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FMLA is granted by your employer, but the doctor is the one who says when you can return to work and if they say two weeks, your employer only legally has to hold your job for two weeks. Like I said, I did a lot of research prior to taking leave and saw some went back as soon as 2 days after their surgery, others took the full 6 weeks, but the most common leave time was 2-6. Given that timeline and my previous experience w/ surgery, I expected 4 weeks would be the best situation for me. I am not sure there should be a "standard" for these surgeries. Most of us are very obese and have varying comorbid conditions. I'm not saying that some people cannot return at 2 weeks (or even sooner), but this should be a private conversation that takes place between a patient and their provider and should be customized to the specific patient and their needs. The door to conversation about this should not be slammed on the patient.

I thought FMLA was up to the employer, not whomever did your surgery. Or did the surgeon's office have to sign off on something verifying that they expected it would take x-number of weeks to recover (??). It's been several years for me but I don't really remember - but it could be that my clinic had to state that I would require so many weeks to recover. My employer was the entity that granted the FMLA, though. But as far as the rest of your post, yes - I would think it might take more than two weeks to recover from the DS. The surgeon's office probably should have said that you might need up to (however many) weeks... although sleeve2bypass is correct - two weeks seems pretty standard. Although the vast majority of people have sleeve or bypass, which aren't as extensive.

Seems pretty standard. I had 2 weeks off when I had my sleeve and when I had to have the revision to bypass a year later, also had 2 weeks then. I think they tend to only give longer if you have complications. Otherwise I think 2 weeks is pretty typical. Some doctor's offices will give longer if you specifically ask for it (not mine) but I don't think that's typical.

Hi, friends! I had the traditional duodenal switch on 04/24/2024 with Dr. Joshua Roller in Fayetteville, Arkansas. My surgery experience was fabulous and I have had zero complications following surgery. I haven't even so much as vomited since surgery. I am 5 weeks post-op and feel great! I wanted to let folks know, though, that it is their "company policy" to only provide FMLA/short term disability coverage for 2 weeks. I had done a lot of research on this surgery prior to having it and was expecting 4-6 weeks for recovery. I had previously (in 2019) had a surgery to remove my gallbladder and 2 weeks was so unbelievably inadequate for me to recover. No one asked me about my FMLA or disability paperwork until my group dietician appointment the day before my surgery (as I was an out of state patient from Ohio). The nurse said, "If anyone has FMLA paperwork, we will take it now. We provide 2 weeks off work. Any longer and we need documentation of complications to extend it." Since I was in a group setting, I felt uncomfortable contesting this. I spent a significant amount of time in distress over this, as I wouldn't even be home a full week or on solids for more than a day before they said I should return to work. They would not budge on this policy. Thankfully, my employer allowed me to take 2 extra weeks of leave, but that was a privilege extended to me and my job was not legally protected during those extra two weeks. Additionally, I was not paid at all for those extra 2 weeks because according to Dr. Roller, I only "needed" 2 weeks, not 4 weeks. I am struggling a lot financially post-op because of this, as my short term disability company has a waiting period and I only got paid for a few days of work while being out for 4 total weeks. Roller's office is phenomenal in every other way and like I said, my hospital stay and my surgery itself have been everything I hoped for and then some, BUT I think that this issue is a pretty big one for some folks. I was in no shape to return to work at 2 weeks post-op and genuinely feel that Dr. Roller's office needs get rid of this policy where they paint every patient with the same brush. I am chronically ill in other ways and I should not have needed to have complications from surgery to qualify for more than 2 weeks off from work. This disappointed me greatly.

From the usa 2 week liquid diet -very strict 1. 32 oz water/sugar free calorie free liquids 2. Clear broth 1x a day 3. 3 protein shakes 6 ounces total of 340 calories combined That's all I am allowed.

I am an outdoor walker through and through - all weathers. I have dogs so this has always been non-negotiable, LOL. I also do Pilates (indoors obvs) 2 or 3 times a week nowadays. I enjoy that in a different way. Honestly anything you can do and enjoy you're more likely to keep going with. If you can click with that then do it. Horses for courses!

