BigSue

Yeah, when I was fat, my weight ruled my life. I was pretty boring then because I couldn't go anywhere or do anything without wondering if I would fit. I skipped a lot of things because I didn't have anything to wear and it was SO hard to find decent clothes in size 28. I did think a lot about food, but I guess I didn't mind that so much because it was mainly good thoughts -- like something delicious and decadent that I had in the fridge and I could look forward to eating -- whereas now, even though there are lots of healthy foods I truly enjoy eating, it's still mentally taxing to track everything I eat, analyze macros, and bargain calories (if I eat X, I can't have Y).

I actually don't talk about food or eating in "real life" because I haven't told anyone other than medical professionals that I had surgery. Not even my family knows. I spent most of my life being shamed for my body and my eating, to the point that even now that I'm a "normal" weight, I still hate for people to see me eat. I'm irrationally ashamed when someone walks into my office while I'm eating celery and calorie-free ranch dressing. I know that's messed up, but not sure it will ever change. And at the same time, I don't like calling attention to what I'm NOT eating, so I'm always nervous and uncomfortable in situations where there's food because I'm afraid people are going to ask why I'm not eating it.

Like what? What would you (or did you) get rid of? I'm actually pretty good at being efficient -- one of my strengths, I think, is finding better, faster, easier ways to do things. I'm mainly talking about my job, but even at home, I'm always looking for better ways. I do a lot of meal prep, which is easier with a bariatric diet, since one meal often makes 10-20 servings. I time myself chopping vegetables and challenge myself to go faster than last time. There are a lot of tradeoffs between time, cost, and quality, and I increasingly lean toward things that save time even if they cost more or aren't as good (like paying someone to clean my house and buying prepared pico de gallo instead of making it from scratch). But I still feel like I am drowning and there are never enough hours in the day, and I can't help but think how nice it was when I didn't exercise, to have 10 extra hours a week.

Nice! Isn’t it amazing how much easier it is to get up the stairs without hauling all that extra weight? I lost 200 pounds, and it’s mind-blowing to think that I was basically walking around with a 200-pound person on my back everywhere I went.

BariatricPal multivitamin One annual subscription is the best priced bariatric multivitamin. I also love BariatricPal calcium chews (French vanilla caramel and Belgian chocolate caramel) — they taste like candy! I get NatureMade sublingual B12 (cherry flavor) and Natrol D3 and biotin (strawberry flavor) from Amazon.

I had gastric bypass. I had been leaning toward the sleeve, but my surgeon recommended bypass due to my extremely high BMI and I went with it. I think it was the right decision. The advantage of the sleeve, though, is that you can get a revision to bypass or duodenal switch. Like so many things in life, there are pros and cons to both, and you just have to go with the best decision you can make with the information you have at the time.

I had gastric bypass and I stayed in the hospital one night. I was very eager to go home, but the one thing I didn’t fully realize until I got home is that it was very difficult to get enough fluids those first several days. While I was in the hospital, I didn’t have to worry about dehydration because they were pumping me full of fluids, and I was well hydrated when I was discharged, so it was probably a good thing that they made me stay overnight.

I started at 340 pounds when I decided to get the surgery. My surgeon wanted me to lose 20 pounds before surgery, which seemed impossible at the time, but I really committed to changing my lifestyle and I lost 70 pounds in the 5 months before surgery. I had similar doubts about whether to go through with it or just keep doing what I was doing, but even after losing 70 pounds, I was still morbidly obese and had a long way to go. Each pound is harder to lose than the last, and I didn’t think I could get where I wanted to be without the help of the surgery, so I went through with it. I went on to lose another 130 pounds, which I don’t think would have been possible without the surgery. I think part of the reason I was able to lose so much weight before surgery was the anticipation of the surgery — knowing I would have that crutch to help me the rest of the way. That said, the surgery is permanent, and it’s a big commitment, so if you aren’t 100% sure about it, there’s nothing wrong with deciding to see how far you can go without surgery before making that decision.

