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Being able to sleep is one of the benefits of the surgery I really appreciated. I used to get about 5 hrs & if I got 6 it was a good night. Even had nights when I didn’t sleep at all. Began in my thirties when my job became more stressful & then I think it became a habit (like waking at the same time). I’d be up at 2am working. Was tried all the time. Now I average 8hrs. It’s fabulous. Initially I did sleep longer & yes I put it down to recovery, changes to my body (like the hormonal changes) & the weight loss too. I always think, if your body wants to sleep it must need it.

I had mine removed 2 years & 1 month after my sleeve. Could have been because of the weight loss, menopause, my high bilirubin levels or simply my past eating. Had a stone about 1cm diameter but it certainly made itself known. That pain is the worst! Never changed what I was eating after surgery. Was eating the same the day after it was removed. Some people struggle with fatty foods in the long term after (my aunt describes it as feeling liverish 🤷🏻‍♀️.) but of course I don’t eat a lot of fat so wouldn’t know if it sets it off. My sister-in-law doesn’t have any difficulties with foods post her gall removal. Probably a case of just how your body reacts. Only thing to watch for the first month or so (again depends upon you) is you may have more stomach acid & have issues with that. Your gall regulated the acid entering your tummy & without it you may have a more constant stream until things settle again. Eat small meals more regularly & try a PPI for a little while to reduce the acid. The excess acid can cause diarrhoea & some discomfort in an empty tummy. I had regular bouts of diarrhoea & I remember my surgeon saying to comeback if it persisted for more than a month. It didn’t but every few weeks I’ll get bout of it. Don’t really get cramps or any of the other usual diarrhoea warning signals just a bit of a grumbling & need to go.My sister-in-law is the same.

Stumbled on an Australian bariatric surgeon who recommended multiplying your starting weight by 0.7 to find the weight you may end up at. Again based on averages & they said their patients’ stats & not depended upon your surgery. Easy way to check versus searching for the online calculators if you’re interested.

Has anyone had their gallbladder removed after losing weight quickly? I just had mine removed after dealing with constant pain and gallstones. Any tips on what to eat? I had my gallbladder removed on Monday.

Thought I'd update this post because I just had the chance to attend a live Q&A session with Dr. Matthew Weiner. I talked to him about my weight loss so far and concerns about how slow my progress has felt post-op. He asked me about pre-op weight loss and what my highest weight had been, and explained that even though I was 223 going into surgery, I had started at 251 and lost 12 lbs from nutrition changes over 6 months, plus 16 lbs from the pre-op diet, so that all factors into the final weight loss expectations. He suggested in terms of what my final weight loss from the surgery might be that using the 251 starting weight could be more accurate, and that the pre-op diet weight loss would definitely help explain the slower weight loss post-op. Bottom line, I feel so much relief hearing this explanation from him and really appreciated him taking the time to ask so many questions to get to the answer! My surgeon really hasn't given me an estimate of what I should expect to lose, although I plan to ask at my 3-month appointment next week so I can compare.