I can handle toast, but not bread. I only eat one or two slices per week and keep the rest in the freezer. I'm in Canada so our grocery store options might be different, but I've had luck with: * Dempsters ZeroZero Protein bread (per slice: 1.5g fat, 13.5g carbs, 0.5g sugar, 5.5g protein) *Country Harvest Whole Grain & Protein Blend (per slice: 2g fat, 16g carbs, 2.5g sugar, 6.5g protein) Really though, any sourdough or whole wheat / whole grain bread is probably the best bet. Wonder bread does a thin-sliced whole wheat that my brother (and his kids, lol) swear by. EDITED TO ADD: If you're specifically looking for non-bread alternatives, there seem to be a lot of protein-added wraps and tortillas on the market these days -- and I love crackers, I feel like you never go wrong with crackers. Everything from the Ryvita brand is delicious with a great crunch, and whole wheat saltines are really satisfying topped with NSA peanut butter, or cheese and apple slices.

Thank you. That was very helpful. The desire is definitely to chew. The food cravings I have are from Mediterranean cooking accounts on instagram. The salads look amazing. The old me would have liked at sugar and baking that way. At least the food I want is healthy. My surgeon doesn’t want me starting my vitamins until the 2 week follow up. The rationale is that getting all the fluid and protein that I need in a day should be my primary focus and he doesn’t want too much put on me all at once. im prescribed omeprazole twice daily. I’ve been taking the morning dose but not my evening dose. That also seems to me when I start feeling the “hunger”. I start taking them twice a day as prescribed.

Thank you so much!!! A trick was to have the hair dresser do layers in my hair. Adds shape, depth, and fullness. And the shorter length really helps. I wash my hair twice per week. I blow dry it with a diffuser so the heat isn't directly on my scalp. I add leave in conditioner for curls and a tiny bit of curl defining mousse and then blow dry it. Once it's all set, I run my fingers through it a few times and that's literally it. Think about doing layers when you get it cut. It's hard to part with the length at first, but once you see your hair looking fuller and healthier, and it's a lot easier to manage, it takes the sting out pretty quick.

I am thinking I will have to do the same, which I have stopped putting heat to my hair now, Might just do one blow dry after my wash a week. I agree your hair shorter looks healthier and fuller. You have a nice face shape for both so you are rockin the new do! Call me vain but I am devastated about looking at short hair cuts LOL Thankfully my hair grows quickly so I am going to take collagen so my hair growth comes in healthy and strong. You were right nothing I am doing is helping I brush my hair every morning and 15-20 strands of hair just come out *le Sigh*

My hair was down to the middle of my back. It really looked terrible. Split ends, super dry and brittle, no shape, emphasized my scalp and the general thinning. After my surgery, I was nervous to go too short so I went to juuuuust below my shoulders. Looked good for about 6-8 weeks and then started to show the thinning and my scalp again. This time around, I cut my hair just ABOVE my shoulders and decided to stop straightening it. My natural waves came back in full force, which helped A LOT. And it's easier to maintain and doesn't look thin at all.

