NickelChip

Focus on Beans and leafy greens! I started following the advice in the Pound of Cure book and have lost 16lbs since August without the usual dieting woes. Also, this video might address some of your concerns and give you some things to think about going forward when it comes to Protein and veggies:

For premade, I like the Kettle and Fire beef Bone Broth. But if you have the bones leftover from Thanksgiving, or from a rotisserie chicken, homemade broth is easy. Put the carcass in a Crockpot along with an onion cut into quarters and a sliced carrot and a celery stalk. You can throw in a sprig of thyme and a bayleaf if you want, but it's not necessary. Fill to 1/2 inch of the top with Water, turn on low, and let it cook all night while you sleep, 8-10 hours. Ladle the broth through a fine mesh strainer and skim off the extra fat. Add salt to taste.

I finished my schooling and am officially working in my chosen field as a medical assistant!!! I got my certification and I'm working in a critical care pulmonary office. I'm absolutely LOVING it!! And even though I can look at myself and see the weight loss, and I can see my diabetes and blood pressure are normal now, I still have a hard time believing I'm physically able to do my job and do it well. Yet here I am....doing the d@mn thing!!!
I have a CT with contrast on the 29th because my bariatric surgeon thinks I have a distal hernia (if you look at my stomach in my pic, you can see that area poking out a little). And I have my complete hysterectomy scheduled for March 6th. If the CT confirms the distal hernia, that will also require a surgery, but I have no idea when that will happen. I'm hoping before the hysterectomy because the hernia repair can be done laparoscopically (I think) but I have to have an abdominal hysterectomy because the fibroids are way too big to come out laparoscopically and I have to have EVERYTHING removed because I tested positive for the BRCA cancer gene (will need all of my breast tissue removed at a later date, but my insurance will cover reconstructive breast surgery, so YAY for a free boob job).
This last 50 pounds still won't leave me, and it's absolutely driving me crazy. No matter what I do, I can't get it to go. I'm hoping the hysterectomy will help a little because the fibroids are so big, they're making my uterus the size of a 16 week pregnant uterus. They also said the hysterectomy should help somewhat with my PCOS, since that's likely what's preventing that last 50 pounds from coming off. So here's hoping this is end of my weight issues and the last of my surgeries!!!

I also took Wegovy for a while and am going the surgery route in part because my new insurance won't cover it. But also, the big difference with surgery is that it is a permanent, lifelong change. Not necessarily the lack of hunger, but the overall benefits of the tool remain with you lifelong, changes in your metabolism that are very enduring, whereas with meds, the effects start to reverse as soon as you stop taking it. You might check the Pound of Cure Youtube channel for recent videos on how surgery plus meds like Wegovy can work together down the road for those who need both.

There was a Scandinavian study published in 2022 that looked at the medical records of 41k patients, both bypass and sleeve, over a period of several years. They compared patients with no known NSAID use with those who had been prescribed NSAIDs (in other words, not just over the counter use but a set dosage daily for a trackable amount of time). The total rate of ulcers was 1.9% of patients, nearly all from the gastric bypass group. They found no increase in the risk of ulcers in the sleeve patients who took NSAIDs. They did, however, find an increase in the likelihood of ulcers in bypass patients who took NSAIDs for 30+ days, but not in patients with temporary use of less than 30 days. Do with that information what you will the next time you have a headache. (But remember, I am not a medical professional! I am a romance writer!). Doctors, however, will generally tell you not to do something, (not ever, never, ever!!!), knowing how few patients actually listen to a word they say. (Of course, trusting what they say would also be easier if it matched the peer reviewed literature. But that's an issue for another day.)

I survived my gastric bypass. I spent two nights in the hospital. Doing good on the clear liquid/protein drink diet. Dr wants 64 ounces of Fluid per day so I purchased a bunch of 1 ounce plastic containers with lids and filled 74 of them and put them in my fridge and tomorrow I just have to grab 4-5 per hour and when all are done I am good. I am attaching a picture. I am bound and determined to be successful.

