MrsFitz

Had my dietitian appointment this morning and it went really well ? I’m a healthy fat person, which was good to hear. All my tests have come back good, no issues with diabetes, high cholesterol, heart disease etc. We had a really good talk, told her about this forum and the ongoing support everyone receives, showed her my two food diaries - one pre-watching what I eat and one for now. She was very happy to read both, laughed at some of my comments regarding how I was feeling when I was eating, and congratulated me on the changes I have already made. She asked if I had a surgery in mind and why. I explained that I felt that a bypass would be more beneficial for me due to not feeling full, snacking etc, and she agreed. Thankfully she has no issues with me, and was happy to refer me to the surgeon, which was such a relief to hear. Honestly, I felt quite apprehensive and anxious this morning (thanks menopause ?) and was definitely snappy with hubby. I went in on my own as I didn’t want him to know what my weight was/is - does anyone else keep their weight secret from their other half? I know it’s just shame that makes me not want to tell him ? The dietitian thinks a reasonable target post-surgery for me is around 14stones (196lbs) but reckons I will sail past that as I am fully onboard with it all. I’m glad that she hasn’t given me an unrealistic expectation and I do feel it’s fully achievable. We discussed lowest adult weight plus weights my body had ‘stuck’ at previously. She also went through the post-surgery diet - will be 6 weeks on the purée diet due to having a bypass, and gave me the info for that. She also explained about the bounce back once the body has reached its lowest weight and that it did not signal a failure. Next steps: appointment with the surgeon, which should be September (eek, next month!!) After I’ve seen the surgeon it’s then the MDT weekly meeting for everyone to agree that I’m OK to go ahead. As long as they agree, I will get my surgery date which is looking to be either Jan or Feb next year. She’s put that I would like to see the surgeon ASAP and will take a cancellation for both his appointment and also for surgery as long as I have one day to get ready for the 3 week liver reduction diet. She warned me that I could be on the LRD over Christmas but I’ve said that it’s fine, I’m truly not bothered in the slightest. I asked about going away next September and she said everything will be done and settled down by then but not to buy holiday clothes until the last minute! Just to wait for the next stage now. I’m certainly glad I lost some weight pre-appointment though as the weight the Dr gave and the weight I was actually was a 5kg difference, and not in my favour ? I’m still 7kgs lower than the wrong weight given and it’s the initial referral weight they go off so I could coast now if I wanted to (but I won’t ) A relief all round!

Hurray! Well done on injecting yourself. I know you definitely wasn’t sure about it so it’s a definite accomplishment ?

OK, I’ll stop teasing you now ? She says she’s messing around with her niece, to stop bothering her, she says no, little one, she’s irritated (or annoyed) but she thinks it will be alright ? You will definitely become an old hand at this!

LOL! York is around 45 miles from me! You will definitely understand what I mean re the accent and Yorkshire dialect then. Does your aunt still know her manky from her butty? I bet she were reet chuffed wi’ yer ‘an all ?

Happy to help ? It can definitely be off-putting if you’ve never dealt with these things before and you don’t know where to look or even what you’re looking for. I can guarantee that if you have a question re weight loss and all it attendant quirks & foibles, there will be someone around on the forum who has either gone through it themselves or know the answer ?

@SleeveToBypass2023you do make me laugh! I’m so glad that you’re able to understand your ‘godmother’ now, I feel I have rendered a valuable service ? Of course, there are always the joys of accents and drawls to throw in to this mix as well, which can add even more confusion. I’m a Yorkshire girl so we do have our own way of saying things, just like you will with your Southern sayings! And I’m so glad I’m not the only bitter wife out there…yes, I love him dearly but oh, there are times when I want to smother him with a pillow when he’s asleep ? I remember when we’d come back from our 2 week holiday in September last year and he was bitching that he’d put a couple of pounds on, whereas I had put on over a stone (14lbs) and I honestly wanted to stab him. He is supportive though, plus he has taken time off work to take me to all my hospital appointments etc as I still can’t bend my knees enough to climb in the van to drive myself but I will get there. Hopefully I will feel more able in a few more weeks ? I rescued a pair of Billabong shorts from the charity shop bag yesterday as something for me to aim for on my WLS journey. I’d last worn them when I’d lost a load of weight previously and had worn them on holiday. Even now I cannot believe that I fit in to them. I tried them this morning and I cannot even get them halfway up my thighs, never mind anywhere else! I think I need to lose an additional 100lbs or so to have any chance of getting them on but stranger things have happened I guess ?‍♀️ I do generally use clothing as my inspiration to aim for, so I guess these are the ultimate goal!!

