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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.

So, let's say you aim for 80g protein, that's 320 calories. 50-60g carb gives you another 200 to 240 calories. If you set a goal of 1000 calories per day, that leaves you with about 53g of fat per day. But if you track carbs and protein, the fat falls into place because those are the only 3 sources of calories. Oh, dry roasted or raw nuts are a nice source of healthy fat. And you can play around with your ratios of macros a little bit to see what works for you to keep you satisfied and give you enough energy.

It happened to me with BOTH surgeries. Started around month 3 after my sleeve and my once really thick hair shed so much it thinned out to the point that I needed to cut my hair and change how I styled it so you couldn't see how much it thinned out. It finally stopped at 9 months, but then at 13 months out I had my revision, and it started again at 2 months out. Here I am 11 months out from the revision and it finally stopped. I got another hair cut and this time decided no more straightening my hair, and now the shorter length and the waves and curls really help hide the additional thinning. Honestly, biotin doesn't promote hair growth or prevent shedding. It just makes the existing hair soft, shiny, and somewhat healthier. The protein is what makes the biggest difference since hair needs it but can't produce it. There really isn't anything that will prevent or lessen the shedding. It just is what it is and has to run its course. I would use volumizing hair care products, have a shorter hair length, possibly style it differently, and just wait it out. That's really all you can do.

For me, the head hunger never went away after both my surgeries. I also never lost my real hunger at all, so I had A LOT of work to do to retrain my brain. I eat 3 meals and 1-2 snacks per day. I know I'm eating enough, so when the urge to eat a specific food hits, or the desire to eat outside of those specific meals, I know I'm not actually hungry. My old habits are creeping in. I was a grazer as well as a binge eater. I was able to eat more than most men I know. In 1 sitting, I ate an appetizer, a 24oz porter steak with 2 sides, and a dessert in full by myself. That was on top of a full breakfast of 4 eggs, 2 sausage patties, 8 pieces of bacon, and 2 hashbrowns, a lunch of 2 roastbeef and cheese sandwiches that also had bacon, pickles, lettuce, and tomatoes on them, and multiple snacks throughout the day. If I craved it, I ate it. If I was bored, I ate. If something sounded good from a commercial or even just a conversation, I ate it. I rewarded myself for things with food. Everything in my life revolved around food. Had a bad day? Food. Had a good day? Food. Had an argument with someone? Food. Kids or hubby drove me nuts? Food. So learning that food was necessary to live but not necessary to be happy and fulfilled was a big deal. That took me the longest. I need food to fuel my body to allow me to live the life I want, but it's not the thing that drives me or controls my happiness anymore. It's just fuel. No more, no less. Once you learn that lesson, it becomes easier. Not easy, because the head hunger is always there in some form. But ignoring it and taking stock of your body's actual needs becomes easier.

Thanks for the response! We did full bloodwork (my surgeon orders labs every 3 months). My iron was low but not to the point of anemia, everything else was in normal ranges. I guess I may have misunderstood what to expect here. i was told that you'd *feel* colder in general with the reduced insulation, but I didn't hear or understand that your extremities would actually get cold. I was over here worried it was a circulation problem.

Ty for the links @NickelChip and yay on the weight loss! Woohoo! I have a major sweet tooth also and have made these brownies twice and think they are pretty good. My twig of a hubby likes them also 😂. I mean they’re not as good as “real” brownies but honestly you get used to it if you stay away from “real” sugar which I do. (Mainly bc I know I’ll go overboard if I try eating sugar again so I just avoid it all together.) I also try to eat and cook mostly keto/very low carb most of the time. This website has some pretty good recipes and directions for freezing and stuff. I’ve tried a few recipes from another website also that I’ll link for you. i don’t make my food separate. My hubby eats whatever I cook for me, just more of it and when my kiddos (20 and 24) were here a couple of weeks ago, they ate what I made for myself also. 😉 of course I try to make stuff I knew they wouldn’t hate 😂. Try these https://thebigmansworld.com/best-fudgy-keto-brownies/ Made these a couple of nights ago https://thebigmansworld.com/keto-stuffed-peppers/ I’ve also made this and so has my daughter and she likes it too, I’ve made it once as written and then doubled the recipe once using lean ground turkey and ground pork. https://www.eatyourselfskinny.com/chicken-egg-roll-in-a-bowl/ plus I’ve made a couple of other recipes on this last website that were good also just trying to mix stuff up…..I hate eating the same crap all the time. oh and we eat the egg roll in a bowl with cauliflower rice 😉