I was curious what causes the 3-week stall, and this is what I found out in doing a little digging. When we experience calorie deprivation, whether a diet or after surgery or just not having the usual amount to eat for a bit, our bodies first turn to our store of glycogen to keep things running. Glycogen is a form of stored sugar, and for each gram of glycogen in the body, it's bound to 3 grams of Water. So, if you burn a gram of glycogen for energy, you lose 3 additional grams of water as a bonus. Your body will always burn glycogen before it burns fat because that's how we've evolved to handle brief food shortages. Which means most of the weight you lose right after surgery is not actually fat, but water (and that's fine!).
But after a few weeks, your body is low on glycogen and you still haven't hunted down a wooly mammoth to eat, so now it starts burning fat to keep running. At the same time, it does what it can to replenish those glycogen stores with whatever calories you have coming in, because it's a little worried you won't survive the next famine. Glycogen makes me think of the $100 cash my mom always kept stashed in her sock drawer for an emergency. If she used any of it, as soon as she got more cash, she replenished that first before putting anything in her wallet.
Remember, each gram of glycogen comes with 3 grams of water. So you might burn 4 grams of fat, but also replenish 1 gram of glycogen (along with the 3 grams of water that tag along for the ride), and the scale shows you the same weight. Now you feel like nothing has happened and start to panic. But you still lost fat, which is the goal. And once your body does what it needs to do to replenish that glycogen, it'll start showing on the scale again.
I really wish doctors would explain this process to patients before surgery! Some mention plateaus in general, but they rarely explain what causes them, and the 3 week stall is the type of thing they really should explain in detail so we know what's going on because it's basically a given.

By far the craziest item I have purchased lately is a ZozoFit measuring suit. I have not yet used it, but I plan to put it on and do the measurement app the day before I start my pre-op diet and then once a month. I've heard the system can be glitchy, so we'll see how it goes. But I wanted an easy way to record my measurements over time, the same way my smart scale tracks things automatically for me. I would never presume to call this a must-have item, though.

I should start by saying I am going to interpret the word "need" very broadly here. I got my 12/27 date in mid-October and it's possible I've been using shopping as a way to make the time go faster. Also, since I won't buy myself any new clothing right now, I'm definitely justifying it that way as I buy crazy things...
I just ordered and received a set of Perfect Portion storage containers from Amazon this week, along with a set of bariatric silverware. I also have 2 melamine plates and 2 melamine bowls (also Perfect Portion brand) coming soon. Do I already own small plates and 1 cup glass storage containers? Yes. Did I want the ones printed with portion reminders and motivational sayings anyway, despite a ridiculous price? Also yes.
I like to cook homemade food, so I bought several bariatric cookbooks. My favorites so far have been The Bariatric Diet Guide and Cookbook by Dr. Matthew Weiner and Bariatric Meal Prep Made Easy by Kristen Willard. Since I still have 5 weeks to wait, I'm planning to try 1 or 2 recipes each week and fill some of the meal prep containers ahead of time to freeze. My hope is to find some things the kids will like, too, to make my life easier in the future.

I was curious what causes the 3-week stall, and this is what I found out in doing a little digging. When we experience calorie deprivation, whether a diet or after surgery or just not having the usual amount to eat for a bit, our bodies first turn to our store of glycogen to keep things running. Glycogen is a form of stored sugar, and for each gram of glycogen in the body, it's bound to 3 grams of Water. So, if you burn a gram of glycogen for energy, you lose 3 additional grams of water as a bonus. Your body will always burn glycogen before it burns fat because that's how we've evolved to handle brief food shortages. Which means most of the weight you lose right after surgery is not actually fat, but water (and that's fine!).
But after a few weeks, your body is low on glycogen and you still haven't hunted down a wooly mammoth to eat, so now it starts burning fat to keep running. At the same time, it does what it can to replenish those glycogen stores with whatever calories you have coming in, because it's a little worried you won't survive the next famine. Glycogen makes me think of the $100 cash my mom always kept stashed in her sock drawer for an emergency. If she used any of it, as soon as she got more cash, she replenished that first before putting anything in her wallet.
Remember, each gram of glycogen comes with 3 grams of water. So you might burn 4 grams of fat, but also replenish 1 gram of glycogen (along with the 3 grams of water that tag along for the ride), and the scale shows you the same weight. Now you feel like nothing has happened and start to panic. But you still lost fat, which is the goal. And once your body does what it needs to do to replenish that glycogen, it'll start showing on the scale again.
I really wish doctors would explain this process to patients before surgery! Some mention plateaus in general, but they rarely explain what causes them, and the 3 week stall is the type of thing they really should explain in detail so we know what's going on because it's basically a given.