Speaking from my own experience, I’m not the same person fat as I am thin. When I’m fat I am miserable. There’s a little cloud of…I don’t want to say unhappiness but maybe dissatisfaction I guess, that follows me around like that character of Charlie Brown (can’t think of his name, too lazy to look it up!) Like you @Bypass2Freedomthe bigger I am, the more invisible I become. I don’t maintain eye contact, my head is down, I barely smile at others, I feel very much an introvert which isn’t me. I hang back from things and lose my spontaneity. My clothing is dull and drab, anything to not call attention to my fat self. When I compare this to the person I am when I am thinner, well it’s like chalk v cheese. My head is up, I feel happier in myself, I can maintain eye contact, I talk, I laugh, I wear colourful clothing and makeup, I’m proud of myself because I know what an effort it took to get to be that person, to get that confidence back. I believe in myself once again, which is a very powerful thing I think, especially after spending years and year’s doubting myself. I can’t wait to feel all that again and to hold on to it very tightly this time around ?

It could be something similar to ‘keto flu’. You feel lethargic, fatigued, have a headache that just won’t quit whatever meds you try and just generally feel like rubbish. The good news is that it does pass, your energy levels will improve and your headache will go. Just make sure that you’re drinking enough water as you will probably have lost a lot which does contribute to how you’re feeling.

It’s been a good week all told. Lots of positives, which I’m really pleased about. I’ve rejoined the gym to begin at the start of September. I’ve made my first payment so no shirking now! I cannot fully explain how happy I am about this. I’ve even said I’d go to aqua fit with hubby (he used to go a long time ago, only bloke in a pool full of women, all enjoying it until some arse of a pool guard asked why he was doing a class with, and I quote, ‘old ladies’. This completely destroyed hubby’s confidence and he never went back, even though it really helped him with his back pain) So, I’ve offered to go with him, even though I hate swimming and only do the pool when I’m abroad and it’s hot! Anyway, he’s having a think about it. Had a clothing clear out this weekend. I’ve definitely come down a size so all the bigger stuff ether went in a bag for daughter in law or charity shop. I’ve also go rid of a lot of warm weather stuff too as I have absolutely no intention of being this size come next summer ? Hubby also voluntarily went through his things and got rid of a load of shirts and tops as he has slowly been losing weight and so had lots of things that were too big. I will admit to being a horribly bitter wife at this point as his diet is atrocious - doesn’t eat all day, has sandwiches/wraps etc for dinner, with loads of crisps, chocolate, biscuits, cake etc during the evening and the weight is coming off. I have a frigging biscuit and 4lbs appears out of nowhere ? Yes, I know, I’m a horrible cow but at least I’m honest! I tried on some smaller sized things (next size down) Again, the stretchy stuff fit, which was a bit of a boost. I also dug out my gym stuff and tried that stuff on. I’m OK for the size I am now and also for when I drop a size or 2 as well, so that’s sorted out the next couple of months at least. Off to see Fat Boy Slim at this coming weekend, another ‘wave your hands in the air like you just don’t care’ show, and I had a pair of skinny, black sparkly jeans in mind but I wasn’t sure if they would fit (have never worn them) I tried them on and they fit!! Obviously the material is as stretchy as hell but I will take it! I’ve now sorted my outfit out, and feel very excited about it. The top I’m wearing will hopefully mask the tummy tire (only surgery will ever get rid of that) and I’ll be throwing some shapes with the best of them ? Had physio this morning and it hasn’t killed me, which is all good. I discussed the gym and the physio was all for it. I came away with some exercises to do at home plus I’m booked in for a double physio session in September so I can go through some things in their gym to see what works. It’s the dietitian appointment this week. I’ve completed my food diaries so I’m hoping all goes well and I can move on to the next stage of this WLS journey by getting an appointment with the surgeon. I don’t know if it’s surgeon first or if it’s the multi-disciplinary team get together where they decide if I’m a good ‘fit’ or not. I am chomping at the bit a little, I’ll be honest, but it will take as long as it takes I guess ?‍♀️ I ordered a book this weekend called ‘52 Small Changes’ (free on Kindle Unlimited too) I want to make other changes to my life without feeling overwhelmed. I remembered the book from years ago so thought I’d have another little look. It’s a years programme (for want of another explanation) where you make a small change every week eg getting off the couch, getting enough sleep, eating whole grains, drinking water, stretching, explanations of food labels and how to read them etc. It’s all little, positive steps that I think , in the main, would work well with my WLS journey. Obviously there will be things that need tweaking or adjusting to fit in with the food and drink requirements after surgery but I’m happy to at least start. So, this is pencilled in to begin when my gym sessions start again. I’ve downloaded to my iPad via Kindle Unlimited as there are lots of hyperlinks for additional information plus I’ve ordered a physical copy too as I find it easier to follow and, more importantly, absorb! I think that’s enough waffle for today ? Onwards and Downwards Everyone!