@gracesmommy2 I'm so sorry about the insurance issues. What a nightmare! Praying it is resolved soon. As for the goal weight, I used the weight loss calculator on the Pound of Cure website and took the lowest weight in the range, which also happened to get me to a "normal" BMI. So, it's pretty arbitrary but it sounded good. I based it on the weight I had reached before starting my pre-op diet, which was after dropping about 12 lbs from my highest point. My own doctor didn't discuss goals or percentages with me, although I don't know if that's standard practice for him or not. My experience has been odd. First, I was with a different weight management center for years, first managing through diet and meds and then switching to the surgical route, but it closed very suddenly. I had my December surgery canceled 3 weeks prior to my date and had to rebook for February with a surgeon at a sister hospital. So I came in very last minute and only met the surgeon and nutritionist at the new place twice so they could sign off on me as quickly as possible. And right after I had my surgery, my surgeon had a nasty ski injury and was out for several weeks, so I did one follow up with his colleague and one with him via video. I'm glad I was able to get the surgery in a timely fashion and they did a good job, but I sometimes wonder how my experience differs from if I had started off in their program. A nice NSV today. I had a dress I wore on my birthday back in March that fit me but with no room to spare. This was a victory in March because I had purchased it for a trip out of town the year before for my birthday but the dress didn't come close to fitting me back then. Well, today I needed something nice to wear to my daughter's dance competition only it was cold and rainy so my summery stuff wasn't going to work. I remembered the birthday dress, which is long sleeved and has a sweater. I put it on and it was so roomy! I'm actually glad I got a second wearing out of it because I'm hopeful it will be much too big when the fall rolls around and I need cool weather clothing again. In fact, my summery dresses that were skin tight two summers ago are already very loose, too. It's the little things that keep you going when the scale decides to stall, right?

Hello, I had surgery on 05/20, so just about a week out. Surgery went well, but Hospital stay was horrible as I was in so much pain and couldn’t even fathom drinking water. First day home was rough. The protein shake grossed me out and I struggled to get enough water. Not meeting the fluid goal, I think I’m averaging 40-50 oz per day but it is a struggle. it’s been 8 days, and I’m getting stronger everyday. I’m so surprised at how tired I am after showering and walking. I’m dreaming of pureed foods though. incisions are doing good, so far no issues with nausea but I wake up with heartburn. Down 26 lbs total. 20 from liver diet and 6 post op.

Hi no not as of yet. I did have the d&c on 4/29 and was due to follow up with the DR last Friday… but of course her office called to cancel my appointment 1 hr before my arrival because she suddenly fell ill. So I had to reschedule and there was no dates available until the middle of june smh. In the meantime I did have them send my orders for an ultrasound in which I go next week. Since the d&c the cramps have not been as intense but I have had 2 cycles since 4/29. So we shall see. Thank you so much for checking in.

Definitely worrying too much. You won't stretch anything out by drinking too much. If you follow your bariatric diet, you won't stretch your stomach out with food. You won't even eat regular food until 6-8 weeks out. And by then you'll be healed, but have a lot of restriction that will prevent you from over eating. As time goes on, your stomach does stretch a little. That's normal. But it never gets anywhere near the size it was pre-surgery. It's ok, and actually good. As you heal and increase your activity levels, you have to increase your calories and carbs, but again, nowhere what they were pre surgery. Don't be afraid to eat. You can't run a car without gas and you can't run your body without food.

Surgery was on May 1. Deep into the puree diet. 2 protein shakes a day and I mix up the meals with scrambled eggs, zero sugar yogurt, tuna fish, chicken salad, broth, cream soups, refried beans. Anywhere from a 1/4 to 1/2 cup, I'm learning how to listen to my body and when I feel full. Going back to work the first week of June. Hydration is still a chore but if I focus I can keep the right amount flowing. Once or twice I've had an urge to nap after my noon meal but no pain, nausea or anything like that. Feeling great!