I was curious what causes the 3-week stall, and this is what I found out in doing a little digging. When we experience calorie deprivation, whether a diet or after surgery or just not having the usual amount to eat for a bit, our bodies first turn to our store of glycogen to keep things running. Glycogen is a form of stored sugar, and for each gram of glycogen in the body, it's bound to 3 grams of Water. So, if you burn a gram of glycogen for energy, you lose 3 additional grams of water as a bonus. Your body will always burn glycogen before it burns fat because that's how we've evolved to handle brief food shortages. Which means most of the weight you lose right after surgery is not actually fat, but water (and that's fine!).
But after a few weeks, your body is low on glycogen and you still haven't hunted down a wooly mammoth to eat, so now it starts burning fat to keep running. At the same time, it does what it can to replenish those glycogen stores with whatever calories you have coming in, because it's a little worried you won't survive the next famine. Glycogen makes me think of the $100 cash my mom always kept stashed in her sock drawer for an emergency. If she used any of it, as soon as she got more cash, she replenished that first before putting anything in her wallet.
Remember, each gram of glycogen comes with 3 grams of water. So you might burn 4 grams of fat, but also replenish 1 gram of glycogen (along with the 3 grams of water that tag along for the ride), and the scale shows you the same weight. Now you feel like nothing has happened and start to panic. But you still lost fat, which is the goal. And once your body does what it needs to do to replenish that glycogen, it'll start showing on the scale again.
I really wish doctors would explain this process to patients before surgery! Some mention plateaus in general, but they rarely explain what causes them, and the 3 week stall is the type of thing they really should explain in detail so we know what's going on because it's basically a given.

Thank you all for your kind words and encouragement. I feel so much better after reading everyone’s comments. I’ve put my scale away for now. I’ll weigh again at my next appointment. And @NickelChip thank you for the explanation. It makes a lot of sense.

Thank you all for sharing your photos, they are so beautiful and motivational.
I normally hate the idea of sharing photos of myself online, but in the spirit of sharing and support here goes. The last photo was taken last night....
I'm 4.5 months post, 25lbs to go before goal (thinking about revising my goal.)

Funny thing ---- I was all bummed out about my 3 month long stall - I even Gained 4 pounds when I saw my doc a couple days ago. I finally did something I was so scared to do ..... I took out the tape measure. I was seriously shaking when I measured myself for the first time. I lost a total of 15" since this whole program started ! I knew my clothes were loose - but 15 inches ? ! ? ! Wow ! In fact ...... I feel SO GOOD ,this is the going to be the first time in YEARS that I'm putting up a Christmas tree The hell with that scale LOL !!! My mental and physical health is better than it's been for years and I stopped focusing on that darn number !

IMHO, you've made a good decision.
Let me share a bit of my story to convince you to put the scale away... period.
When I had surgery I was too large by far for a home scale. The only time I was weighed for about a year and a half after surgery was at my surgeon's office at monthly follow-ups. Because of this, I never saw a stall in my weight loss. At my follow-ups my weight loss was never the topic of discussion unless I brought it up. The discussion centered on how I was feeling, how my plan was going, life changes, how was I emotionally, any issues or concerns. I learned valuable lessons in these appointments.
Eventually I was able to weigh on a home scale. I practically lived on the scale for a couple weeks until the novelty wore off, then I never used it again. I knew how I was doing by how I felt, my plan compliance, how my clothes felt, my health, happiness and a number of other considerations. These are still my measurements.
We don't need a scale to follow our plans. The number on a scale does not tell you how well you are following your plan. In some cases, the number on the scale may tempt you to change your successful plan.
It's great not being ruled by a number on a scale and simply paying attention to the important stuff.
Good luck,
Tek

