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Hello all! I am so upset at myself. I’ve been on my pre-op diet with no slip ups or cheats. I lost 9 pounds in 7 days. I’m now 3 days away from surgery and last night was my last day for allowed solids (eggs, protein bars etc) and I had two scoops of icecream. Immediately after I started to panic. I’ve been working hard and waiting for this surgery for so long. I am so scared I ruined my liver. I’m scared they will cancel my surgery. I immediately drank so much water and felt sick. I took my metformin too that I have for Pcos. Has anyone else had a similar experience? Will this ruin my surgery? I’m definitely not going to do this again. I can’t believe I made this mistake.

Does anyone else ever feel guilty if they take a rest day from working out? We HAVE to take rest days to let our bodies and heal and rest, so we don't do damage. I work out 5 days per week and rest for 2. I rest on Thursday and Sunday. And I have to be honest, as soon as I wake up on rest day, I start feeling like I'm doing something wrong by not working out. As the day goes on, it just gets worse, and I have to literally FORCE myself to keep my rest day. I do keep to my rest days, but I really struggle with them. Anyone else, or am I just weird?

Thanks guys my stall is actually has moved a bit iam now down to 194 but I think its due to the fact that everything has been making me nauseous lately. I know i have not been meeting any of my protein goals and my vitamin intake has sucked. That being said I am not doing so well energy wise but I am trying to switch up my meals to try and get more protein in other ways.

1. Basics: GENDER, AGE, HEIGHT F, 33, 168 CM 5'5/5'6? 2. Total Weight lost in the 6 months BEFORE surgery (if any) 0 3. Weight on DAY OF SURGERY. 198/90 KG 4. Weight at 1 MONTH POST surgery 172/78.2 KG 5. Weight at 3 MONTHs POST surgery 148/67.4 KG I am at 5 months post op 131.78/59.9 KG 8. Type of Surgery (Sleeve, ByPass, etc...) Gastric sleeve

according to this internet calculator: https://www.calculator.net/bmr-calculator.html ** at your current height and weight, if you did nothing but stand still and breathe, you would burn 1,478 calories a day (i assumed you are are a 30 yr old female to fill in the blanks). so THEORTICALLY if all you did was merely EXIST, and you ate less than 1,478 calories a day you would be in a deficit and lose weight (how much weight exactly would depend on your activity level, your genetics, your health and metabolism speed). with that said, i'm with @catwoman7 in that i agree that 2100 cal a day for someone with your current weight and height may be more than maintenance level cals (i.e, you will GAIN weight), unless you are exercising at least 4-5 times a week. see screenshot from the above calculator's results below. ** p.s. as always, pls don't think that this calculator is the be all end all of truth, its just a guide based on AVERAGES. roughly 99% of people with your similar height and weight will fall above or below this number produced by this calculator.

Thank you so much for mentioning this podcast. I had to go to town to have blood drawn this morning, and I started listening to them. I started with the finale, and oh my gosh, they made me cry. When one talks about the best part of the journey so far and describes the thoughts she had as an obese person. I just lost it. I'll be 69 years old next week, and when I think about the hours of my life lost in "obese thoughts," it really hurts. Things like "Am I the largest woman in the room?" "What will the poor person next to me on the airplane think?" "Will I be able to sit at all comfortably in that chair?" "Will I break that plastic chair?" "Do I have to find sturdier beach chairs?" "What are they thinking of me?" etc... the thoughts have been never-ending and all-consuming at times. I'm going to go back and listen to more of their podcasts. Thanks again! @NickelChip Yay on the weight coming off again! So exciting, I'm really happy for you. I can understand the not being interested in food. There are times I even dread it. I try to shop for things that I like and they sound good in the store, but when it comes time to eat, I'm usually apathetic about it. Good luck with your vacation. I found some protein bars I like, but they will melt sadly. In case you haven't tried them, they are https://www.amazon.com/gp/product/B0C4V2ML1C/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1