I am currently almost 6 months post op for my original procedure and am writing this from my hospital bed. I am unable to tolerate oral intake of food or fluids of any kind and am being fed via a nasojejunal tube (NJT) and TPN via a peripherally inserted central catheter (PICC) My surgeon along with many others that have consulted on my case are at a complete loss for what is going on and why I can't tolerate anything. I'm reaching out to fellow people who have undergone bariatric surgery in the hopes of finding someone else with a similar experience to maybe get some opinions/answers. In order to do this I will start from the beginning and tell you all my entire story. I know it's long but I am desperate so please bear with me and read to the end. I will try to explain everything but also be as brief as possible to keep it as short as possible. I had surgery at the end of November 2023. It was a One Anastamosis Gastric Bypass or "mini" bypass. The surgery was routine and there were no issues whatsoever. I couldn't tolerate fluids and my intake was too poor to be released from hospital and progressed to vomiting every time I drank anything. Was diagnosed with a stricture and it was dilated and I finally started progressing. I was discharged from hospital finally almost 2 weeks post op (booked in for further dilatations at regular intervals to slowly stretch the stricture) and was home for less than 24hrs before it began again and my surgeon readmitted me and I underwent another dilatation. Upon getting back to my room I started violently vomiting and no amount of antiemetics would settle it. Emergency CT scan confirmed the stricture was perforated and my stomach contents were leaking into my abdominal cavity. I developed sepsis and had a nasogastric tube inserted for drainage. I underwent IV antibiotics and was later rushed to surgery to repair it, however due to the damage from the infection, it required a conversion to a Roux EN Y Gastric Bypass (RYGB) and I needed my abdomen washed out and other infected tissue removed. It took about 5 hrs. I spent a further month in hospital recovering, initially on TPN to supplement my oral intake but was wraned off as my tolerance improved and was finally discharged. At this point in time I had progressed to a pureed diet. I was by no means meeting my requirements but the benefits of being home vs hospital given everything outweighed the negatives and my surgeon planned on seeing me weekly as well as my dietician. Now here is where is starts to get weird and my real troubles began. Just over a week later I woke up one morning and had a sip of water (with a few drops of cordial to break the surface tension) however as soon as it went down I experienced a wave of nausea. It was different from before, I can't really explain the difference but I just ignored it believing it would go away (Denial as I just wanted to get on with my life and get back to work and due to the conversion surgery, my surgeon had created an extra large opening to account for my body closing the join so that it would end up a normal size.) I started experimenting with foods and fluids, different textures, consistencies, temperatures, etc. I tried absolutely everything I could think of. About a week or so later and my intake was getting progressively worse and I was once again admitted and went straight for an endoscopy (My 3rd since 1st surgery) to dilate the suspected stricture but there wasn't one. I then underwent a barrage of tests and every general and GI surgeon/specialist in my town came and consulted on my case, as well as my surgeon consulting doctors from all over. A NGT was eventually inserted and enteral nutrition (EN) started but was not tolerated and the tube was advanced into my intestines to be a NJT, which was then tolerated but the focus was on trying to get my oral intake to be adequate. I spent weeks in hospital trying different medications, getting tests and ruling out different conditions. I was discharged on EN with the NJT on 16 hour feeds at a rate of 50ml/hr which was not enough to meet my nutrition requirements but was the Max rate I could tolerate and the belief at this stage was that the nausea would go away and I'd be able to eat again. On the 8th of May I was admitted for a gastronomy tube insertion into my remnant stomach via laparoscopy as it was finally decided that this problem was not going away and by this stage I had lost 38kg (84lbs) and was severely malnourished, despite increasing my feed rate to 60ml/hr (still not enough to meet nutritional requirements) The purpose of the gastronomy tube was not only to have a more discreet way of feeding and for comfort and whatnot but because the tube is in my remnant stomach, I should be able to tolerate a much higher rate to actually meet my nutritional requirements and spend less time attached to the feeding pump. Feeds were commenced at 20ml/hr the next day but I developed severe pain and discovered feed had soaked the dressing around the tube. I was yet again rushed into surgery as the tube was leaking. Another NJT was inserted along with a PICC line and both EN and TPN were started to maximise my nutritional status while we wait for my body to heal around the tube in order for that leak to stop happening again. I've been on IV antibiotics and whatnot since as well. I developed a fluid collection in my abdomen and needed a percutaneous drainage which failed as the fluid was too thick to aspirate and a minor infection at the insertion site and it was believed that there was a fistula however luckily that was not the case. However yesterday I had a fluroscopy in which contrasted was put into the tube to see what happens and whether it's now working correctly and that caused me to violently retch as my body tried to expel the fluid from my stomach but as its not connected to my oesophagus anymore, it was unable to do so. This has now lead me to start worrying about whether whatever issue is preventing me from tolerating anything going into my pouch is affecting my remnant stomach too. I'm now facing the prospect of permanent EN and TPN for the rest of my life and I'm not even 30. So if you or anyone you know has any ideas or similar experiences or literally anything, please let me know. Even if it's just a chat because I feel so incredibly alone in this. To anyone that made it this far, I appreciate you taking the time to read this and thank you in advance for any responses. I'm happy to answer any questions you may have as well.

