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It depends on the surgeon. I am in the midst of consultations with surgeons for tummy tuck and breast lift. Today one told me they wanted me within 10 pounds of goal weight, stable at that weight for three months. Two others are fine doing the surgery now, given that I do not intend on losing 20 or more pounds (goal is under 10 lbs).

Am I your brother? joking My levels have remained the same (low-normal but I don’t have a lot of fat in my daily diet except 1-2 weeks per year) I not sure of the metrics used to measure in Australia? Is 5.7 very elevated? What would be optimal?

*raises hand* im a sleeve. while i can't really comment if/how much my stomach "grew" or stretched, as ive never actually SEEN any before and after pics of it, i can say that while i can't eat IN ONE SITTING the vast amounts i could pack in BEFORE surgery, i can definitely eat more now IN ONE SITTING than i could IMMEDIATELY AFTER surgery (im 5+ years out now) for example: (note im talking like a regular, delivery type pizza below, NOT neapolitan/thin style nor deep dish nor pan pizzas, etc): pre-sleeve: 5-6 slices of pizza 2 months post: no pizza lol 3-5 months post: 3-4 bites of pizza 1 yr post to now: 1 regular pizza slice (like a 4x6 inch triangle) . i have been known to eat up to 2 in one sitting, but that's pushing it for me and not really comfortable. however, i could definitely eat an entire regular pizza over the course of a day. or a neapolitan style one in much less time if i really wanted to. but i dont want to, so yeah. background: 5'2" female: 235 lbs two weeks before surgery. 127 lbs goal at 7 months post. 115 lbs at one year post. 117 lbs this morning (am 5 years, 7 months out)

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I’m a believer in slowly incorporating better eating habits & food choices back into your day. Aim to work towards how & what you were eating in those first few years after your surgery. To begin may be start tracking your food to see what may need to be adjusted. Then work on hitting those protein & fluid goals & portion sizes. After a couple of weeks change something else like reducing your snacks or change up a cooking style. Work through what ‘rules’ you have become complacent about making a change or two every couple of weeks. Making changes this way is much easier to adopt and adapt to.Also don’t think of them as ‘rules’. That sounds restrictive, inflexible and limiting. How you eat should complement your lifestyle, be sustainable & flexible. Maybe get in touch with a therapist to talk through what may be happening that may be influencing some of your food choices & habits. Maybe get in touch with a dietician too just to check your on the right track again. All the best.

Hi all, I am 3 weeks post-op, and I don’t have any calorie guides from my nutritionist. She only focuses on protein intake and low carb options. In the past I have used calories as my main indicator and am struggling a little with diet conceptions now and after the transition periods without them. I have a goal of 60 g of protein a day and 1-1.5 l of liquids for hydration. I was just wondering if anyone has daily calorie guidelines that they can share?? Tia!

Day 3 post-op from band removal to gastric sleeve. Yikes, this was way worse than what I thought. They took longer to get that band out-appears previous surgeon was making sure that bugger wasn't moving. 2 days of sleeping and sipping water. Can't even think about food. I hope this gets easier as the week goes by.

@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.

I had it removed 3 years post TDS. I ate the same but found my stool was not the same and things felt a bit off. That took about 6 weeks to get back to normal.

I’ve managed to move the scale about 3lbs this week. Not much but since it wasn’t moving at all I’ll take it. I am down several Jean sizes though and the other day I put a shirt on that looked ridiculous it was so big. My hair has started shedding pretty bad so I’m really watching my protein intake and not missing any vitamins. Hoping it slows down soon before it becomes noticeable. It’s usually pretty thick so I have a little to spare. I think maybe I’ve managed to get rid of a chin or two also lol. Here’s a current picture I don’t have many from right before surgery but the one where I look like I might pop is at my granddaughters birthday present last July courtesy of my daughter 🤦‍♀️🤦‍♀️🤦‍♀️

Woohoo way to go, great end to the week.

WOW!!!!!!!! I bet you had times where you thought this would never happen, but here you are! Congratulations! I feel like these big milestones can mess with your head sometimes. Like, I hit 201.6 lbs 12 days ago and was just certain I'd be under 200 in no time... and I'm still waiting! I instantly bounced back to 203, made it to 201.0 after almost a week, stalled for a few days... At least I dipped to 200.8 this morning. But to finally see that 199... that has to feel so good. When was the last time you weighed this little? For me, the last time I was below 200 was when I was 28 (22 years ago!).