@LisaCaryl Sorry, I didn't want to worry you! I'm close to giving up on trying to make healthy food choices is what I really meant. I'm feeling slightly better this evening although I'm freezing again because of the cold and rain in the UK. I think I'm just so so done in by all the traveling for work - I've still had less than 30 days at home since my surgery at the end of Feb and I know I'll be travelling pretty much non stop till mid July - and I'm so over the cold and the random hotel rooms and the living out of a suitcase. My partner is also travelling a lot so we barely see each other which normally we're fine with but the last 7-8 months have been especially bad travel wize. I think I just need a few good nights sleep in my own bed... I get home on wednesday evening and have a week a home before fmying off. Thankyou. Clothes feeling looser is a hard one because I travel light so basically just swap out one work dress for another from my suitcase when I'm home without trying anything on. I do have a dietician from the clinic I was operated at but the contact is just through whatsapp. I spoke to my partner earlier about how down I am (partner is not a GP or a psychiatrist but is a doctor.) and he thinks that it's just really because all this travelling and rain and cold is shitty and to keep upbeat and work i have to find something to get the negative emotions out on so I'm going with the lack of weightloss. The rational person inside me knows that this stall will pass but the emotional person is just so over the struggle allready!

The stalls aren't fun. But I've been reassured by the baritastic dietician and doctor that it is part of the process. It's just a tough thing to swallow when the number don't move. Sounds like you need a little rest from traveling. But, I understand work. The past month my sleeping habits have gone sideways. I'm constantly waking up at night. I wear a bipap for sleep apnea. Also have a smart watch that help tracks sleep. My REM sleep has been less than 45 mins a night.

Like I said, 2 weeks is standard, but the door is open to longer if needed. Some people take longer if they personally feel they need it, but that's if the employer (and potential accumulated PTO time) allows. If you had any complications, you could have had longer from your surgeon. But since you had a fantastic recovery, there was no need for longer other than you wanted it. Which was then up to you to secure, which you did. That's typically how it goes.

Thank you @ShoppGirl @Bypass2Freedom and @JennyBeez for you lovely, thoughtful words. I really do appreciate your comments. The clothes came - the shift dress that I thought would be OK is massive and the jumpsuit that I thought would be too tight fits perfectly so go figure 🤷‍♀️ Annoying though when you buy the same size from the same brand and there are massive discrepancies. So, dress is going back and I’ve ordered a couple of things from the sale at Roman for less than half the price of the dress I’m sending back 🙂 @ShoppGirl I have to say that my hubby is being fully supportive. There are obviously times when I want to smother him with a pillow but not over this. He is onboard with what I am trying to do so no complaints from me over that. He just wants me to feel good about myself and get some confidence back I think. I did take your advice and ordered some new, dressy shoes (backless so if my feet do shrink again, it won’t matter!) I hope that the metabolic changes from the op really do kick in and work in tandem with the other changes we make. I know the op is a positive thing that we’re doing both for our physical and emotional wellbeing. @Bypass2Freedom Definitely seek food to ‘soothe’ when in meltdown mode. It is difficult to lose weight and keep if off. I hate, with a passion, those that patronisingly say “oh, you just have to eat less and move more”…OH REALLY?? 🤬🤬🤬 Well tell my metabolism that you arsehole. Continually dieting just screws your metabolism up, I’m sure of it. I’m hoping that the op acts as an internal reset button so my body stops acting against me and works with me for a while. I do know I need to stop being so harsh on myself…old habits and all that 🙃 @JennyBeez Yes, to camouflage, yes to self-sabotage. I know what started my weight issues and disordered eating. Food was used as a punishment when I was growing up (amongst other things) I won’t go in to detail as I don’t want to trigger anyone but I have undergone counselling etc. I did lose approx 100lbs around 12 years ago and then immediately started with Rheumatoid Arthritis which threw a massive spanner in to my works! My focus went from weight and gym visits to meds, hospital visits, X-rays pain and tests. Weight went back on, Osteoarthritis decided to join the party and then recently Fibromyalgia because why not?? Did I choose any of that? NO! Looking at it all dispassionately, I can see that I was angry with my body - I’d done the major weight loss, I was at the gym 5 days a week because I loved it, I was happy with myself and then I felt that I was kicked in the teeth without rhyme or reason. I know that WLS won’t make everything go away but hopefully it will make things easier to handle and get me moving once again. I miss the gym like you wouldn’t believe and I’m just hoping that I can get going to it once again for my physical and mental health. Working on my mindset is definitely a work in progress.

Soup making weather here in Australia. Bbrrr! My old faithful chicken & vegetable. Added a soup mix of barley, green & red lentils & green & yellow dried peas to bulk up the soup & the protein. Had a bowl last night, froze 5 serves & this pasta bowl is dinner for probably another 3 or 4 nights.

It went great. No complications and down 29 lbs in just over two weeks.