Thanks all for your support, it's seems silly to write to you all as relative strangers, but apart from my partner I haven't disclosed my surgery to anyone so you folks are "my people" right now!. I'm slightly less cold this evening and had a blood test at lunch time ... (I'm not a doctor but I do work in the healthcare field and I'm actually at an EU medical conference here so got a collègue to write me a script for one). the results are through and, I am as I thought very anemic, so much so that I have an iron infusion booked for tomorrow ( Amen to the pan european health insurance system!!) . And @LisaCaryl you also hit the spot - I have low blood pressure too - but thats not that unusual for me - doctor I spoke to said I should try and rest up a bit and take things easy. (Sort of made me laugh because after full days of conf here I have zooms late evening with my US teams because of the time difference and also found out yesterday that I get back to Paris and then after one night have to go straight to the UK for a week for more meetings ... in my 3 months (90 days) since surgery I've had a total of 23 nights at home .... C'est la vie ) I have tomorrow and Friday to get through and then my partner is flying out for the weekend and we'll go to the islands where I hope I'll have more sun! I'll layer up the best I can and will deffo see if when I'm in the US I can get some more thermal wear just in case I'm still feeling chilly , @RonHall908 @Noelle74 I'm sure I'll find a Parisian way to rock a hunting style! Or I could just go for a classic Elisabeth II look The issue I have at the moment is work attire - I have to sort of dress "smart" and because I've lost weight so quickly in the last three months ( My three month "surgerversary" is tomorrow) I've gone from a european size 44 (US size 14 / UK 16 / Aus 18) to a european size 38 ( US size 8/UK 10/ Aus 12) I'm relying on wrap dresses and cardigans with tights that just aren't cutting it warmth wize. I have to upgrade my sheer tights to woollen ones and get some thermal t-shirts to wear under my dresses as per @Briss72 suggestion ( congrats at getting under 100kg @Briss72 and I'll for sure stock up on some handwarmers for my pockets). I have a free morning tomorrow after my infusion and will see what I can buy without spending too much money as I'm still loosing weight pretty in a pretty linear way and hope it will continue for another few months so don't want to spend much on temporary clothes! Here is my weight chart (in Kg) since surgery which I'm very happy with so far... and even with all the being cold and a bit miserable, I know this was the best choice for me and I'd do it all again in a heartbeat and regret not booking surgery earlier! The first drop from 95-91 was my presurgery diet and just after surgery my weight went up ... but it's being going down steady since - I'm just on the brink of having a normal BMI - green zone! Now that was a very long post! Once again, thanks for everyones support, and sorry for being a bit of a negative nancy from time to time!

Hey Warren, I'm presuming because they would only look at fixing the opening if they did feel it was contributing to the pain and other issues I'm having 'downstream'. This would not be a true revision in the sense of reducing the size of the pouch. My insurance company also only pays for 1 bariatric surgery in your 'lifetime'. They would only pass for the revision of opening if it were medically necessitated, and they would not consider 'failure to lose weight' or a 'weight regain' as medically necessary. My GI wanted me to talk to the bariatric surgeon who specializes in revisions. The surgeon does not think what is happening to me is 'dumping due to widened opening'. He said it doesn't sound like dumping to him and if that happened to everyone whose opening widened, everyone would be having "dumping" issues after a couple of years. He did point out that both the upper and lower GI I had done do not look at the inside of the pouch so if there is a hernia that is causing the on again/off again pain and on rare occasions bleeding (looks like coffee grounds), then the GI doctor would not know as they never 'scope' the pouch for a routine upper/lower GI. He also indicated that depending on the scope size a GI doctor uses, it doesn't go through every single space that we have (due to us having been um "modified"?) so it would take a doctor who uses an extra long scope. That last part I must confess I do not understand at all. He does have me scheduled right now for a laparoscopic investigatory procedure to take a look inside my pouch and see if there is scar tissue or a hernia that needs to be addressed. He also gave me prescription acid reflux meds and said if i got better after 'taking' them, I could cancel the procedure in 2 weeks. What he fails to understand and I've tried telling his office, I can go a month with no pain. Then I go back to back days in extreme pain. Have not been able to tie it to specific food, time of day I'm eating, etc. My right side starts with a stabby/cramping pain (closest I can compare if it feels like the pain I used to get when I ovulated or that 'stitch in your side' type feeling. It often goes downhill from there. I have tried to get it figured out now for 2 years but taking ANY medicine and 'not having an episode in the next 2 weeks' does NOT give me a definitive answer as I do not have this pain all the time, it is just enough to be frustrating and has lasted LONG enough to be concerning. The 'coffee ground' type bleeding that I have observed is one and off for the past 3 months (maybe it started a while ago but now I know what to 'look for'. I don't like going under anesthesia but I'm probably going to keep that procedure scheduled as I have no guarantee that ANY medicine given for the next 2 weeks has 'fixed' any issue. I wonder if anyone else has ever had their opening revised but not their pouch out of curiosity.

Hi there folks. I was sleeved back in September of 2023, so it's been 8 months. In 3 months, I have lost 3 pounds. This has had me in tears. I haven't been absolutely perfect, but I'm exercising 5 times a week and maintaining a significant calorie deficit (average 1400 cal at 330 pounds). For the last 6 weeks, my hands and feet have started getting cold, and I have been sweating excessively. I went to see my GP and we considered thyroid, which was a relief as it might explain the stalls AND the circulation. BUT the TSH test just came back within normal range. She's stressing that extreme weight loss can cause you to feel cold more often due to the loss of insulation, but my hands and feet are objectively cold (other people can feel it) so it doesn't seem this simple. Any ideas? If I'm back to steering my own healthcare on this, it is not a new thing for me, I'm just not sure where to start.