1. What was the best part of surgery for you? The best part for me has been being able to do things I enjoy again. There were several things that I either couldn’t do or didn’t want to do because of my weight and now after losing so much weight I have been able to start doing most of those things again. For example, I love going to sporting events, but I had stopped going because I didn’t fit comfortably in many chairs at stadiums. 2. What was the worst part of surgery for you? I was one of the lucky ones that didn’t have any complications with the surgery (I had the bypass). Really my only complaint about the entire process was the gas pain following surgery. I was told by my doctor I may have some pain in my chest after the surgery, but it was way worse than I was expecting. But it only lasted for a few hours and after that everything went smoothly. 3. Did you have any complications (minor or major) after your surgery? Not really. My surgeon did notice an umbilical hernia while doing my surgery but decided it would be better to get that fixed after I lost some weight, so I had another surgery for that 9 months later. 4. How has adjusting to your new life been for you? Easier than I expected actually. I think it helps that I live alone right now so I have quite a bit of control over my environment. Like if I had a roommate who ordered pizza a lot, I think I would have a lot harder time eating healthier, but since I live alone I am able to control what food I am around for the most part. Probably the hardest part for me has been making sure I get enough fluids. I have always drank a lot with my meals and now I can’t do that anymore, so I’ve had to learn to drink throughout the day. I am finally doing better with that but I felt like I was constantly dehydrated for several months after the surgery. 5. How long did it take you to feel comfortable eating food? Not very long. The toughest part was remembering not to eat too fast or take too big of bites. During the first couple of weeks especially it does not take long until you will feel full and even just one too many bites can make you very uncomfortable for a while. 6. Is there anything you can’t eat anymore that you used to enjoy? The short answer is no. I have not found any food that I can’t tolerate, but there are foods I choose not to eat anymore. The only issue I had was with rice, and I think that was just because I ate a little too much. 7. What was your recovery like? Any vomiting or dumping syndrome? My recovery was not bad at all. Like I mentioned earlier, the gas pain was the worst part, but after that really the only pain I had was in my abdomen when I got out of bed or the recliner. I vomited a few times when I was learning to eat again but all of those were from just eating a little too much I think. Recently I’ve discovered I get low blood sugar really easily (and I’m not diabetic). I actually just talked with my nutritionist about this earlier today. I don’t have sugary foods too often, but I’ve found that if I have too much sugar all at once, I will get low blood sugar a few hours later. This never happened to me before my surgery. 8. How long did it take you to feel semi-normal after surgery? Just a few days. My surgery was on a Monday and I remember thinking I probably could have gone back to work that Thursday if I had needed to (my job is not physical at all though- I work at a desk most of the day). The toughest part was energy level. I returned to work one week after surgery but I was only able to work half days for a couple of days. 9. Did you experience higher energy level post surgery? Yes, I have way more energy than I used to. I used to have to force myself to work out a few days a week, now I don’t like going even one day without some form of exercise. 10. Did surgery affect your mental health? Yes, I think it has. It has helped my mental health in some ways, like being able to do more of the things I enjoy has helped with my depression, but I have also found I am struggling with stress and anxiety more than I used to. I think at least part of the reason for that is that I used to cope with stress and anxiety by eating and I can’t do that anymore, at least not the way I used to. Also I should add that there was a part of me that thought that all of my problems (including my mental health issues) would magically go away once I lost weight. My mental health has definitely improved since I lost weight, but it is still something I am struggling with. I started seeing a therapist a few months ago and I believe that is helping me out a lot. 11. Do you regret it? Do you recommend it? I have not regretted it for a second. I was relatively young when I had the surgery (I was 32) and a part of me felt like I didn’t need the surgery, like I thought I was still young enough I could lose weight without surgery, but looking back on it I am glad I didn’t wait. I had a number of minor health problems that were all slowly getting worse, and I realize now that it was good that I didn’t wait for them to get worse. I will add that I feel I am one of the lucky ones that has had basically no complications from the surgery and no food intolerances or dumping. I know not everyone has had as easy of an experience following the surgery as I have.

F 52, 5'9.5", SW 255 26 lbs, with 2 week liquid diet 36 219 202 186 Almost 5 months post op, 174. RNY Gastric Bypass 1/3/24

Life has been nuts the past couple months but I do periodically stalk the pages to get ideas. This was last night’s dinner- espresso bbq roasted chicken thighs, coleslaw, broccoli watermelon, and loaded mashed potatoes. (Chicken thighs marinated in buttermilk, KC bbq rub and espresso rub then topped with more of each and baked at 450F for 35ish minutes)- I’m not currently counting calories as I’m doing cardiac rehab 3 days a week and have lost 25lbs since I’ve had heart surgery that I had gained beforehand (stupid fatigue). Also, went to the museum with my youngest on a field trip today and we grabbed ice cream to share. This is the after from both of us eating it.

I am still basically stalled too. I fluctuate up and down the same pound over and over again but everyone keeps saying “you’ve lost more weight, haven’t you?” Ummm, no. It must just be shifting around. I know how discouraging it can be for the scale to not move especially after the quick initial weight loss right after surgery. I try to tell myself it’s a good thing because my skin seems to be bouncing right back and if I was losing too quickly it wouldn’t and then I would have the added problem of loose skin everywhere. I have about 25lbs left to lose so if we have a year to lose our weight I have 9 months to lose that weight. If you look at it that way it’s more bearable. Hang in there

Thank you… I went to Dr and was given antibiotics. I must have ingested a bacteria. Feel much better after three days on the antibiotic.

The bariatric center I go to told me the same thing about stalls. But they also added that little things could prolong them. Like I mentioned in another post about the pre workout and post workout fueling (eating). The stalls still happen, but at least I feel a little better from having more energy. That's great you're staying with your brother. That's what brothers are supposed to do! Sounds like you have a good one. You have a very interesting job to be able to travel all over the world. I'm sure there's times the traveling is too much. But, wow. All the places and different people you get to meet and work with. I hope the stalls don't last too much longer for you. From my own experience with them, they are tough to get past, even when you do see other positives going on. I wish you good rest and safe travels!