18 days post surgery and I'm feeling great. I'm excited to start mushies this week but not as excited as I thought I'd be. This week I added zero fat yogurt, pudding, and creamy soups to the menu, thinking I'd just be snarfing them down. Nope. Anything more than a quarter cup and I start to feel my throat seize. I'm becoming more food apathetic but I'll still add eggs and tuna. Down 40!

After 3 weeks of weight stall the scale finally moved some. I think the exercise specialist pointed out a flaw. I would eat something 2 hours before working out, she told me to eat something with a good protein and carb mix 20-30 minutes before my workout. also told me to drink a protein shake after the workout. I've done that the past two weeks. After a 3 week stall I'm not certain if it was that little change or the fact that it was going to have to move anyway. But, at least it moved. Hope everyone else has some scale or non-scale victories.

@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 VSG to bypass in Sept 2023. For me, it’s been a tougher learning curve figuring out what I’m tolerating and what will trigger upset. Sometimes it’s day to day. However, the last week or so, everything has been causing upset and the last few days I have become bloated and cramping every time I eat. My belly becomes distended and feels like I have gas trapped. After about half hour to 45 minutes or so, the pain eases and my belly starts to go down. Has anyone had similar experiences? TIA!

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 had my bypass a week before my 51st birthday. I am 4 weeks post op now and I can honestly say everything has gone text book. Did my tender age of 23 make a difference, I believe so because I am at that stage in life where I can just focus on me, and everyone else is able to look after themselves. I was one of the lucky ones as I had no pain afterwards, just a tiny bit of discomfort in my left side but not enough to warrant taking any pain meds. And I was expecting to feel like I had undergone 12 rounds with Muhammad Ali after being stabbed 6 times and my stomach cut apart. But maybe I have a higher pain threshold than most, I really don't know. Ok I will stop rambling now as i dont want to tempt fate. All the best Sent from my SM-S918B using Tapatalk

My goal weight when I first started this journey was 190lbs, I wanted to under 30BMI and felt that this goal was obtainable, I changed it to 170 since that would put me in the "healthy range". However, I feel like I am getting too small? I am wearing a size 6/8 pants from a 18/20 (NEVER IN MY ADULT LIFE HAVE I BEEN ABLE TO WEAR THAT SIZE!) Medium shirt from a 2/3xl, skivvies are Medium from a 2x, I am working out and trying to focus on toning. But Idk when I should enter Maintenance? My WLS team is so non-existent, I had one post op appt at 2 weeks and haven't heard from them since.

It's not just you! I have had a similar experience... I've never been a big drinker, and even when I was 300+ pounds, I had a pretty low alcohol tolerance. I typically only drink a few times per year, usually a glass or two of wine on a holiday (I don't normally keep alcohol in my home). After surgery, I went a long time, I think 2+ years, without drinking at all because I've been told that gastric bypass makes alcohol have a stronger effect. Then I had house guests and bought a bottle of red and a bottle of white for two different meals. Tried a small glass and was ok. Then I had leftovers after the guests left and drank the rest over the course of the next week or so. And like you, I noticed that it felt nice going down -- which really concerned me because I didn't want to develop a drinking habit. So I enjoyed finishing off those two bottles, but once they were empty, I did not buy any more. Since then, I've continued to have only a few drinks per year (wine on special occasions) and I've noticed that I have a VERY low tolerance. A single glass of wine leaves me barely able to stand up. I'm not even sure what point I'm making here, but I guess I'm just saying that I don't think it's your imagination that wine can be soothing to the pouch, but the negative effects outweigh the benefits, at least for me. And of course you want to be careful of developing a transfer addiction.

I don't know why, but something told me to check my weight today. I had no intention of doing it for another week, but because I take Linzess for IBS-C and it pulls water from the body to help with pooing, I thought maybe I was shedding the water weight a little faster. Not only that, but I wanted to see if I lost the 3 pounds from the surgery I had, so I checked this morning. Omg almost there!!! 5 more pounds until I hit my official goal weight!!!! 😁

unless you're the size of someone on "My 600 lb Life", most of us lose somewhere in the 15-25 lb range the first month, and then it's about 10 lbs +/- for a few months, then it'll drop down to 5 lbs +/- for a few more months, then about a pound or two a month until the loss finally stops. So yep - you are perfectly normal. and yep - stalls are also perfectly normal. The best way to handle them is to make doubly sure you are following your plan to a "T", and stay off the scale for a few days. As long as you're compliant, the stall will eventually break. EDITED to add: I see you're now under 200 lbs. Yep - things really slow down at that point. The last 20 or 30 lbs were a BEAR for me to lose - but I kept at it, and they eventually came off.