I think you hit a big nail on the head-- going back to first principles- the why? is not just a reminder of what brings you into this process, but a good question we should all ask ourselves periodically. I'm no expert on weight loss, but have a fair amount of experience with various "rehab" and group support programs--as time goes on (I'm only 11 months out from my surgery), my experience has been that you change (emotionally) and your perspective changes. It's been a constant for me to periodically reevaluate my commitment to all sorts of things and ask the very questions you posed. Healthy thinking!

I use NetDiary (track every day!) and I love it! I wear my apple watch everyday and I stay in competition with myself to see if how many times a week I close all 3 rings on the fitness. At work I walk every single work day for 30ish min on my lunch break. I do go to the gym as well to weight lift and a little more cardio. Not every day but about 3-4times a week. Take pictures! That is what encourages me, I have been documenting my journey and its amazing to look back at and see how far I have come. I weigh myself at least once a week, I am trying to stay away from the scale because I tend to beat myself up if I am up a lb in a day (WHICH CAN BE ANYTHING! late dinner, salt and not enough water) but I get flustered so I can't do that. Most importantly, What is your "why?" Why did you choose WLS? What or who is/are motivation?

If that medication is the one I am thinking of that includes Wellbutrin and one other drug it may be your culprit. I don’t have experience with the weight loss drug but I do know Wellbutrin by itself can be a very bad one to go off of too fast. I realize you weren’t prescribed it for depression but you say you have always been depressed so if it was actually treating your depression and your no longer taking it or your body is not absorbing it now it’s possible that your depression has worsened due to the dose of an antidepressant decreasing too quickly. I am not a doctor and not certain that’s how it works with the other drug involved but i do know I have been cautioned about needing to wean off of Wellbutrin slowly and not to ever stop it cold Turkey. Like others have mentioned it could also be post surgery blues plus you are going through a lot of changes between having to cope with things without food and the situations you are dealing with in life but if you don’t feel better I would reach out to the doctor who prescribed you the weight loss drug and/or your surgeon and see if that makes sense to them. Keep posting here and try journaling to get your feelings out. Perhaps consider talking to a therapist as well if you continue to feel this way. They will instantly expand your support network and they can help you work on some new coping strategies that don’t involve food.

Yes, and it was pancreatitis, diagnosed the day after the op (as it was due to surgical error I believe) before I even knew there was a problem. I had to stay in hospital after my op and ended up having to get my nutrients via IV (and then eventually a feeding tube but that was for a different reason). I also know of someone else who suffered pancreatitis following surgery recently, medical team are blaming her prior use of weight loss injection in the run up to the surgery but who knows! If your symptoms continue would you consider going to the ER to get readmitted and ask for tests again like contrast (liquid) CT to check for leak etc.?

I dont know what it is exactly. I work a lot and I study. I’m a nurse. I got into a fight with my mom and the guy I like isn’t interested in getting into a serious relationship. It’s a lot to deal with. I feel just lonely because I go through all of these new moments by myself, no one truly understands what this surgery has changed in my life. My body and the relationship I have with food is constantly transforming with time. I was using a weight loss drug that included an antidepressant, so I think it could be related. But I’ve always been depressed in my life, it’s just that I feel lonely going through all of these new changes. Losing weight isn’t easy, but people never really understand how much effort you have to put in, even if you have a tool like the surgery. I try to follow my diet as much as I can, but sometime let myself have some meals/snacks that I like. I’m stressed because I don’t know if I’m eating too much. My mind never shuts up, and it’s so exhausting. im just writing my thoughts, thank you for you answer

Yes it’s a lot of lost weight! I really liked the movie, and it helped me. Thank you for the answer !

If all you're eating is protein, the weight will come off. Don't worry about a quick stall! Sent from my SM-G981U1 using Tapatalk

I had surgery May 1st, 2024, I lost 14 lbs the first week, but as soon as I started drinking and eating protein, I’ve stopped losing weight. I’m assuming it’s because I’m assuming it’s the protein intake, and not being able to eat veggies. 🤷🏻‍♀️ Anyone experience this?