I'm still stalled but feeling better. I spoke to my clinic who said it is normal because I've lost more than goal at this point and had a lower BMI to start off with. The clinic has said the stall may last up to a month which means I'm half way through the stall trying to be rational about it. I managed a decent walk ( 15.4k steps) yesterday in my raincoat that helped. I'm still in London for work and it is grey and raining but I bailed on my hotel and came to stay with my little brother (who lives here for his work) and it's a bit like being home. I hadn't seen him in a few years because we're not that close but he made me airfryer spicy tofu and asparagus for supper, offered to look over some work excels with me and to top it off he washed, dried, folded my laundry from my suitcase whilst I was asleep and woke me up with coffee in bed this morning. (I suspect he's been talking to my partner). He's made me feel very cared for and also said that even without weightloss in the mix he gets very very down when he has a bad stretch of travel for work and the weather is ****. He helped me find friends of friends to stay with when I have a week in Budapest in 10 days time so that I'm not all alone at a hotel again. And we realised we'll both be in Boston for work next month and can meet up there and we also sync'd our work travel agendas and found out we'll be in Singapore in October at the same time as our brother in law ( sisters husband) and so all three of us can stay together! For my job the travel is going to be wild until the end of this year (wrap up of a 5 year worldwide project) and so I'm just going to have to "hack" it as much as I can. I get back to Paris very late tonight and might see if I can move enough meetings around to take Friday off work and just spend 3 days for myself in Paris. Hows everyone getting on ?

Okay first, thank you so much for such a comprehensive answer. I've seen some of your tips in the forums before but this really lays things out. I'll start varying my routine more and see if I can trip things up a bit. This iron thing in particular is interesting. In my last series of labwork my iron came back very low, but not quite anemic. (The range was 50-170, I came in at 55.) I have upgraded to the bariatric multivitamin with more iron and started also taking the iron melts with vitamin c, but I struggle to do this consistently due to how often I have dairy, and I haven't felt much of an improvement yet. I get re-tested in ~5 weeks to see if the numbers are better (or rather, to make sure they're not getting worse). Interesting lead either way.

Your body is healing & the tiredness & lethargy as a result is very common. If your body wants you to rest or nap, do rest or nap. It takes about 8 weeks to fully heal from the surgery but you will notice slow improvements in regards to how tired you are as the weeks pass. You may find there are times in the future while you are losing you experience drops in energy. This too is pretty common & again be a bit easy on yourself & your energy levels will rise again when your body is ready. I often wish I could still justify an afternoon nana nap. LOL!

Ah why do we do this to ourselves? Mind games. OP you've just done the best thing you ever could to secure your ongoing long-term health. Please trust your procedure and please follow your plan. It's there for a reason. A week out (and I had a sleeve not bypass so maybe slightly different) I think you need to be pushing for your fluid goal first and protein goal second. It won't harm you, it'll only help if you can get close, I promise. After that everything will be good. Not drinking in particular seems a recipe for disaster and a readmission for fluids.

You will get loads of sympathy here OP - for a woman (usually more than a man I think?) our hair is often tied into our identity more generally, for better or worse. Massive weight loss causes our non-essential body functions like hair growth to stall completely. Body thinks - no calories - what can I ditch? I know - hair! Once we get through the biggest rate of loss and our body is regrouping then the stalled follicles get pushed out by new growth. I lost masses of hair in I think 3 distinct phases, about 3 months apart. It's truly properly shocking, that first hair fall. (And for me the second and third - I hope you don't get those too!) Please please be reassured that most of it grows back for most of us. It just takes a while and it's so worth it.