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.

Please don’t apologize! I’m so sorry to hear your insurance are being dicks. I hope it gets sorted soon. As a European I can’t imagine the stress that must cause. I personally find that the US health insurance system is evil incarnated and will pray that whoever is responsible for temporarily refusing your claim has ingrown toenails forever more. As a smoker I feel you. I haven’t given up because I don’t feel strong enough yet, I just avoided smoking 3 weeks prior to surgery. But hold strong, it’s worth it. Take care and be kind to yourself and keep on posting here! I’d read a novel!

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.

i have one too! (i think). tldr; ** warning this is long: skip to last paragraph if u short on time or bore easily lololozzzz ** mine pops out about 3 inches to the right (my right) of my belly button (about the size of a walnut)...always when im doing some fold over bend (like nose to knees), or bending the opposite way (like bridges), or some sort of sustained abdominal crunch (like boats). it would hurt, but ive always been able to push it back in EXECEPT once when it stayed out for about 36 hours. i booked appt with doc to check it out , but by the time my appt came around, it popped back in. then of course, their examination of me was inconclusive (couldn't find evidence of one). he told me if it happens again, take a picture, mark it with pen and come in. this was in january this year. and of course it hasn't happened since. which is both annoying and a relief since it used to happen pretty regularly...at least once a month or so for about 5 years. anyway, i did some reading and i have long SUSPECTED, based on its location and the timeline of its appearance, its an Incisional Hernia (yes i self-diagnosed myself ha). the location is about where one of the laparoscopic scars would have been had i not had a tummy tuck (my skin was yanked down so the skin scar is lower than before) AND i started getting it when my exercise efforts got more intense. i never concerned myself with it very much cuz it always popped back in. until that day it didn't. it was pretty painful. i had to keep pressure on it and bend over to provide some relief. i was so glad when it popped back in, but then upset i couldn't prove it was there, arg! doc says hernias don't get better, they just get worse over time, so eventually ill likely need surgery if indeed i have one...which we can't prove cuz that sucker is staying out of sight these days. but if/when it makes an appearance, the idea of keeping it "out" the entire time just to show my doctor sounds very unappealing to me! **shudder** p.s. on a side note, Mr. theorizes that the reason my hernia has been hiding for so long (its been 5 months since ive had one...my longest stretch of not having one since it began) is because of my increased core exercise work. i've developed some abdominal muscle and strength the past several months, and he thinks that when engaged, my core is strong enough to keep the hernia in when i do those particular exercises. so he thinks if i really want to pop it out, i should do a fold over and not engage my abdominals closed, but actually use my strength to push it out! and im like NOPE! not doing that. tldr; so...if u aren't squeamish like me, maybe you could try to push it out also so u can show ur doc? do you notice what things u are doing when it comes out? u could just keep doing those things...