For apps, I didn't like myfitnesspal (free version) myself, but I use Cronometer to track food/nutrition and Medisafe as a reminder for my supplements. Both are pretty basic but that works for me. (Plus they're free with no ads and no fluff) I've only newly started on this journey, but I've been there in the past with non-WLS weight regain. You can do this -- you've done it before and you can definitely do it again. It's like any other habit addiction (smoking, biting nails, whatever) -- routine and muscle memory make it easy to get into bad habits, but are just as important when getting back into gear for the good ones. Rooting for you!

Yeah I've been on almost every antipsychotic under the sun. It took doctors a long time to find one that worked for all of my symptoms since I'm both schizophrenic and Bipolar. Vraylar had the worst side effects out of all the ones doctors have tried over the years. I was actually going to give up hope because I had been on so many different meds. So I'm under as much control as possible now. It's enough to keep me out of the hospital anyway. Good luck with your weight loss journey too I hope you reach your weight loss goals. I know for women it's extra hard to lose weight.

They reduced both my pouch size and the size of the opening during the revision. That's why I'm very puzzled by his comment that you wouldn't lose significant weight after the revision. It just makes no sense to me.

I'm not sure...surgeon just said that tightening that opening alone would not cause major weight loss. Unsure if during a full blown revision if they also reduce the size of the 'pouch' and tighten that opening. I would think 'pouch size' is a possible element as well but this doctor did not elaborate, I'm assuming since the goal of my revision if not to lose more weight maybe? If I ever get time with him outside of the investigation in the OR, I will ask.

@ChunkCatDANG GIRL! You look great! I'm so sorry you're struggling with POTS. That stinks, but it sounds like you've got a plan in place to help you manage until - 2025 (so ridiculous). I can't believe it's been almost 6 months already! I sometimes forget that I had it done (until I try to eat fast - LOL!). I'm down 77 pounds since my highest - 69 since the surgery. I still struggle with not being able to see the change (because I see my self every day), but occasionally I'll see a picture of me or see a reflection at a certain angle that makes me go... wait... a... minute! :) I'm down 2 jeans sizes (probably actually down 3 sizes because let's be honest, those 24s were STRETCHED to capacity! LOL!). I could get my 20s on a few weeks ago but I couldn't breathe, so there's that. I did go on a cruise week before last. That was interesting. I gave myself permission to eat whatever I wanted and I found that I'm now starting to naturally lean toward healthier/smarter choices. I only gained 2.2 pounds that week and it came off very quickly. The big news is that I've scheduled my knee surgeries!!! Getting one done in June, the other in October! I'm nervous because of the unknowns (pain after the surgery, rehab, not being able to drive, etc), but I'm more excited because I'm ready to have my life back! New body, new knees... I'm going to be unstoppable! Can't wait to hear how everyone else is doing!

Funny you should mention Vraylar. I learned the hard way before I was put on Latuda that I couldn't take that. Why? It caused a 7 month long manic episode that was just terrible. It was one of the worst episodes I had ever had I nearly died from the experience and had I actually passed away from it my wife would have been able to sue the pants off of my psychiatrist for malpractice because she definitely was in the wrong. I was on Saphris beforehand and she took me off of Saphris cold turkey and then immediately stuck me on Vraylar. She later said she shouldn't have done that. Anyway, we're supposed to be talking about bariatric surgery not Psychiatric meds. I just figured I'd share my own personal story since we seem to have similar med history. The only reason I'm concerned about Latuda and getting bariatric surgery is you're right, it needs 350 calories to be absorbed properly and if im on a 1k calorie diet that's going to be problematic because thats almost half of my daily calories. But I do so well on Latuda (it really, really helps stabilize my moods and my psychotic symptoms) that it's really stupid to take me off of it and stick me on something else. So my surgeon and nurse practitioner/psychiatrist have to all work together and figure out how it's going to work. I'm not discouraged by your weight in fact, I wish I was your weight I weight almost 440 pounds lol. But I get what you mean you gained 4 pounds. But that's what happens when you don't follow the diet. I've heard lf many people regaining the weight because they got discouraged. I really hope that once I lose the 200-250 pounds I want to lose I'm able to keep it off!