I am 4months post off and I am going through the same. I work out hard, My weight is melting off, My hair is falling out which is devastating right now and I do get the occasional dizzy spells but other than that I feel really good! I am about 15lbs from my goal weight and I struggle to eat more than 1100 calories which I know I need to because I burn anywhere from 650 cal to 1000 calories a day (depending on the workouts) . I started much heavier than you but I am worried it wont stop and I will be a walking skeleton. I am meeting with my dietician and surgeon on the 13th and need to do bloodwork as well. 1. Basics: GENDER, AGE, HEIGHT F, 35, 5'9, SW 297 2. Total Weight lost in the 6 months BEFORE surgery (if any) 31lbs 3. Weight on DAY OF SURGERY. 266lbs 4. Weight at 1 MONTH POST surgery 236.6 5. Weight at 3 MONTHs POST surgery 205.2 I am at 4 months post op 185.8lbs 8. Type of Surgery (Sleeve, ByPass, etc...) Gastric sleeve

Once I was through all the phases and it was ok to eat 'normally' I started to allow myself a 1/4 of a protein based pizza once a week as Friday's is my pizza night if I am not out out so I have gone from having an entire pizza and garlic bread to 1/4 (at most) of a pizza. I try to be good most of the time and even my little bits of 'boldness' are minor by my pre-op standards, in that I know I probably eat too many nuts at times but they are yummy and I am probably having a couple of squares of dark chocolate (good for the heart ) a bit too often but they stop me feeling like I am being restricted. If I felt I was living too restrictively food wise I think I would just go back to bad habits again. I do try to avoid potatoes (a love of my life), pasta and bread when at home but if out for a meal I may have a small amount, or take a few fries from a friends plate (with their permission ) I didn't go through all of this to be miserable for the rest of my life so just have to know my own limits and make the best choices for myself.

I really don't, and that's because it's a very slippery slope for me. I have found so many alternative foods that taste good and don't leave me feeling deprived that it's not worth the inevitable guilt, the possible weight gain, and extra work it'll take to get me back to where I am now. I'm 2 years out from my original surgery and a year out (at the end of this month) from my revision surgery. I'm so use to how I eat that I can't imagine trying to eat any of the stuff I use to eat. There's keto bread, keto bagels, keto English muffins, keto brownies, keto blueberry muffins, Legendary pop tarts and cinnamon buns, mashed cauliflower (works beautifully in place of mashed potatoes), crustless pizza, pizza with cauliflower crust, riced cauliflower instead of regular rice, monk fruit sweetener instead of sugar, sugar free tropical popsicles, Real Good Foods keto protein chicken nuggets, Atkins 1 person meals, Real Good Foods 1 person meals, the list goes on and on. We get creative with what we cook (still have steak and chicken and stir-fry), chocolate milk has now become almond milk, 1 tbsp cacao powder, and 2-3 packets of monk fruit sweetener. Use a frother and it's AMAZING. There's chips you can get at Whole Foods that are made with soy flower or almond flower and tastes EXACTLY like regular chips (I love the BBQ and the sour cream cheddar ones). For ice cream, I get Rebel ice-cream. Low to no carbs, nearly no sugar at all, low calorie, lactose free. Tastes AMAZING. I just have no need for any cheat meals.

I had this issue about a year out from surgery and had a complete workup because it could be due to many things - orthostatic hypertension, inner ear imbalance, low blood sugar, even a UTI. In my case, everything from my workup came back completely normal, so they were baffled. But a couple weeks later, I was at a retirement party and ate a piece of cake. A whole piece - not just my usual one or two forkfuls. About an hour or two later - dizzy. Very dizzy. I told my PCP. She suspected reactive hypoglycemia, sometimes known as "late dumping". She said to try eating something about every three hours - a protein. Or if a carb, then pair it with a protein. I haven't had that issue in a long time, so in my case, that was likely the culprit. It's just that my glucose level might have been normal when I was there for the workup; thus, they didn't catch it. In your case, it could be one of those other things mentioned, too (orthostatic hypertension is pretty common - although that tends to hit pretty early out from surgery - although that could definitely be the culprit, too..) P.S. I just re-read your post. Since it seems to be happening when you're standing, sitting, etc - then it sounds like it might be orthostatic hypertension in your case. Hopefully you'll get some answers soon!