1. What was the best part of surgery for you? The jumpstart to weight loss was obviously amazing, but I was surprised how quickly my usual body pain & aches stopped bothering me. My knee problems have basically vanished, and the lower back pain I had gotten so used to living with has gotten so much better. I can breath easier when doing things that used to have me out of breath -- going up 2 flights of stairs, for example. 2. What was the worst part of surgery for you? The pre-OP shakes -- I'm lactose intolerant and have trouble with stevia, and there were no shakes my care team could find for me that didn't have one-or-both things, so I spent a good 8-9 days barely keeping anything down. The surgery itself went off without a problem, and the pain wasn't as bad as I thought -- other than the car ride home! If you get WLS, bring a pillow to clutch to you afterwards!! 3. Did you have any complications (minor or major) during or after your surgery? Nothing during, nor after -- but I'm only 10wks post-OP tomorrow. 4. How has adjusting to your new life been for you? I too am on SSRIs for long-time depression & anxiety. Most days have been awesome and cheery. Even during the initial aches and pains of recovery, just knowing that things were going to start changing for the better improved my mental state. I still have bad moments / days but once I started seeing all the improvements to my life it makes it easier to push through. It certainly helps to have a good support system -- people in my life, but also honestly this forum. TBH I was in a #$%& mood all day and feeling lethargic, but logging in here I know that everyone here understands and it just makes me feel more settled. 5. How long did it take you to feel comfortable eating food? I am currently having a ton of problems with chicken breast. I hate 'dark meat' poultry, but tried chicken thighs recently and it's not too bad but still leaves me with a heavy feeling in my stomach -- still better than the stuck feeling in my chest that the white meat gave. I feel like no matter what I put on it or how I cook it, it's just clearly a No for now. That said, for the most part everything else has gone down well as long as I eat slowly, and make choices consistent with my care team's plan / schedule. Going from puree to soft foods was probably the hardest for me physically, because it felt so different in my stomach. 6. Is there anything you can’t eat anymore that you used to enjoy? It's early on for me, but the changes in my body's hormones seems to have stopped most of my cravings. When I'm having a rough time emotionally, I still have momentary yearnings for old 'comfort foods' but honestly just the thought of some of them will turn me off within a few minutes. (For some reason if I think about fatty oils too long, I just get nauseated). And many of my old comfort foods have just updated into healthier things I can eat. Instead of my mum's Dutch mashed potatoes, I have a smaller bowl of healthier mashed potatoes (or cauliflower, or heart of palm) with a scoop of bone broth powder to up the protein. Instead of spaghetti and meatballs, I have homemade meatballs and extra sauce -- or a ricotta bake instead of lasagna. 7. What was your recovery like? Any vomiting or dumping syndrome? I've had one instance of dumping syndrome so far, and it was 100% my own fault. I knew what the culprit was immediately (white-flour leftover tortilla and more difficult chicken breast). I won't lie, I seriously wanted to die for probably an hour, and then slept the rest of the day away. It's horrid. I'm hoping that I've learned enough to take better care / caution and avoid any more instances. Other than that, recovery has been pretty smooth. All my incisions healed up without issue, the gas pain only lasted a few weeks and then there was just a strange tightness / mild soreness on one side of my body for the first 5-6 weeks. 8. How long did it take you to feel semi-normal after surgery? I want to say 2-3 weeks. Around the time I started eating puree (week 3), my energy levels started bouncing back much more rapidly -- which let me walk more easily. 9. Did you experience higher energy level post surgery? 100% yes. NGL, sometimes I feel like skipping even though it's not suitable for someone my age, LOL. I feel like I've been more efficient at work post-OP just because of the energy improvement, and physically I notice the increased stamina every time I go on an errand or for a walk with my dog. (I tire her out now!) 10. Did surgery affect your mental health? For the better. Some of it is because the energy and the physical improvements make me feel better about myself in general, but part of it is kind of a trickle-down effect. I spend more time making good, healthy choices for myself, spend more time being mindful whether it's while I'm eating, or making a grocery list, cooking, etc. It's so much time spent on self-improvement and self-care. So I have less time to worry about what other people's secret thoughts or judgments might be and take people more at face value. I have less time to waste on people that bring toxicity to my life or can't respect my boundaries. It's like this microcosm of self-care made by investing my energy in my current journey has expanded it's hooks into the rest of my life. I feel like for the first time in my life, I am actually one of my top priorities. 11. Do you regret it? Would you recommend it? I had moments of regret during dumping syndrome, for sure. But as soon as I recovered from that one bout, I was still happy I'd done the surgery. I think it definitely forces us to take ownership of our own health and making the best decisions we can towards that. I would recommend it to anyone who has struggled with weight loss and can honestly look at their life and see themselves living in this framework for the rest of their lives. By all accounts it seems to be incredibly important to keep it all up -- the vitamins and supplements, the healthy choices and portion sizes, etc. I would NOT recommend it for anyone looking for a magic pill. This takes work, will continue to take work.

Yes the surgeon I met pre-op warned me at the time about hair loss but I was a bit dismissive as have (had!) such thick hair that I didn't think I would have as much fall out as I did. I am thankful for the thick hair as I think it is how I coped with it not being noticeable to others. My hair loss stopped after month six and the regrowth is strong and thick again not sure if that is luck or down to the fact that I added in the special bariatric hair vitamin, plus collagen on top of the other bariatric vitamins I take. I just don't know where the curl/kink is coming from now in the regrowth underneath. My hair is now long enough to tie back a bit but I will be getting it cut again next week to try and get closer to it all being one length at the back.