I was curious what causes the 3-week stall, and this is what I found out in doing a little digging. When we experience calorie deprivation, whether a diet or after surgery or just not having the usual amount to eat for a bit, our bodies first turn to our store of glycogen to keep things running. Glycogen is a form of stored sugar, and for each gram of glycogen in the body, it's bound to 3 grams of Water. So, if you burn a gram of glycogen for energy, you lose 3 additional grams of water as a bonus. Your body will always burn glycogen before it burns fat because that's how we've evolved to handle brief food shortages. Which means most of the weight you lose right after surgery is not actually fat, but water (and that's fine!).
But after a few weeks, your body is low on glycogen and you still haven't hunted down a wooly mammoth to eat, so now it starts burning fat to keep running. At the same time, it does what it can to replenish those glycogen stores with whatever calories you have coming in, because it's a little worried you won't survive the next famine. Glycogen makes me think of the $100 cash my mom always kept stashed in her sock drawer for an emergency. If she used any of it, as soon as she got more cash, she replenished that first before putting anything in her wallet.
Remember, each gram of glycogen comes with 3 grams of water. So you might burn 4 grams of fat, but also replenish 1 gram of glycogen (along with the 3 grams of water that tag along for the ride), and the scale shows you the same weight. Now you feel like nothing has happened and start to panic. But you still lost fat, which is the goal. And once your body does what it needs to do to replenish that glycogen, it'll start showing on the scale again.
I really wish doctors would explain this process to patients before surgery! Some mention plateaus in general, but they rarely explain what causes them, and the 3 week stall is the type of thing they really should explain in detail so we know what's going on because it's basically a given.

I was curious what causes the 3-week stall, and this is what I found out in doing a little digging. When we experience calorie deprivation, whether a diet or after surgery or just not having the usual amount to eat for a bit, our bodies first turn to our store of glycogen to keep things running. Glycogen is a form of stored sugar, and for each gram of glycogen in the body, it's bound to 3 grams of Water. So, if you burn a gram of glycogen for energy, you lose 3 additional grams of water as a bonus. Your body will always burn glycogen before it burns fat because that's how we've evolved to handle brief food shortages. Which means most of the weight you lose right after surgery is not actually fat, but water (and that's fine!).
But after a few weeks, your body is low on glycogen and you still haven't hunted down a wooly mammoth to eat, so now it starts burning fat to keep running. At the same time, it does what it can to replenish those glycogen stores with whatever calories you have coming in, because it's a little worried you won't survive the next famine. Glycogen makes me think of the $100 cash my mom always kept stashed in her sock drawer for an emergency. If she used any of it, as soon as she got more cash, she replenished that first before putting anything in her wallet.
Remember, each gram of glycogen comes with 3 grams of water. So you might burn 4 grams of fat, but also replenish 1 gram of glycogen (along with the 3 grams of water that tag along for the ride), and the scale shows you the same weight. Now you feel like nothing has happened and start to panic. But you still lost fat, which is the goal. And once your body does what it needs to do to replenish that glycogen, it'll start showing on the scale again.
I really wish doctors would explain this process to patients before surgery! Some mention plateaus in general, but they rarely explain what causes them, and the 3 week stall is the type of thing they really should explain in detail so we know what's going on because it's basically a given.

You should be a doctor ,NickelChip ! LOL You explained that so clearly and easy to understand . That's something everyone should keep in mind when those darn stalls strike . Thanks for looking that up for us

major complications are really rare. I think it looks like they're more common than they actually are because people who have them get on this and other sites to ask for support and advice about them. People who have no issues don't generally broadcast that fact. They just go on with their lives.
I did have a complication - a stricture. The PA at my clinic said that's the most common complication of bypass (well, other than dumping, which affects about 30% of us and can be prevented by not eating a bunch of sugar or fat at one sitting, which none of us should be doing ANYWAY). Strictures, the most common complication according to him, happen to 5% of bypass patients. I wouldn't call something that happens to 5% of patients "common", but that gives you an idea of how "common" complications are. And strictures, like most other complications, are minor and can be easily fixed. They did an upper endoscopy, stretched it out, and I was good to go.
I honestly don't know anyone who regretted having weight loss surgery, and I've volunteered for my clinic, been very active on national internet forums, and attended national conferences. Yes, the first few weeks can be tough and a lot of people have "buyer's remorse" during that time, but once they get beyond that initial phase, when they can eat more, have fewer food restrictions, feel fine, and have kind of figured out this whole deal, you're not going to find many people who regret it. Personally, it's the best decision I've ever made. My life is completely different than it was 200 lbs ago, and I wouldn't go back there for ANYTHING. I would have this surgery every year if I had to! I'm in my mid-60s and had my surgery over eight years ago - I could kick myself for not doing it sooner!