Hi after many years, diets, etc I am taking the plunge. I feel like this is my last resort on one hand and on the other do I belong here? I am 69, 4ft 11 inches tall and weight at my consult in may was 181.7. I have sleep apnea, high cholesterol, arrhythmia. I have tried every diet under the sun and I know you have heard it all before. So I want to feel healthy with what little time left as I am on the other side of the mountain. Right now going thru Insurance requirements of 12 visit combination with medical weight loss. psych evaluation etc. At least I can do 2 appointments a month. I am going to Carillon in Roanoke, Virginia. They had this as one of the online support groups. I am a little overwhelmed with all the info, steps etc. My BMI is 35.59 but with my sleep apnea I can squeeze in. They want me to maintain my weight right but I think I gained about 3 pounds.

How are you doing now? Also, remember that the average weight loss is 2 pounds per week. So at 2 1/2 months (10 weeks) that would be 20 pounds. You were at 39 pounds. So definitely doing well. I hope you're feeling better now.

I started my bariatric journey in October 2023. In the picture I'll post is a recent picture @ 236 lbs. the other is me last July at 363+ lbs. From October to my surgery date Feb 7th 2024 I lost 79 lbs. Around 15 of that was after the two week liquid diet leading up to surgery day. I've lost 48 lbs. since surgery. Which doesn't seem like it, since I have had stalls. Despite having a torn meniscus since last June. I workout nearly everyday. Walking when tolerable, but usually on a stationary bike along with lifting light weights. Nothing crazy. I feel like I lose inches far better than I lose pounds. For the first time since 2003-04 I can wear a large shirt without all the XXXX's on it. This was definitely worth it. But, I also feel lucky. I've not had any big issues.

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!

i don't know what my numbers were, but at my 1 week post op appt my doc had me take b12 out of my vitamin regimen. and he would often comment on my higher levels at most of. my followups (but i never thought to ask what he considered "higher" levels). full disclosure: i stopped taking all my vitamins around 1.5 years post op (by choice, not direction) and all my labs since then have come back with zero issues. i had my 50-year-old-woman full range of tests and checks and screenings a couple years ago and i am the picture of pure health (my words, not theirs, lol) congrats of feeling great, and with the labs to support it! YAY!

I'm right at 5 months, and over the past few weeks, it has become HARD. In the beginning, I was dropping weight, had zero interest in food, and was totally motivated. But since the beginning of July, I've lost a pound. Actually, I've lost and gained and lost and gained that one pound multiple times. I've started feeling hungry sometimes again, and that's triggering all sorts of bad behaviors like getting up when I'm trying to avoid work (I work from home) and looking in the cupboard for a snack, not to mention craving sweets. It's been a constant fight. Not getting that reward of watching the scale dropping all the time kind of saps the motivation, I think. And the novelty wears off and you start to realize that you're in this for the long haul and maybe you start to rebel a little. You're not alone. You say you're afraid of being judged, but you are judging yourself every time you do things you know you shouldn't do. You said it yourself. You're disgusted by what you're doing, but there's a reason you're doing it, and figuring that out is going to be the key to stopping it and changing. I feel like there is probably a voice you hear in the back of your head telling you that you can't do this. Maybe there's literally someone saying it to you in your life, but most likely it's a voice in your head from a long time ago, one that sounds like you but probably was someone else when you first heard it. For me, it's my grandmother, and to some extent my dad. Never happy, never praising. Expecting perfection and scolding "for your own good" over every little thing. Ridiculing my weight despite being overweight themselves, but also overfeeding me because that's what they knew. Food was the enemy, but also a reward from emotionally stunted caregivers who had no other way to show affection. When you can never fully meet expectations at a young age, you learn quickly that you will always fail. That may be the role you've played in your family. Maybe it's everything, or maybe just one thing, like being overweight. And when you start to succeed, it feels frightening because it challenges everything you have been taught to believe about yourself. If you're not "the fat friend", who are you? Or maybe being "the fat daughter" kept a jealous family member happy because you weren't "competition" that way. There are so many reasons we get into these patterns. But the point is, the patterns feel normal and safe. So you make sure you don't succeed and change too much or for too long. You're used to being disappointing to yourself. You can live with that. But admitting you're capable of succeeding and changing is really scary. Allowing yourself to challenge the roles other people want you to fulfill is the hardest thing you can do. At least that's my experience. As for how to change, my first suggestion is talk to your team. That's why they're there, and they know what's going on because they've seen it before. Face it head on. Nothing they say is going to be any worse than what you are saying, and doing, to yourself. If you can get set up with a therapist, even better. Second, get every source of temptation out of the house. The alcohol. The junk food. Whatever is making you stumble, get rid of it. Do your shopping online from now on, or curbside pickup because it is way easier not to give into temptation that way. You can't binge on what you don't have. But skip the gym. It's really only about 10% of your success, anyway. Focus on water, protein, and vitamins. You don't need the false guilt of the gym to make everything worse. And third, get help from people you trust who are close to you if you can. Accountability is key. If going out to eat is an issue, tell your friends or family that you need their help not letting you go out to eat. Explain why you can't be around snacks, or why you won't be ordering alcohol, and ask for their help. If you trust even one person in your life to tell what is really going on, tell them. You need another voice cheering you on instead of just your own head bringing you down. Bottom line, something about what you are doing right now feels comfortable to you. It's a pattern that you can live with, even if you hate it. Something about what you were doing when you were following the rules was making you uncomfortable. Figure out what and why. You can't change your habits until you change that voice in your head, and until you can love yourself and cheer yourself on instead of being your own worst judge. But you have to believe you're worth it and be willing to do things that scare you in order to get past this fog and get to where you want to be.