@Noelle74 What an amazing transformation! You look terrific! @RonHall908 That's good info about the protein after workout. Not that I exercise hard enough to need to worry about it, but if I ever decide to... @BlueParis Amazing cliff hike! I'm jealous of the beach time, although it's finally warming up this week so I guess summer really is around the corner @gracesmommy2 I have a feeling the hair loss will be coming for me, too. Mine is so thin, and I remember it being shocking a few months after having my kids that it would come out in handfuls. I actually bought a bunch of headbands recently to help hide it if it thins. I'm heading to my annual physical today and my 3-month appointment tomorrow. Looking forward to what the doctor has to say about progress and any changes I should make. I weighed in at 200.6 lbs today. Will I ever get below 200?!?!? I swear this is the hardest milestone. I hit 201 lbs 13 days ago and was so certain I would be under 200 by now.

It was a mix of everything for me - holiday last year where I could barely move due to ridiculous pains in my knees that wouldn’t stop. I thought it was a Rheumatoid Arthritis flare initially but nope, just Osteoarthritis because I’m fat. I was so miserable. The holiday was ruined and hubby was really worried. Had physio and steroid injections when we got back home but nothing worked. I was 55 but felt 85. It felt like I had nothing to look forward to, life seemed very small as I didn’t leave the house. Pain is constant, nothing touches it, sleep is continually disturbed and I just felt unhappy generally. I wasn’t depressed but it was a very fine line I was walking, and I knew it wouldn’t take much to tip me over into depression. I’ve always been able to see the positives in pretty much any situation but I couldn’t this time. Hubby has his own mobility problems due to nerve damage in his lower back from an op that went wrong, and all that kept going through my head was how were we going to manage with everything? I was the one who had kept everything ticking over but I couldn’t do it anymore. I hated my body, never let hubby see me naked, couldn’t play with my granddaughter, clothes were chosen just because they fit not because I actually liked them etc etc. I spoke to a female GP about HRT as I had just started it but had to change how I took it because of my weight. I was having a major panic because HRT was the only thing stopping me from acting like a crazed homicidal manic! My GP was fantastic, I actually felt listened to for the first time. It was then that I asked about what I could so about my weight as I’d had enough and nothing was working. Every time I dieted, I put it all back plus more. I’d had Orlistat that didn’t work and had looked at the jabs but couldn’t afford £250 a month. My GP didn’t hesitate and talked me through my options, saying she would support me. She referred me that week and, after a bit of hoop-jumping, I’m now on the WLS pathway. I already feel better about things and I’m excited for the future 😊

Woohoo way to go, great end to the week.

I think everyone's going to be different in this case. I had RNY bypass and I was farty-as-heck up until maybe the first week of transitioning to soft-solids. I think in my case, part of it was recovery and part of it was my body re-stabilizing itself and getting used to new foods. That said, on days that I have too much sweetener in my system or am trying a new food that doesn't sit as well with me, I certainly get 'windy'. And if there is a single bean in my food, I can guarantee gas. So it may get better, and it may not. You may need a Gas-X type med, or you may just notice it's worse with certain foods. Either way, everyone poops and everyone farts. XD (Just look at other people in an accusatory-way afterwards, shift that blame.)

I think you need to take a deep breath and try to calm down a little. You've lost 9 lbs in a week. Your liver will be okay. It's good to take the rules seriously, but it's also good to be realistic about how much damage can be done by any particular action and not overcompensate by doing things that seem healthy (water) but might not be (making yourself sick). Two scoops of ice cream is not the same thing as a gallon of ice cream The better question to be asking yourself right now might be why you decided to have the ice cream, and why two scoops instead of one. Understanding behaviors, especially self-sabotaging ones, will be important for long term success. It can also help you find good alternatives. If you absolutely love ice cream on a hot day, consider getting the Yasso frozen yogurt bars with 5g protein for a summer treat when you're able to have them again after surgery. Or if it was because you thought you'd never have ice cream again, I suggest evaluating the rules you plan to follow in the future and make sure they aren't unnecessarily restrictive, as that can cause failure. Or if you just wanted something cold and sweet, stock up on no-sugar added popsicles, which are great for getting in your liquid. Point being, make this a learning experience to do better next time, not a reason to punish yourself or get worked up before your big day.

