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Hi everyone, Has anyone in the UK managed to get Mounjaro from any of the companies prescribing it after sleeve? The ones I’ve looked at say prev bariatric surgery means you’re not suitable. I’m 6 years out and finding it harder to keep the cravings at bay so weight has crept up a bit. My BMI is 35 so would qualify from that point of view.

It's so good to have the bariatric community ...a group of "your people" who get it! This is a forever journey with many struggles. 😌

Today I'm Tired of "bariatricing" today..,don't feel like eating, getting in protein, or fluids. Just tired

@Chatterboxdea when I was newly post op someone in the bariatric community told me to keep some old cloths! I am so glad I did. When you've been obese for so long your mind plays tricks with you. Psychologically I think I have not came far but when I put on old cloths it is a testament. I also have to take many before and after photos.

This is a thread I started about the MALE GAZE and the bariatric experience, a question was asked about a Female Gaze and it was answered. Public forum or not if one is asked about their experience with the female species and it's answered then it is what it is. I welcome all responses but it won't be a continuum back and forth. I'm already bored 😂😂😂. "You just say that word "Women" and I'm already yawning (women don't REV up my nether regions 😂)....back to the MALE GAZE. Now MEN I can talk about them all day! I think I'm going to put on a small dress and go get some MALE GAZES 😂😂😂. Reading some of these post it looks like I will have to get used to the MALE GAZE. So therefore I will go have a little fun. I will have to not be as pissed.

My sweet tooth is still alive and well..I guess that's why I never had issues with the protein shakes during this journey. Today I am making a bariatric friendly homemade peanut butter cup/cashew butter cup. So good!

I didn’t mine my chewable before or after surgery. I only switched because I need more iron. I really like the bariatric advantage calcium chews too. They are like starbursts, 4g carbs each though. Adds up.

That's not really an option. It's the NHS so it's just the one appointment through the Bariatric multidisciplinary team. Therapy is really hard to get and the waiting lists are long. Once you get an appointment, you get 12 sessions or about 1 a week for three months.

Yes but apparently in the medical world that is pretty new. I have yet to find a doctor who isn’t a bariatric surgeon who has even heard of it and many surgeons still do not perform it or they are only beginning to.

So not a helpful comment here, but I was also stunned at how much cottage cheese is mentioned/used in the bariatric community! Pre-surgery I was like..."I am going to try it", and I had looked up and saved so many different recipes using it - truth is, I still haven't tried it 🤣

I never In my life heard the Words Cottage Cheese used so much until I entered the Bariatric community. MY GOSH cottage cheese never was what I called a tasty cheesy treat lol. As time went on I see that cottage cheese packs a lot of protein and I have slowly started to enjoy whole Milk cottage cheese. How do you use cottage cheese? What are your recipes? Do you even like cottage cheese? lol it is an aquired taste for sure 😂😂

I have made this a few times and really like it (without the pasta accompaniment) https://motivation.ie/recipes/dinner-recipes/smoked-paprika-goulash-motivation-recipe/ Some other ideas you might like (all of which I have tested and gone back to again and again); https://www.bariatricfoodcoach.com/lasagna-stew/ - I do not do the pre-slow cooker browning https://skinnyfitalicious.com/crockpot-chicken-shawarma/#recipe - Love, make using chicken breast cubes/strips https://bakingqueen74.co.uk/slow-cooker-spicy-bean-stew/ https://www.bbcgoodfood.com/recipes/spiced-carrot-lentil-soup - I don't do the pre-slow cooker step, just bang it all in the slow cooker. I do keep back one carrot though and add it in after blending but sill with about 30 minutes left on the cook so there are some soft bites, I also add a lot more chili but that is to my taste. https://www.bariatricfoodie.com/crockpot-curry-chicken/ - I skip step 1 https://www.bariatricfoodsource.com/blogs/bariatric-friendly-recipes/pureed-chicken-soup-bariatric-phase-3-soft-food - I just put all in the slow cooker and let it do its magic. I have added chili sometimes or other herbs. https://motivation.ie/recipes/lentil-soup-with-crispy-bacon/ - again I just put all the ingredients (skip the oil & bacon) into the slow cooker.

Sometime shoulder pain can be caused from the air that gets trapped from any surgery. I would probably run it by your surgeon though. Especially if you have already passed gas a few times and didn’t feel any relief. I was in the hospital after my bariatric revision surgery for 5 days because I couldn’t pass gas and the pain was so bad I couldn’t take it without the meds they weren’t going to send me home with so I stayed. Post sleeve I had no pain at all. I asked them to switch me to Tylenol the first time they brought the pain meds and I went home early the next day. The difference was all because of trapped air. I think it varies from person to person how much and where it manages to get stuck too. When I finally did pass gas I knew that I needed to keep it up because I instantly felt some relief. It took like 5 or 6 times and then I finally felt soooooo much better. I went home and took half a pain pill while my hubby went out for Tylenol and I didn’t take another. That gas is no fun.