Hello. Things are not good but I did break down and I see a therapist is 2 weeks.

There's no shame in postponing or calling off the surgery if you're feeling uncertain about it. It's a big step to take, and there's no un-doing it. It can change your life for the better, but there's also lots of changes that become necessary that are difficult. Not to mention, any surgery carries risks associated. Maybe take this weekend to think about why you decided to get the surgery to begin with. Everyone's reasons are different, but for the most part I think a lot of us have had the up-down fluctuations, the diets that works and then the weight came back, the diets that never worked to begin with, etc. Is the weight loss your only goal, or do you have other obesity related health conditions that this would improve? Do the benefits to your life outweigh (hehe) the potential drawbacks? Also, question your uncertainty now. Is it because you think you haven't given other weight loss attempts a fair shot, and feel like you now can? Is it because you think the pre-op weight loss will continue at a similar rate, or do you feel like this jumpstart of weight loss has given you a better starting point to continue with other diet/exercise methods to lose the rest? Or is it because the surgery itself / risks / post-op side effects / etc are giving you reason to doubt? Like @SleeveToBypass2023 said, the pre-op diet isn't meant to last long term. It's basically a cleanse / crash diet to reduce complications prior to surgery. I don't know what your specific program had you on during this stage, but I had two weeks of 'medical shakes' that basically amounted to a starvation diet in terms of calories. My pre-op diet program definitely would not have been healthy to continue long term -- and honestly, it reminded me of other diets I tried in the past (looking at you 1990's slim fast) that would help you shed some quick initial pounds but came back ridiculously easily just trying to stay in 'maintenance'. There's no right or wrong answer here. No matter what choice you make, you'll be making in your own best interest.

Stretching in the sense that you mean it is exceedingly rare and only happens if someone consistently binge eats over a relatively long period of time. What does happen naturally is increased capacity. This is true for sleeve and bypass both. After 6 months or so, your stomach regains some of its elasticity and can accommodate a bit more at one sitting. This is fine and healthy. Everyone is different, and everyone's capacity at a given point post-op is different. I don't know what you were told for goals, but my program says 60-80g protein per day and 64oz minimum of water. They want my protein to be around 40% of my calories, and I generally aim for 800-1000 calories per day, but that was not strictly set and will change over time. 1200 seems to be a common goal for the later stages of weight loss, with the amount going up once you are in maintenance. 5oz per meal is reasonable, but you need to be eating breakfast, lunch, and dinner. Plus possibly a snack. My program says aim for 20-25g protein per meal, and supplement with a protein snack or shake as needed until you can get the full amount from food comfortably. By 9 months, you should be fine getting it all from food. Your brittle nails and hair loss suggest you are not getting enough protein and may not be getting enough other nutrients. You should continue to aim for around 4 oz of lean meat or fish, (or a serving of Greek yogurt or cottage cheese, for example) per meal. 4oz cooked skinless chicken breast has 25g protein. Your second priority at every meal should be nonstarchy veg. If you still have room, you can have a little bit of carb (rice, potato, sweet potato, bread, etc.). A serving of fruit makes a nice dessert. An easy way to eyeball it is to take a salad plate (not dinner plate), and put a piece of meat the size and thickness of your palm on one side, and fill about 2/3 of the other side with nonstarchy veg and the remaining 1/3 with carb. Go light on the sauces and butter. If in doubt, check Amazon for bariatric cookbooks. There are several by bariatric experts, including surgeons and registered dietitians. Kristin Willard's Bariatric Meal Prep is a personal favorite, with portion sizes for different stages, and a full color photo for every recipe.