Really interesting to read about the “starting weight”. I booked my surgery on January 30th and was 96kg (my highest ever weight - stepping on the scales and seeing I was closer to 100 that to 90 was a real shock - I dug out some insurance papers from February 2020 - I was 58kg then and allready heavier than I like to be). My surgery was 3 weeks later because I had to stop smoking first. The day of surgery I was 91.1kg so I lost 5.9kg in the three weeks prior ( I basically did a broth fast and didn’t eat anything solid, only clear broth and tea and coffee). Im now 70kg so since January 30th I’ve lost 26kg (57lbs) in 16 weeks (average of 1.6kg or 3.6lbs a week) so I’m very very happy with the weight loss even if I’m over the weather! I do have a goal weight which is my pre pandemic weight of 52-55kg (114-122 lbs) because I know that that is the weight at which I function best and that feels the best for my legs ( I mentioned earlier in the thread that I have very minor cerebral palsy - I have the impression that the extra pain I have for every gram I weigh over 55kg just isn’t worth it and really impacts my standard of living and my mobility. Because of the CP I have very minimal flexibility so being even slightly over weight just makes moving so so much harder for me as I can barely bend my knees as it is and have no upwards ankle flexibility what so ever. I’m easily out of balance and I fall over often ( the best way to picture it is to imagine the mobility of someone who has had about 3 beers too many), I’m used to it and my physiotherapist always says I’m a very good « faller », a part from bruises and a bruised ego I’ve only ever seriously broken things ( shoulder, wrist and double arm fracture all in one go!) once since being an adult. But being heavier has meant having more issues getting back up after falling over and more and bigger bruises. So my goal isn’t an esthetic one ( even though it will be nice to not be the fattest person in the room anymore - and because I live in Paris where the average female BMI is 21.3 the bar is low!) but a functional one. So I have 15kg (33lbs) left to loose, I know the rate of loss will slow, but I’m hoping to be at least nearly there in September when I take a new position, I really want to do my transition speech feeling ( and looking) like my old self ( just with some extra wrinkles and grey hair). My handover is September 16th - that leaves 17 weeks so I’m not sure I’ll be at 55kg by then because it would mean continuing to loose an average of 0.9kg ( 1.95lbs) a week which is a lot given my current weight. However if I manage to loose an average of 0.5kg (1.1lbs) per week ( which seems a more attainable bar) I should be 61/62kg by then, and I can live with that! ( I’m an unapologetic numbers girl - I don’t track what I eat because that’s not sustainable for me long term - I try to eat protein but other than that - YOLO - but I do track my weight every day if I have a scale and my steps and my activity) A very long post once again. Thanks all for being here. And here is a picture of a Greek island morning! That’s the 9.30AM light!

Protein water is really nice, or drinkable yogurts, Fairlife milk mixed with some decaf coffee, or something like sugar free pudding mix in a favorite flavor made with Fairlife milk. Blended cottage cheese if it's allowed (when you put it in the blender, you get rid of the chunks and it turns the consistency of a thick sour cream, so it might be okay). Oh, PB2 peanut butter powder mixed into plain yogurt is also good. The only protein shake I can stand these days is Syntrax Nectar Natural in orange flavor. It reminds me of Tang, sort of, and it looks like orange juice, so I can pretend I'm having an orange juice instead of a shake. All the rest of them are going to be going in the trash soon because after surgery I lost my taste for them completely. But basically, focus your energy on hydration. You're only a week out. If you are low on protein and barely eat anything, it'll sort itself out in the coming weeks. Try your best, but don't worry if you come up short. Your body can handle a few weeks of not getting much nutrition. If you have to choose, choose to hit your fluid goal first and don't force yourself to eat foods if you aren't feeling it. And stop with the broth. Sounds like you don't like it, and it's not required for healing. After buying a ton of really expensive bone broth, I disliked it on its own and never had it at all during the liquid phase. Now I use it to make bean soup.

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.