I took Latuda for bipolar when I had my sleeve three years ago and my prescribing doctor was concerned about me not getting enough calories in the beginning for it to absorb properly as well. (For those who don’t know about this particular medication it’s not about it not absorbing due to the surgery itself like many controlled release meds. This med needs the 350 calories in order to absorb fully for anyone, not just people who had surgery). Anyways, My doctor switched me to vraylar for a couple of months prior to surgery just to make sure I was stable on it and then a short time after until I was back to being able to consume 350 calories at one time. The vraylar is quite expensive but luckily they were able to get enough samples for me. The plan was to switch me back once I was eating enough. What was weird and unexpected was post surgery when he tried to switch me back to the Latuda all of a sudden it caused me a great deal of anxiety and I couldn’t tolerate it anymore (even though I was on it for three years before surgery) so he kept me on the vraylar a little longer until things got back more normal for me and then made another change. I am now on a completely different medication. Neither the surgeon or prescribing dr could explain that anxiety except that when you alter the anatomy things just happen sometimes but I just worked with my prescribing dr and he sorted it out. The most important thing is that your prescribing dr and your loved ones are very aware that you may encounter some issues and that everyone is on top of it. If you feel the slightest bit off, you may need to be the one to contact your Dr. You mentioned “the switch” as an option. Not sure if you are speaking if the SADI switch or the Duodenal switch but both of those are restrictive and malabsorbing surgeries. The reason they suggested the sleeve for me was because they were concerned about my other meds not absorbing fully just because of the malabsorbing component of the other surgery. Fast forward three years and I gained my weight back and we are now considering conversion to the SADI or bypass because I gained my weight back. I gained it back because I ate the wrong things though so don’t let that scare you. I only mention it because I’m guessing you can see my current weight and may wonder why I didn’t lose. I did lose quite a bit and maintained it for a while but I was discouraged I didn’t lose it all and I let that get to me. Which is something you should be aware of, you may not lose as much as someone who is not on all these meds. Just don’t get too caught up in comparing your journey to others. I am 5’8” and I got down to 168. I would be so much happier and healthy now if I had just accepted that win instead of getting it in my head that I failed by not making it to where others did.

i used MyFitnessPal (the paid version). I've read of others who really like the Baristatic App aswell. i am a big proponent of tracking and I credit the practice as having a huge positive influence to my weight loss and subsequent maintenance. i have tracked my food basically everyday since since my pre-op diet, and i have almost six years worth of MFP data to prove it! more (anecdotal) proof: i have weighed below my goal weight this entire time since reaching it at 7 months post op. FOR ME, at first, i found that it held me accountable as i could see everything i ate, and then it turned into more of a data gathering exercise that i could use and examine to determine what changes i needed to make, if any. (note i also weighed myself everyday, and still do...) plus i actually really enjoyed/enjoy doing it! ha! ...am not as militant about it now, as i eyeball and guesstimate more, but i still do track..old habits are hard to break! its not for everyone though, and i get it, it takes a particular kind of person to keep doing it while keeping the angst at bay, let alone enjoy it. but anyway, try it out...you may find u are that kind of person, or, at the very least help you manage ur food intake! good luck! ❤️

Today marks five years since my sleeve surgery. Yay! I look in the mirror & think yep, best decision. I easily snuggle with my 6yr old nephew in a lounge chair & I think yep, best decision. I can jump, dance, walk, skip, scoot up stairs, … and I think, yep, best decision. The potential for health problems are further away & less likely to occur & I think yep, best decision….You get the idea. I’m thankful it’s all gone pretty smoothly. Sure I have some fun & games with the foamies but I had a sensitive, quirky tummy before surgery & I still do so nothing all that different just how it manifests 😉. Sure I have some loose skin. It doesn’t affect what I want to do or wear so unimportant. I’m thankful I have a supportive GP who when I asked about surgery said yes without judgement & wrote the referral right away & continues to be interested in my progress. I’m thankful the doctor who does my follow ups is equally supportive. I have my 6 month check up with her next Monday which hopefully will go well again. It’s become more of a chat & catch up the last couple of years. Apart from the medication issue which caused a small weight gain (a good 2+kg/5lb) a couple of years ago which when sorted saw that gain disappear. I sit at the same fluctuation I did when my weight first stabilised: 48.5 - 49..5kg (though usually a high of 49.3 these days). I often think of the AA mantra of it works if you work it & you’re worth it. It really resonates. It works because I work it every day & I’m worth it.