Yeah, I have regained 10-15 pounds from my lowest, and it scares the crap out of me. But I have to admit my face looks a little less ghoulish. I am probably pretty lucky in that I don't have a wattle from losing my double chin (I'm also pleasantly surprised by how decent my arms look; I'm not wearing tank tops in public or anything, but I'm also not needing an arm lift). We've all seen people who have gone through this surgery and gained back most or all of the weight, and I'm terrified that if I take my eye off the prize, that will be me. I don't know if my rebound is from the malabsorption wearing off or because I've relaxed too much about food, but I don't like where I'm headed and I feel like I need to be more vigilant than ever. I've tried two therapists and they were no help at all... Unfortunately, it is really hard to find therapists who understand the struggles of bariatric patients.

I know lots of people who manage to maintain a healthy lifestyle and weight without making it the only thing in their lives, and I envy them deeply! I am afraid that if I take my eye off the prize, it is a terrifyingly fast road back to 300+ pounds. We've all seen people who have gone through this surgery only to gain back all the weight they lost, and I can't even handle the thought of that. There actually are things that I would like to do if I could find the time to do them, but by the time I subtract my job and exercise and meal prep and sleep and the bare minimum housework I need to do out of the number of hours in a week, I never seem to have any time left.

I've relaxed a lot on measuring my food because I've gotten pretty good at guesstimating certain things that I eat all the time, and also recognizing things that aren't worth measuring (for example, salad greens -- even if I ate double the serving size, it's a difference of 15 calories; or entering half a peach in MFP instead of weighing it to get the exact number of grams). But my weight has started to creep up, despite the fact that I'm working out like a maniac, and it scares the crap out of me, so I feel like I need to pay even closer attention.

Thanks for the reply... It's nice to hear from someone who understands. My blood pressure never got as low as yours (at its lowest, a few months after my surgery, it was about 80/50; now it's more like 110/70), but my resting heart rate was in the high 30s. Any time I went to a doctor, the nurses taking my vitals thought there was something wrong with the machine and had to check my pulse manually. Now I have a pacemaker that kicks in if my heart rate goes below 60 bpm. I wonder if this is a common thing with fat people. I always felt like I had to work twice as hard as anyone else just to prove I wasn't stupid and lazy as people would assume because I was fat. When I got serious about my health and stopped working 20ish extra hours per week, I felt like a failure because I couldn't keep up with what people had come to expect from me. I felt like I was slacking because I was only working 40-50 hours/week. Ironically, when I was doing badly at my job for the first time in my life, I finally got a promotion at another branch of my company, and they had to hire two people to replace me at my old job. I, too, feel a bit angry when I realize how much they took advantage of me, expecting me to do two jobs for the salary of one. I just wish I didn't have to choose between my weight and the rest of my life. I envy people who have never had to struggle with their weight and don't have to devote their lives to it. I want to have my cake and eat it too!

For a while after my surgery, I over-shopped for groceries because I hadn't yet gotten used to eating so little. Even in my liquid/pureed/soft food stages, I bought way more yogurt, applesauce, etc. than I needed because I wasn't really thinking about how I was only eating half a container at a time. Plus, I was living in a "food desert" without easy access to a grocery store, so I was in the habit of stocking up when I went to the store. Eventually, I got a much better handle on how much food to buy, and I now live somewhere that I can get grocery pickup or delivery, so I order online and I use the same basic list every week (adding or subtracting as needed). I have also gotten really into healthy cooking. I've found tons of great, healthy recipes on Pinterest. Since I live alone and eat fairly small portions, every time I cook a meal, it makes 8-20 servings, and I freeze the leftovers (Souper Cubes are the best thing since sliced bread, BTW). I have had to hold back from cooking because my freezer is already packed with single-serving meals. I have a whole list of other recipes that I really want to try, but not until I use up some of my existing meals! My biggest weakness is Built Bars. They keep releasing new limited-edition flavors, and every time they do, I HAVE to buy a box! I even track my Built Bar inventory on a spreadsheet. I keep telling myself I'm not going to buy any more, but every time I get below 300, they release another new flavor.

