Hop_Scotch

Happy to hear you are doing well now,lots of working may help with the burping.

Could be contact dermatitis and you may need a hydrocortisone cream. Chat to your doctor.
I typically end up with contact dermatitis if I wear a band-aid/plaster too long. Ended up with a really bad case around all my incision sites.

Could be contact dermatitis and you may need a hydrocortisone cream. Chat to your doctor.
I typically end up with contact dermatitis if I wear a band-aid/plaster too long. Ended up with a really bad case around all my incision sites.

Could be contact dermatitis and you may need a hydrocortisone cream. Chat to your doctor.
I typically end up with contact dermatitis if I wear a band-aid/plaster too long. Ended up with a really bad case around all my incision sites.

Have you seen a bariatric dietician? If not, perhaps it may be timely to do so.
If I have understood correctly, you are eating 1/2cup of food at a time, many times a day??? You don't say what you are actually consuming...are you eating calorie dense foods? Nuts/seeds, cheese, full fat yoghurts/milk, avocado, salmon and other oily fish, eggs?
Have you actually calorie counted your daily intake over a week or so?
What exercise are you doing on a daily basis?

Hi OP. Firstly - I hope you're OK with where you are. Sounds like your restriction is exceptional 4 years out?
If you could provide more information about your current intake/plan/macros then people might be better able to answer your questions. Also, if you could make your actual questions clearer then people will no doubt be able to target their answers better!
Is it that you don't want to resort to carbs in order not to lose more weight? If so, what are you currently eating, what is your BMI, what do you want to re-examine???
We're all here and eager to help you xxx

Have you seen a bariatric dietician? If not, perhaps it may be timely to do so.
If I have understood correctly, you are eating 1/2cup of food at a time, many times a day??? You don't say what you are actually consuming...are you eating calorie dense foods? Nuts/seeds, cheese, full fat yoghurts/milk, avocado, salmon and other oily fish, eggs?
Have you actually calorie counted your daily intake over a week or so?
What exercise are you doing on a daily basis?

Have you seen a bariatric dietician? If not, perhaps it may be timely to do so.
If I have understood correctly, you are eating 1/2cup of food at a time, many times a day??? You don't say what you are actually consuming...are you eating calorie dense foods? Nuts/seeds, cheese, full fat yoghurts/milk, avocado, salmon and other oily fish, eggs?
Have you actually calorie counted your daily intake over a week or so?
What exercise are you doing on a daily basis?

Have you seen a bariatric dietician? If not, perhaps it may be timely to do so.
If I have understood correctly, you are eating 1/2cup of food at a time, many times a day??? You don't say what you are actually consuming...are you eating calorie dense foods? Nuts/seeds, cheese, full fat yoghurts/milk, avocado, salmon and other oily fish, eggs?
Have you actually calorie counted your daily intake over a week or so?
What exercise are you doing on a daily basis?

Have you seen a bariatric dietician? If not, perhaps it may be timely to do so.
If I have understood correctly, you are eating 1/2cup of food at a time, many times a day??? You don't say what you are actually consuming...are you eating calorie dense foods? Nuts/seeds, cheese, full fat yoghurts/milk, avocado, salmon and other oily fish, eggs?
Have you actually calorie counted your daily intake over a week or so?
What exercise are you doing on a daily basis?

Great work, well done!

I haven't had a revision to ESG but did have an original ESG (I now have a VSG). My personal opinon: I would think a bypass would have better longevity and outcome.
https://bmiclinic.com.au/endoscopic-sleeve-gastroplasty-faq/
ESG following gastric sleeve: Endoscopic revision of a gastric sleeve is possible, however the weight loss that results is only approximately 10% of the baseline weight. There are likely more effective options which you can talk through with your Bariatric Specialist.

I enjoyed watching the Fat Doctor on youtube, there are four series, its UK based.
There are other shows on the channel, the Fat Doctor series starts further down the page.
https://www.youtube.com/user/fatdoctoresdigital

No idea why, but this tv ad makes me smile every time I see it

My diet is not plant based but I do eat a variety of foods and happy to eat vegetarian or vegan when I visit my sisters (one vegan, the other vegetarian) or go to their preferred restaurants.
As much as possible I will buy free range and locally/grass fed and the local farmers market is excellent. Fortunately where I live is a food bowl.

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.

I have recently received alarming reports from patients who have sent deposits or paid in full for surgeries in Tijuana to a patient coordinator named Bill Yanez. He is now working once again as a coordinator for Dr. Jalil Illan in Tijuana.
Please exercise extreme caution when dealing with Dr. Jalil Illan at BC Hospital and coordinators Bill Yanez. They have a history of financial misconduct, having embezzled significant sums of money from me during their tenure as coordinators at BariatricPal Hospital/BC Hospital. Furthermore, I have personally experienced severe surgical complications under the care of Dr. Illan, who botched my surgery not once but twice.
There are many reputable and trustworthy options for bariatric surgery in Mexico. Please do not risk your health and finances by entrusting them to a surgeon and coordinators with a track record of dishonesty and malpractice.
If these individuals have victimized you, I urge you to report them to your local authorities and the FBI. Their actions are unethical and illegal, and they will face the consequences of their actions in due course.
Stay safe, everyone. Let's look out for each other and ensure we all have access to safe, reliable, and ethical medical care.

That weight loss is pretty good for someone with your start wegiht, you are not going to lose massive amount when starting lower. So nothing only about your weight loss at all.

That weight loss is pretty good for someone with your start wegiht, you are not going to lose massive amount when starting lower. So nothing only about your weight loss at all.

I have a sleeve so this might not be directly relevant but do you know, of all the food types I can eat most pizza. Volume wise, calorie wise, Protein wise, whatever. I can PACK that stuff in, whereas I have to budget for sushi, burgers, fries, whatever.
Please do not worry unless you plan to do what you did today every day. In that case all might be lost. As a one-off it's totally doable. Welcome to your new life OP. 😍

It’s okay. Everyone slips at some point. As long as you don’t keep doing it you’ll be okay.
Look at it as a learning opportunity. We all have to work out why, how much, often often or when we’ll eat certain foods. Why did you keep eating the pizza? Craving, emotions (happy, sad, angry, frustrated.), boredom, habit, diet fatigue, testing your limits, etc.? What can you do the next time you’re in this situation or mental place? Portion out a slice & put the rest in the fridge, only have it when you can share with a friend so they eat most of it, mange when you choose to have it so as not to compromise your weight loss, make a more nutritionally beneficial low cal version (cauliflower base, etc.)

Do not beat yourself up for eating it, take it as a learning experience and understand that it may be a trigger food for you. What works for me is eating after I served myself what would be my portion, sometimes even less and then waiting a few minutes to see if I want more. I time my meals to be 30min, if I do not eat my portion within that time, I just stop and leave it for later as a snack.
Follow your guidelines as that can vary and speak to your team if you feel you need more direct help.

Take a deep breath, it’s not the end of the world but please follow the food guidelines that your doctor gave you!
Start again on your next meal.

Sorry I can't help with the clinic, just wanted to say nerves are normal. Hopefully someone will chime in with your clinic info. Hope all goes well for you.

I think I was cleared for walking within a month and more intense exercise about 6 weeks out.
Walking should be fine for now, give any thing more intense a few weeks longer.