As long as she doesn’t think that you’re some sort of drug fiend and that you’ve lost weight because of imbibing Class A drugs with a Baileys chaser ?

That’s definitely handy to know, and I’m glad you called to check first. It’s all trial and error on this journey isn’t it?? I hope the meds help you out @ShoppGirl and you can get some restful sleep ? and pain relief

Blimey @ShoppGirlyou have had a lot to deal with this week! Gallbladder- I had mine out last year but I wasn’t told anything to avoid foods, drinks or anything but was warned that gall stones can come back in the bile duct. After a bit of a rocky start (lots and lots of fluid leakage as my gallbladder was horribly inflamed which resulted in a much longer surgery blah blah blah) I’ve been fine ever since. Fingers crossed all will go well with that aspect of the week for you. Please take your pain meds and give yourself whatever respite you can. You’ve had 2 major operations this week and you are really going to be feeling it ? Would a heat pad give you any additional relief? Injecting yourself - I inject one lot of meds weekly and another fortnightly and, believe it or not, I think it’s easier to self-inject than have someone else do it for you. I just grab a fat roll at the top of my thighs, hold the pen against my skin and press the button. I’ve to count to 10 before releasing. A quick wipe down with a sterile wipe and I’m good to go. Yes, it very occasionally hurts, like if I haven’t grabbed enough for the injection, plus you have to rotate your injection site as you can end up pretty sore with it if not (never had that problem, thankfully ?) You can also inject in your stomach if that’s a better choice for you. I was told that I have to have B12 injections every 3 months - I’m going to look like a dart board!!

It’s really confusing when different providers have varying requirements and approaches isn’t it? Don’t they realise that all they’re doing is adding to patients stress? I hope you’re doing OK after your surgery now @ShoppGirl?

You discussed loads of other things there @catwoman7 in your ‘model patient’ session, which, IMHO was missing from last nights session. It’s just that everything was glossed over and it really didn’t get to the bones of things I guess. And you definitely hit the nail on the head about people not knowing what questions to ask, so not asking them. I think things like taking measurements and photos for example, would be useful, what to take to hospital, explaining changes in tastebuds, foods to eat for those first couple of stages, etc. I know, I know, I AM being so very picky, I know it. I guess I was just disappointed and left feeling a bit sad for those who are just relying solely on the hospital sessions because I don’t think it was a proper representation. We all hope that surgery goes well and that we have no complications or issues or need additional help. I also think hospitals have to be honest with the things that can go wrong because it’s generally the negative things in life that impacts our weight and generally leads to weight gain. But, it’s done now so ?‍♀️

Our NHS gives you the choice of where you can have some surgeries, so for example I can go to a private hospital with my knee surgeries (which I am choosing to do) but I haven’t heard of them using hotels. There again, the choice of hotels where I live is dire so probably safer and more hygienic to keep patients in a hospital!

Here it’s a BMI of 40 or over or 35 with co-morbidities. I know it probably sounds counterintuitive but I don’t want to lose much more pre-surgery once I get to around 18 stones (252lbs) because I don’t want to run the risk of falling off the weight loss wagon and having it bounce back up again, thus putting any surgery in jeopardy. It’s just a little frustrating when I have no idea when WLS may take place ?

That’s the word I was looking for @FifiLux- vanilla. Thankfully just a one-off though you can choose to attend more sessions if you want…I don’t want! As for knee surgery - I was only told to get my BMI down to below 40 and nothing else. After checking whilst at the session last night, dropping below won’t be an issue as my initial BMI was 45.3 when the hospital received my referral from the GP. The fact that I have started losing weight shows commitment, as far as the hospital is concerned, to WLS. The only time surgery would be refused based on a lower BMI is if it went below 30 which I can’t see happening for me!! The Musculoskeletal Therapy team will give me a call around the end of October to see how things are with regards to the steroid injections and physio I should be having by then, and to check on my weight loss so I can be referred. I did say that I hoped to be 40 or just below by this time. I guess I will find out more once I’m referred. Honestly, I would prefer at least one knee replacement before WLS, purely because the recovery from the knee op can be pretty unpleasant and take several months but I know I have to be guided by the hospital with it all. I would like to have at least some movement when the heavy duty weight loss kicks in ?

Am I a bad person for smiling over the soup accident? Sorry! I’ve just had a look at Amazon and stuck one on my wish list in order to remind me closer to the time ?

I’m OK, just annoyed with him for thinking that I wouldn’t notice that something was wrong and then telling me that actually nothing was wrong ? Honestly, they say women are bad but he has me beaten hands down in the sulky behaviour stakes, bloody idiot ? Good job I still love him eh?? @Arabesque- yep, completely misunderstood the hormone stuff so thank you for setting me straight with my misunderstanding ? This is why this forum is so great!