I weigh more than you so that's not relevant, but I had the DS surgery 3 weeks ago. You want to talk about rewiring your intestines for weight loss?? Yeah, did that. I had a moment of panic after the surgery when it really truly hit me that I'd permanently altered my body and couldn't predict how it would look 30 years down the road. And then I internally slapped myself and reminded myself that how my life was looking pre-surgery in 30 years was death or disability even worse than what I have now, and that NO ONE can say what their life is going to look like in the next 30 years, or even in the next year. Life doesn't work that way. Nothing comes with guarantees. I was very afraid of the complications a DS can have. But I decided complications from diabetes and high blood pressure and high cholesterol were worse. You may not have these now but you may very well have them in the next 10 years. I was perfectly fine until I was 37.
I have had no major complications so far, just some nausea. My tastebuds have changed and it turns out avocado no longer tastes good to me and I can't taste sweet spices like cinnamon and nutmeg. I'm told that will balance out in time, its the hormones playing with my tastebuds like a pregnant woman. For two weeks my stomach did these twisty cartwheels inside me every time I drank or ate something, but that eased too, as I knew it would. I had family and friends rather skeptical of doing this surgery, especially because I am that 1% person who always gets the rare complications from things. But turns out so far I've had a rather boring recovery and I hope that continues to be the case, but if it doesn't, I'll deal with it. Because I no longer want to live the yo-yo life of trying desperately to normalize my weight on my own. I have lost 21 lbs in 3 weeks post surgery! I didn't think this would work for me but it is working...
Yes, for the first few weeks getting that Water in feels like a huge chore. But eventually you find your groove... Same with Protein. And as my dietician reminded me today, they are GOALS, not absolutes that have to be perfect on the first day. I couldn't get down Protein Drinks for the first two weeks.
In the end you will do what is right for you at this time. If you don't do the surgery now you will do it later down the road and be one of the people who wishes they'd done it sooner. I wish I'd known about this option in my 20s, I would have lived a very different life.

No human being goes into elective surgery without the jitters. We are choosing this and its a biggy. Its a leap into the unknown. We can all tell you that its so very worth it but will you believe us ? If you can not do this surgery now - you will regret it and return to it at a later date.
I can not say for other forums but this one. People come on here because they have an issue. They want advice and mostly its an easy fix. These people never come back again, they go on to lead skinny, happy lives. So you see people do not post that they are doing well, we know we are.
The tiny fraction of people who are struggling and have written about it are your red flags. You are not seeing the invisible 99% who have little to no problems.
Make the correct decision for you. Your time may not be now, Its your body and your life. However its one of the safest surgeries going.

I told myself I could do it on my own too. I lost those same 45+ pounds over and over and over again through the years along with attaining a sluggish metabolism through low calorie dieting. Your body will constantly fight to get back to that higher abnormal weight setpoint we made for ourselves. It's exhausting. Regaining the weight always involved a few more pounds and eventually co morbidities. You might not have any now, but you will. Not trying to be negative but realistic. Also, as I got older, maintaining all the added exercise to try to keep it off became unattainable.
WLS is way more than just food restriction. The surgery resets that setpoint, so you are no longer working against your own bodies stubbornness to stay at a higher bodyfat %. Don't pass on doing it based on fear. I would be more scared not to do it, knowing what I know now. GL.

I too lost & gained for years. I think most of us did. Like deaths & taxes I could guarantee if I lost weight I would gain it all over again & it would start within weeks. I have never been able to maintain a low weight for as long as I have since my surgery & certainly not a weight this low. Yes, my new set point, faster metabolism & smaller tummy helps but the time the surgery gave me while I was losing was the greatest benefit. It was during this time that I changed my relationship with food & changed the how, what & why I ate. I had never done this before with all the diets I’d been on.(I was almost 54 when I had my surgery so I’d been on a lot of diets.) Not being interested in eating or hungry meant I wasn’t constantly thinking about eating & what I was missing out on while dieting. I used felt any diet i was on was a punishment for having gained weight again. Now, while there are some foods I don’t eat anymore or rarely do it’s not a punishment or I’m missing out. It’s not a diet just how/what I eat & I’m healthier & happier for it.