I take a different approach to meal prep than what you describe. Instead of cooking one meal and eating the same thing all week, I've built up a collection of meals frozen in individual portions. Soup, chili, and stew freeze really well. I also make various meals that consist of meat, vegetables, beans, and sauce (there are lots of Instant Pot recipes like this) to freeze in individual portions. Most recipes yield 10+ portions, so I can cook three times and have a month's worth of dinners. I highly recommend Souper Cubes, which are like giant ice cube trays. They're available in several sizes, and the 4-ounce size is perfect for a single serving. The portions stack easily, so you can store many portions in a small space (much more compact than Tupperware containers). For a quick and easy meal, I dump some riced cauliflower in a bowl, throw in a souper cube, and heat in the microwave. Sometimes I also have a side salad or a side of veggies. I have enough different meals that I can eat a different one every night of the week. Here are a few of my favorites: White chicken chili Egg Roll in a Bowl Zuppa Toscana Chicken Divan Pork Chile Verde Brunswick Stew Creamy Chicken and Spinach Soup (I omit the tortellini and use more chicken)

Sous vide filet mignon and air-fried asparagus. Sous vide is the way to go for steak! Perfect medium-rare all the way through, and just pan-seared the outside. Not pictured: chimichurri sauce (but the steak was so good, it didn't even need any sauce). Nutrition information for filet mignon is all over the place. I'm seeing anything from 170 to 300+ calories for a 4-ounce filet mignon in MFP.

People don't wait for me on the stairs anymore. Before I lost weight, if I was going up or down stairs and someone else was coming in the opposite direction, the other person would wait until I got all the way to the top or bottom because there wasn't enough room for both of us to pass. Now, when I'm on the stairs and someone else is going in the opposite direction, they often just keep on going. Also, when I was big, it seemed like people would sometimes move over when they saw me walking down the hall -- sometimes practically diving out of the way as if I was going to mow them down (I really felt quite offended, TBH). That doesn't happen anymore, either.

That's pretty similar to what I take. I had gastric bypass, but my program has the same guidelines for bypass and sleeve. I use an app called Medisafe for tracking and reminders, but at almost 2 years post-op, I have a pretty good routine and don't really need reminders. The app is really good for keeping track of how many of each I have left, though. A few tips to make it easier: If you're not taking a bariatric multivitamin, you might be able to switch to one that will just be one pill per day instead of two (I use BariatriPal Multivitamin One with an annual subscription because it's the best price I've found for bariatric multivitamins). D3 comes in various dosages, so try finding one that has the same amount in one pill. I take a chewable one that's strawberry flavored, so it's almost like candy. Try calcium chews (I LOVE BariatricPal Belgian chocolate caramel and French vanilla caramel -- they are so delicious that I actually look forward to taking them).

I got a few bariatric cookbooks with my Amazon digital credits, and I wasn't impressed. You can find plenty of recipes online for free -- Pinterest is a goldmine. You don't really need special bariatric recipes (except maybe in the initial liquid/pureed/soft food stages when you can't eat "regular" food yet); just look for recipes that meet your nutritional guidelines. Some "keto" and "low-carb" recipes fit the bill, but a lot of them are way too high in fat. I usually search for "skinny" or "ww" (Weight Watchers") recipes, or adapt recipes by making substitutions like riced cauliflower for rice, spaghetti squash for pasta, sugar-free condiments/sauces, etc.

I’ve had good results using this preparation process: https://ketodietapp.com/Blog/lchf/how-to-cook-and-like-shirataki-noodles However, it is kind of a hassle, so I rarely feel like it’s worth the effort to do this. But it is an excellent substitute for pasta, and tastes more like real pasta than zoodles or spaghetti squash (although I do love spaghetti squash!).