Egg Drop was my first take out item post-op but I waited till soft food stage to eat it. My program didn't have a puree phase. I did cheat a bit by using a Vitamix and totally liquifying some soups. But as @Arabesque said, wait until your Bariatric team OKs you for the puree stage then either strain or liquefy. I was also concerned about the amount of fat added to Egg Drop from my local Chinese restaurant but it didn't seem to effect me. It tasted wonderful! You can also make your own using some chicken bouillon or broth and dropping an egg into it. GL and congrats on your surgery!

I am asking for your help/advice. I am a physical therapist and I underwent my own bariatric surgery in 2022. I am looking to develop a unique bariatric program that provides exercise programs and support to people undergoing rapid weight loss whether from surgery or from medication. If you guys could answer a few questions for me it would be greatly appreciated and would help me build my practice! 1. Did you exercise before surgery? And what was your biggest challenge? 2. Would you have benefited from a preop physical therapy appointment to develop a customize strength training program that took into consideration your current limitations and orthopedic issues. 3. how were you educated on post operative activity and physical restrictions? Would you have liked a week by week guide on what activities you can return to and when? 4. Were you educated on exercises to maintain muscle mass through your first year postoperatively? 5. What kind of exercises did you do postoperatively in the first year? Did you hire a personal trainer? Join the gym? Search online? 6. Did you develop any new or worsening musculoskeletal pain as you were more mobile and your body composition changed? 7. Let me know if you have any other ideas on how having a physical therapist on your bariatric team would have benefited you both before and after surgery. Thanks so much everyone. I may be piloting this program with a few patients. Email me if you’re interested (I’m licensed to treat in N.C.) contact@localpointpt.com

I’m dealing with some pretty scary medical stuff right now (outside of the bariatric stuff) and I had a long drive home late last night alone and scared of what the results will be from a test I’m doing Monday as well as the test itself which I believe is going to be pretty painful. I drove past McDonalds and even though I have no physical hunger, the emotional hunger was very real and I seriously almost caved. I didn’t stop, though. I went home and ate the chili I asked my husband to pull out of the freezer. This morning I got up and did my YOGA and kept right on trucking. I am going to a group fitness class at the gym I wanted to check out with a friend tomorrow. I won’t be able to do anything for five days after this test so I’m really trying to stick to my routine right up to Monday. I may need a little encouragement to get back into my routine, though. I’m pretty nervous that a five day break is going to make me lose my habits. I have to ask to be sure but I think I will be allowed to do everything again starting back Saturday but I was told I have a Princess pass for 5 days. No exercise, housework, nothing. Not even dishes. I was a little excited about that one.

It’s possible whoever told you this meant short term as in the immediate preop and early post op period. Or meant you can supplement/augment protein needs with shakes in addition to food but your bariatric team will move you through food stages and require you eat actual foods.

Have you seen a bariatric specialist? It sounds like something other than a small pouch to me I am over 6 years out, but I still have a lot of restriction. My capacity for the last 5+ years has held steady at about 4 oz. So a small frozen burrito, a taco bell taco, etc. But that does not restrict the amount I can eat in a day, and certainly not necessary to stay up at night. Is there a reason you can't eat slider foods, calorie dense foods, eat more frequently?

I'm sorry you're going through all this, especially since like most of us you went through surgery to become healthier. As far as the "under 900 calories" at 1 1/2 years out, I'm at at 800 at 15 months out myself. I've even asked about increasing my calories at my 12 month checkup having seen most ppl on these forums discuss that they've been put on 1200 calories a day at this point in the journey and I was told I could maybe add 100 calories but they were very hesitant about it. Now you have me worried. What symptoms are you experiencing? Currently, I have no energy, I feel like I'm dragging my legs and feet... I'm grumpy most of the time and I've started getting nerve or some kind of pain in my right armpit area... My joints ache was just thinking arthritis, I've been very hard on my body with 14 years of gymnastics and being in a physical confrontation job with ppl twice my size..headaches.. . could you if you don't mind share what you've been experiencing? Luckily my co-morbidities have all gone away so far.. Thank you for your post, hopefully I can address this with my GP next month! I hope you start to feel better soon I know this isn't what you signed up for. I take it your bariatric clinic kept you low calorie too?

Sure. She was concerned that I was eating too fast when I told her that I was eating my meals within like 5-10 minutes. She said that I can't do that with the surgery because not only will I be miserable with vomiting and diarrhea and nausea and the like but I likely would undo the gastric sleeve surgery. She said I should aim for eating my meals in 20-30 minutes preferably 30-40. This seems like an impossible goal for me especially when I see her again in just 2 weeks. She also wants me to savor each bite and focus on the food or something like that. I don't really understand it to be completely honest with you. Mostly I just wanted to work on eating slower over the next two weeks so that when I do get the surgery I don't get sick and undo the surgery and "pass" with her so I can get the surgery. I can fake my way out of the mindfulness part of it or just tell her that it won't work for me and if it's a crucial part of the surgery than maybe bariatric surgery isn't the right option for me.