Yes, you’ll often find stories of people struggling or having issues on forums, social media, etc, As @summerseeker said they often come to such sites looking for support or advice. Complications can occur with any surgery but they are very low with bariatric surgery & much lower than with other very commonly performed surgeries (appendectomies are higher than sleeve). The complications & risks of developing co morbidities are much, much greater & debilitating. Yes there are chances of post surgical issues like dumping, foamies, strictures, etc. but they aren’t really that common & are pretty simple to manage or remedy. Like strictures are rare & can be easily repaired with a simple surgery. Dumping & foamies can be managed with dietary choices. I have some issues with the foamies but I just consider them a quirk of my tummy & I had a pretty quirky tummy before surgery so this isn’t even a minor deal. I’d rather have a quirky tummy than be obese, constantly battling my weight & beating myself up about it.
Have a chat with your surgeon & ask them for the stats about the surgery itself, any long or short term issues & what can be done to manage or remedy them & their experiences. Ask as many questions as you need. You won’t be the first to come to them with concerns or trepidations.
The ultimate decision can only be yours & I wish you the best of luck what ever you choose to do.

Since you've been doing your homework, you probably already know that your chance for any complication is just under 6% and your chance for a serious complication is about 2.5% with the RNY. On the flip side, you have about a 74% chance of curing your sleep apnea and a decent likelihood of reaching a BMI in the healthy range.
I am scheduled for surgery next month, so I can't tell you about my experience with it yet. What I can tell you is why I am choosing it after almost 7 years in my hospital's non-surgical weight loss program. I am 5'6 and 49 years old, with 2 teen/tween daughters. At the start of 2017, I was 249 pounds and on blood pressure meds, no other co-morbidities. My primary care doctor referred to me to the weight management center. They said aim for 1500 calories per day, 30 minutes of exercise 5 days per week, and check in with them every month. I was motivated and started tracking my food and exercise. I went in for nutrition, psych, and medical meetings as directed. The weight came off. I was thrilled! I got down to 202 in 6 months. I was so close to being under 200, and I was certain I could easily get to at least under a BMI of 30 to no longer be "obese." Piece of cake! Or rather, some suitably healthy cake alternative. Like apples, maybe?
And then I stalled for months. I never hit that magical 199 on the scale. I kept doing everything the same and my weight didn't budge. I ate a little less. I exercised a little more. I gained 5 lbs. I gained a few more. I became discouraged. Life happened. I would lose 10 lbs, gain 8, lose 5, gain 15... I tried various meds but couldn't afford them longterm. I lost health insurance for a year and couldn't afford to go to my regular check-ins, which I know were partially responsible for keeping me at least a little motivated even when the scale didn't cooperate. I got health insurance again, and went for my physical. My blood pressure had worsened and now I was prediabetic. My doctor urged me to go back to weight management. I had to wait 3 months for an appointment, and despite wanting to lose some weight in the interim (so the doctor there wouldn't be disappointed in me), I weighed in at 251, which tipped me over to 40 BMI. That was the most I ever weighed. When the doctor recommended I consider weight loss surgery, I knew that was the answer for me.
One thing I learned in all this is people can lose weight, even a lot of it. The likelihood of keeping it off longterm without meds or surgery is around 10%. Between a 2.5% risk of a serious complication or a 90% chance of being obese and on blood pressure meds the rest of my life, and risking diabetes, I prefer to take my chances with the surgery. It's not the losing weight that worries me, but the keeping it off that I don't think will happen without it.

I had bone broths but not much else. My stomach was just too sensitive. My surgeon told me to focus on fluids until the nausea eased and whey stopped making me feel sick. He said our body has about 3 weeks of stores for Protein and Fluid is more crucial in the beginning since it's what keeps you out of the ER! He was confident my stomach would adjust. He was right! I met my fluid goals every day. I could do milk by the end of the first week so I drank lactose free Fairlife milk. I finally got the protein working when my Dad suggested I Water it down to thin it out. I've read it here before but in that post surgery haze I forgot! Watering it down worked perfectly until I could handle it full strength... I could do clear Proteins before I could do milky ones. I still can't do Jello though. 😂