What a great idea! I thought about a thermos insulated soup mug

Tonight I went to the required education session that my NHS Trust has as a non-negotiable requirement of being accepted for surgery. I will be honest and say I was left feeling completely underwhelmed with it. There was about 16 of us, all pre-op but at different stages of the required tests etc plus some family members (hubby went with me) There was also a Bariatric nurse, a dietitian and a former patient who had had the bypass in 2022. She explained her journey but it seemed very…I don’t know, sterile? Wrong word I know but I don’t know how else to explain her approach. She’s obviously happy with how it all turned out for her but it all seemed very whitewashed, which I found odd. She only mentioned one case of dumping syndrome but everything else was a walk in the park, which had me internally questioning things. She said she was currently in a months long stall but again, everything was hunky-dory. Someone asked about a typical days eating and it seemed really carb-heavy - toast for breakfast, sandwich for lunch, cheese and crackers for a snack, sausage and chips or mash for dinner etc etc. I asked about what additional protein she had - didn’t/couldn’t answer, asked about exercise - some walking and that’s about it. She mentioned hair loss being an issue but that it all grew back and was great. I know I’m being picky but I honestly wanted a more rounded discussion about of lots of different challenges that we could face with WLS and living the life post-op. I’d say out of the group that was there, maybe 5 had done any wider reading or research. I did find out that the hospitals approach to caffeine post-op is you can have a couple of cups of tea/coffee a day but they would rather patients filled up on foods/drinks that added protein, especially at the beginning. I also found out about the vitamins they give you and that they put the timings on the boxes to aid patients with timings etc, which was useful. Something that was bothering me was if my BMI dipped below 40, would I still be considered for surgery as I don’t have any co-morbidities like diabetes, heart issues etc. I need to get it below 40 before I will be considered for knee surgery, and I’m hoping that will happen end of Oct/beginning of Nov all being well. I was reassured about that, saying that they go off the booking weight reported by the GP when referred initially ? I will be completely honest and say that, apart from some very specific questions I had of my hospital, I actually find this forum of much more use and beneficial to me personally. I have found out so much information from people who are further along in their own WLS journey, plus I know I’ve felt really supported by lots of very lovely and helpful users. There is such a wealth of experience on here that I know that if I have a question, someone will be along to answer it! Roll on the dietitian appointment next week ?

So glad things went well for you at your follow-up appointment and you can stop taking lansoprazole - hurray!! It’s amazing how much has changed for you in such a short space of time, and will continue to change for quite a while yet. I think it takes a some time to find your feet when you have undergone some transformative weight loss, plus I also think there’s an element of mourning the person you was and not being sure about the person you’re becoming. I hope you’re documenting your experience, just so you can look back on your journey when things get difficult or you get fed up. It always helps to have something to guide us when we’re feeling out of sorts, or the dreaded stall look’s never ending! Well done on your journey so far ???

Ooh, thanks for the info @Arabesque. I’ve obviously misunderstood something at the education session. I wonder what it was? The nurse definitely said something was different regarding hormones when comparing the two surgeries ?‍♀️ It’s support group tonight so I can clear up my misunderstanding while I’m there! The hormone thing was the issue that was causing me to err on having bypass instead of sleeve, should I have a choice ?

These friends and family - have they experienced your life and upbringing? Do they have weight issues? Do they have a food addiction? Do they have the medical issues that you have? If the answer to any of those questions is ‘no’, you must ask yourself why you have listened to them instead of going with your gut feelings? It seems that 9 years have passed since you first contemplated WLS and things haven’t improved for you. If simple diet and exercise was enough, none of us would be overweight ? Unfortunately everyone is different, with different bodies, metabolisms, abilities, disabilities, mental blocks, imperfect childhoods etc. Only you can decide on what happens next. WLS is scary, it is a massive decision, one which shouldn’t be taken lightly. You have to decide on what YOU want, what your goals are, what you dream about for your future. This forum is a great place to discuss anything and everything connected to weight loss surgery, the reasons we need it, our fears, our hopes, our wins and our losses. I recommend reading what you can, asking questions if you’re unsure and being completely honest with yourself. You deserve a chance of a better life and a healthy future ?

Or bows? Or really badly placed frills?? Or cheap, scratchy lace? Or (and this drives me insane) tops that aren’t long enough ??? I’m the size of a house, no amount of spangles, added trim or crappy flowers/puppies/kittens/cute crap will ever disguise that fact ? And yes, I want frigging useable pockets in dresses and skirts ? (rant over ?)