I just got home from the bariatric clinic/nutritionist. The nutritionist didn't clear me for surgery and is going to follow up with me again in a month. Turns out she found out that I haven't been practicing mindful eating and since that can apparently completely reverse the effects of the surgery she's given me homework to practice that. I don't even understand mindfulness and it's NEVER worked for me so I guess I can't get the surgery and I have to try to lose 150 pounds on my own...

Well, I will tell you that after my sleeve, there was nothing that I could not tolerate. I’m pretty early out post revision so I haven’t tried many of those foods with the exception of tacos but I haven’t had any issues with anything so far. I make tacos with ground turkey meat, 2% cheese, and just eat the filling or I have it with low-carb tortillas. Surprisingly the turkey meat and the 2% cheese do not taste much different at all by the time you add the seasoning and them little low-carb tortilla aren’t bad either. Sometimes I just do it as a salad too. You may be surprised to find that you don’t crave those same foods, though. The surgery does some metabolic changes and can change the foods that you enjoy. I mean, don’t get me wrong, pizzas still sounds good to me but all of a sudden grilled fish doesn’t sound bad either so it’s a lot easier to make the healthier choice. It really depends on what your purpose is for the surgery. If you’re only goal was to get rid of your Gerd, then you may not care about getting into a super skinny size in which case eating smaller portions of the foods you enjoyed before shouldn’t be an issue at all. But if your goal is also weight loss and you want to be able to maintain a very low BMI, then you’re going to have to make some sacrifices. In which case, my suggestion would be to search the bariatric websites and even the thread on here for recipes and try some things once you get to soft foods and regular foods. You may be surprised at things that you will enjoy. I make turkey meatballs, and I have those with peppers and onions and sauce which are delicious, turkey tacos are good too, chili with lean meat is pretty reasonable macro wise, white chicken chili is a favorite, I made a Mexican skillet that wasn’t bad macro wise you may enjoy if you like Mexican, I sometimes do the zucchini noodles if I want pasta. They are pretty bland and just pick up the flavor of whatever sauce you use and of course you will want to add some protein. I also found a recipe for spring rolls which some people call summer rolls that are so yummy. They’re not the fried ones but still really good. It’s chicken, avocado and veggies with peanut sauce to dip. These are all in the weight loss phase once I get to maintenance I can add things to jazz them up a bit You can also do chicken or cauliflower crust pizza with chicken and veggies so it has more protein Or cauliflower mac & cheese. Lean beef cheeseburger without the bun, a cheeseburger salad or low carb cheeseburger wrap. There are ways to tweak your favorites. Basically anything I am craving. I just type it in Google with the word healthy in front of it and I try some recipes until I find one I like. Some of it is bland but many things are surprisingly good. One that I still want to try is zucchini lasagna. After doing the ricotta bake on purée stage and loving it, my guess it that it’s good I still make the ricotta bake I just add Turkey sausage and veggies. Ooh and quest protein chips are really good once you can do crunchy. Also, they have an “ice cream” maker that you can control the ingredients I have heard some people talking about on here But the short answer is No, unless you have a specific intolerance, allergy or sensitivity you will not have to give up your favorite foods forever. You will just have to make tradeoffs. How often you can have them will be based on what weight you are looking to maintain. If you are willing to exercise, for instance, you will be able to eat more carbs and maintain at a lower weight.

My Weekly Win: Community...being active In various bariatric communities is very helpful for me and always a Win 🏆! The knowledge, the experiences, the ups and downs, just everything that comes with community! I have also learned a lot from the scholars (physicians, therapist, dietitians, etc. Let's continue to WIN!

Hello and welcome in the forum. There is a whole thread listed as Bariatric grief, its very worth a read. I had mine pre surgery. Anything with noodles was my thing. I had lots of Asian food funerals. I promise, it gets better. I eat everything I feel like except I cook it or it comes from a quality restaurant. I live in a part of the UK with out fast food places and the only one is a Dominos Pizza, I dislike the price £20, so would make it at home if that was my thing. I can eat a good amount of good icecream and some good chocolate, too much and I puke. I can eat a Magnum for instance. I eat Falafel with Tzatziki regularly and thats the first time I ever heard of it being off anyones menu. I bake it rather than fry it. I have had some Pad thai but its not really a thing for me anymore as I can eat so few noodles. I will go for Tom Yum or Tom Kha at our Fav restaurant. I can not eat anything ultra blitzed like Guacamole, shudder ... the puree stage has left a memory on my soul. I tried making it chunky but my brain will not accept it. All those slimming classes did have something to tell me after all. Being skinny is better than a bowl of the very best tasty noodles. Saying that .... if I could eat them I would, but not every meal, every day or week.