I recently decided to try out the sous vide function on my Instant Pot, and I'm loving it! It's a great, practically foolproof way to cook chicken breasts perfectly. I'm going to try a steak next week. Spinach artichoke stuffed chicken breast (with side salad) Chicken broccoli roulade

Oh yes. I felt that way many times in the beginning. The first several weeks are the hardest because you're still recovering from surgery, you have a lot of restrictions on what you can eat, you have to drink nasty protein shakes, and you haven't lost enough weight to feel the benefits of the surgery. Once you get to the regular foods stage and get the benefits of weight loss, things will get a lot easier. I'm almost two years out now, and that miserable newly post-op stage feels like a lifetime ago -- just a tiny blip on my journey to losing 200 pounds. Hang in there!

Leftovers are the best! I live alone, so I regularly make multi-serving meals and freeze in individual portions (Souper Cubes = game changer). Soup, chili, and stew freeze wonderfully. I have a freezer full of meals that I can prepare in a couple of minutes by dumping some cauliflower rice and a meal cube in a bowl and heating in the microwave. I also keep a lot of cooked chicken in the freezer that I can throw in a salad in the morning so it's thawed by lunch.

I've been tracking everything I eat in MyFitnessPal for over two years -- since about 5 months before my surgery. For me, this was key in changing my eating habits, both before and after surgery. I don't think it's counting calories, per se, that works, but the fact that it forces me to confront my food choices and get the most bang for the buck, calorie-wise. Constantly budgeting my calories has helped me to shift my food choices to low-calorie but satisfying foods. That's especially important now that I'm almost two years post-op and I can eat pretty decent portions (compared to the first several months post-op when I could only eat tiny quantities). If I weren't choosing low-calorie foods, I think I could easily get enough calories to start gaining the weight back. A lot of people swear by "intuitive eating," and if that works for you, great, but I don't see it working for me. I think my intuition had to be pretty out of whack to get me to 341 pounds. I think it's possible that I've changed my eating habits enough at this point that I could stop tracking and be ok, but I don't want to put that to the test. I eat mostly the same things over and over, so if I stick to that, even without tracking, I would probably stay within the same calorie range. I do have a hard time when traveling or eating at restaurants because it's difficult to guesstimate when someone else is preparing the food, but I very rarely eat at restaurants, so I try not to stress too much over the occasional meal that's not 100% accurate. I've also relaxed a little on weighing and measuring some things because I've gotten a good sense of portion sizes (e.g., half a small avocado is about 50 grams on average; 6 slices of thin-sliced turkey lunchmeat is about 75 grams), and some things are low enough in calories that it's not worth the trouble (e.g., I don't measure salad greens or cucumbers or tomatoes). I like Dr. Weiner's approach of "a pound of cure" (which involves eating at least a pound of vegetables every day) because focusing on eating a lot of vegetables helps me to fill up on foods that are nutritious but low in calories. Every week, I meal prep daily veggie trays (carrots, celery, cucumbers, grape tomatoes, and peppers), and that's my main snack for the day. I also add cauliflower rice to a lot of meals to make them more filling without adding a lot of calories.

@learn2cook gave you some great advice about what to look for, but you may need to adjust your expectations. You didn’t say what kind of complications your friend had, but there’s always a risk of complications with any surgery and it isn‘t necessarily related to the surgeon’s level of skill. I can see why you would be wary about that, but just because one patient had complications doesn’t necessarily mean the surgeon isn’t good. Also, I’m not sure what kind of scheduling issues you had, but that is not the surgeon’s fault. The office staff is a legitimate consideration since you will have several pre- and post-surgery visits, but if it’s just a matter of being booked a long time in advance, well, sometimes that’s just how it is — especially for a surgeon who is in high demand.

It is very common for iron supplements to cause nausea, which can sometimes be alleviated by taking on a full stomach (which apparently didn’t work for you). You might want to try chelated iron supplements (iron bisglycinate), which are supposed to be better absorbed and less likely to cause nausea or constipation, and switch to a multivitamin without iron.