I look for any excuse to get some extra walking in -- like @ms.sss said, takes the stairs when it's an option, park further away. I like to find different parks and trails to visit on weekends for longer walks -- even mall-walking can be entertaining if you switch it up. Most of the community centres in my city have drop-in classes in a heated pool -- some for therapy, others for strengthening or low impact cardio, etc. It's a nice way to get a taste of a few options before paying any full-on membership dues. Maybe check around your local area for something like that -- or a gym that offers a one month trial, etc. (Honestly, everytime I've bought a membership to a gym, I'm awesomely committed for a few weeks and then never go back -- so I stay away from gyms myself) I also bought a foldable stationary bike for at home (like $130 on amazon) for days when the weather is too wet / hot / etc for me to enjoy a good walk. (When I was younger, I loved this exercise series called Power90. It's super out-dated now in terms of style (etc) but I found it on youtube recently and will probably give it a try again once I'm a little further into my recovery. Short 30-45 minute workout videos, I think the only thing you needed to buy was either a resistance band or light handweights, and a yoga mat if needed. They have updated versions throughout the years with more flash and pizazz but I'm a fan of simplicity.)

Looking pretty fine there @Lilia_90. Actually @GreenTealael started a thread the other day where a few of us have started sharing our maintenance stories which you may find interesting. Link below. 😁 What you have gleaned already is certainly true: there are many different ways of successfully managing your maintenance. As I say, & say very often, the only right way is the way that’s right for you. In the beginning you may find you are a little more controlled about what you are doing but over time you become more flexible in your food choices, eating style & how often & how much you eat of certain things. As you progress you continue to learn more things about what you can & can do. Well that’s how I was & am now. Certainly more flexible about some things. Bring in maintenance didn’t stop me going out & socialising with friends & family. I just was & still am very conscious about what I chose to eat, how much I ate & ensured I still ate slowly. Sometimes you have to make the best decisions you can in the situation. They may not be perfect but you can’t beat yourself about it. It’s not like you’re doing it everyday. I don’t track, but do random checks especially when I introduce new foods or new recipes. It may be checking calories or looking at ingredients & swapping some out, weighing serves t check portion sizes (weighed my cooked vegetables last night as I’ve added some extra ones & wondered if I needed t adjust the portion) or changing the cooking methods. I usually weigh a few times a week. I do this as previously if I thought I was gaining I wouldn’t get on the scales - it’s not true if there’s no proof. So weighing myself every second or so day keeps me honest. PS: It takes time to get past the body dysmorphia & being able to see how you really truely look now with your weight loss. Even with the evidence of body measurements clothing sizes, photos, number on the scales it can be hard to see the reality. Those fears of looking ‘sickly thin’ are very real with the dysmorphia. Doesn’t help when people around you may still be playing catch up too: Oh, you’re so thin. Don’t lose anymore weight. You look too thin now. Try to ignore those comments & in some cases you may need to tell others to butt out & mind their own business. In time & with regularly looking at the evidence you’ll come to accept & see how you look now. Though I still am surprised sometimes by how I can comfortably fit in small seats & squeeze through tight spaces. Understanding the space I physically take up in relation to the physical space around me.

@BlueParis Thanks! Yes, I see some changes in my face in the photos and when I look in the mirror, and also my arms and even my hand look thinner in the most recent picture compared to last month. I've been microwaving, which may be the problem. Steaming would probably be the way to go. I brought home a delicious chicken shawarma from the weekend, but it dried out after a minute in the microwave and caused me all sorts of trouble. I wonder if putting it in a sous vide would work. I have a fresh turkey breast that I think I will try in the slow cooker that I can then use the meat for my salads at lunch. I do well with raw baby spinach, red peppers, cucumbers, and carrots. I never thought to cook turkey in a slow cooker, but the package suggested it (along with 3 cups broth). Worth a try! I'm so glad you're feeling a bit more at peace with your progress. I envy you being in London, although I swear you can freeze there in the middle of summer. But it's one of my favorite places. I had hoped to go for my 50th birthday this spring, but with surgery, it didn't really work out, so next year! Having spent the weekend away this weekend, I don't envy you all the travel because choosing foods while on the road is very hard. I feel like every time you go into a restaurant, it's some new server staring at your hardly-eaten plate and wondering what's wrong with you.

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.