somewhere in that range. So you're fine. And also, yes, most of us also experience our first stall sometime during the first month or so of surgery. So again, normal.

I never had any expectations re: measurements, but I lost A LOT of inches.

or maybe something like SIBO? Or IBD or IBS? Or even a redundant colon? (I have the latter - I'd sometimes wake up in a lot of pain because "stuff" would get stuck in one of the curvy parts). A colonoscopy would detect the latter, though (that's how I found out about mine). Not sure about the others.

bypass will usually cure reflux (or at minimum, greatly improve it), but I've read on here of people who had hernia repair which ended up improving (or curing) their reflux, too... Hopefully your surgeon can give you some idea on the best way to proceed with this. Reflux is awful! (been there - that's the main reason I went with bypass)

or maybe something like SIBO? Or IBD or IBS? Or even a redundant colon? (I have the latter - I'd sometimes wake up in a lot of pain because "stuff" would get stuck in one of the curvy parts). A colonoscopy would detect the latter, though (that's how I found out about mine). Not sure about the others.

totally normal. Also, your weight loss so far is totally normal. I think a lot of people have unrealistic expectations because of shows like "My 600 lb Life" - but you need to remember that those people start out MUCH heavier than the average WLS patient. Most of us seem to lose somewhere in the 15-25 lb range the first month. Of course, you'll always find people who lose more or less than that, but most of us seem to fall somewhere in that range. So you're fine. And also, yes, most of us also experience our first stall sometime during the first month or so of surgery. So again, normal.

It evidently affects people differently. I take a capful every morning and have for almost nine years - fortunately, it never had that effect on me.

P.S. she may have told you not to take Metamucil because she thought you were too clogged up. If you take Fiber supplements when you already have a huge clog, it sometimes just adds to the clog. Once you're "unclogged", a fiber supplement can keep you from clogging up again.