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Thank you. I forgot to mention that I just had the endoscopy done last week and Al looks good. No reason to not do the sleeve. My preference has always been the RNY because my sister, sister-in-law and niece have all done the RNY with great success and I know what to expect. Recently my gut says to do the sleeve, but also feel I’ll regret it if do.

Hello everyone! I am very sorry to those who interacted with the post and didn't get any replies. Unfortunately week 2 of my LSD my doctor called to say the surgery is cancelled due to fact I failed my psych assessment. I lost nearly £2,000 in money that they refused to refund (the cost was for booking my surgery date) due to being caught in a catch 22. Because I failed my psych assessment it is considered MY fault not theres, therefore under the contract I signed prior, no refund. It really made me depressed. I'm back on here losing weight with Mounjaro. I would still like to connect with people whether you're pre surgery, post surgery, losing with the injection or naturally. I am hoping I can lose enough weight so I don't need the surgery, but if I do, that's fine too. Thanks!

Hi everyone. I started my journey to surgery 4 months ago. I am down 30 pounds since I started. I went into it knowing I wanted the RNY. My doctor tends to do a lot of sleeves. He said when you look at the weight loss in a 5 year period, they end up having very similar results. She sleeve is slower, but evens out by 5 years. His reasoning for thinking I should do the sleeve is because I currently use NSAIDS. My hope is that after weight loss, I won't need them any more. He ultimately said the decision is mine and he's ok with either one. He is going to retire before my surgery and I will see his partner on March 3 when I have to make the final decision. His partner also tends to do more sleeves than RNY. I'm looking for people who've had surgery. Which did you pick, why and are you happy with your results? Thanks in advance!

I did super well with not paying attention to the head hunger, but in the last 3 months it's come roaring back. It's super hard to ignore sometimes. When that happens, I try to have smaller meals more often and add an extra snack. It's been a while since my surgery, and while I can't eat like I used to, I can eat larger meals now. And when the head hunger hits, I try to "fool" my brain into thinking I'm eating more when I'm actually eating the same amount but broken up into smaller portions so my brain sees me eating again and again and thinks I'm eating more. It sounds weird, but for me it actually works. And I prioritize protein (some days I hit 100g of protein) because it fills me up and keeps me full longer.

Hey everyone! My name is Kim and I'm headed to Costa Rica to have an RYGB done in two weeks. I'm mentally prepared. I think I've been getting ready for this in my soul for a LONG time. I'm just here to soak up all your wisdom!! A little bit about me: I'm a doula (semi-retired after 28 years), ESL teacher, seriously addicted crafter, travel agent, and singer in a yacht rock band. I'll be 58 this year and weight has been a struggle since I had my first son (1995) and got two depo shots 3 months apart. I went from 125 to 200 in six months and have struggled ever since. I got back down under 200 for a few months about 13 years ago, but I've been holding steady at about 275 for the last couple of years. My highest was over 300. I've tried dang near everything with adipex being the last effort. I love going to the gym and being active but I just can't DO what I want or need to do there. So this is where we are and this is the time.

Well there is never a 100% guarantee because we are all different but I would say that your response so far makes it very likely that you will be a success story based on my personal experience and the knowledge that I have of others experience who have lost and kept it off vs those who have regained a significant amount. I had my sleeve surgery 3/9/2021 so I have been on these boards since then and I have been going to in person support groups since a couple of months prior to my revision and my personal experience and learned experience is that one of two four things happen to cause regain. 1: the person never really does change what they eat. This is a problem when the anatomical changes control portion of less nutritious foods for a while so they lose some but then as the stomach stretches they can eat more and they regain or they are able to have just a taste of things in the beginning but when appetite comes back that changes (note that some people can have just one bite of a brownie forever but that didn’t work for me so we just have to be mindful of how our body reacts and stop doing it if we can’t stop ourselves at a small portion). 2: the surgery was never a good fit. I know that this was part of problem with the sleeve for me because I never did feel ANY metabolic changes. I still absolutely hated healthy foods that I didn’t like before and I did not have any additional energy or motivation after the surgery. Basically I think for me the surgery was probably like Wegovy would be. The hunger hormones went away for a while and I was able to eat less until that came back. But nothing else changed for me. I never felt a change in energy and I was never about to get start r with exercise and healthy food options did not appeal to me in the slightest. I ate alot of chicken breast and a few veggies that I don’t mind in the beginning but there was no variety so like most diets I couldn’t sustain it when the hunger came back and I wasn’t moving my body to help my physical and mental health to keep it going. 3: This would be a combo of the two which would be where i would actually say that I fell with my sleeve. Because I didn’t like enough of the healthy food even a little bit I started having less ideal foods far more often. I mean i wasn’t eating McDonald’s ever and I wasn’t having poor choices all the time but I would have like a quarter of a frozen pizza or a lean cheeseburger with a roll several nights a week thinking it was okay because calorie wise it wasn’t much worse if that was all ate. The problem was the other macros and the fact that for me they were slippery slope foods and they made me crave more. I wasn’t gaining on that but carbs make me crave carbs so that little devil voice took over and I tested the waters a bit more by having just a few fries or a bit of cake with that but it was way too often and far too early out for me to know my limits. Then, to make matters worse, my mental health issues kicked in where I had not only stopped losing but gained 20 pounds and when I couldn’t reverse it even when I tried my hardest to rein it in (because I was now craving the carbs again bad) i just considered that I was a complete failure and they didn’t say it but i could see it that my friends and family felt that way too and I just slowly just quit trying. This is when the support of people who get it would’ve been sooooooooooo very important. Never been obese people are never going to be able to get it or be able to help. Reach out to your bariatric support if you struggle. Even if your disgusted. They get it and never judge. 4: Some people even though the surgery is a success and they make all the lifestyle changes and everything is working lose sight of their lifelong goal for one reason or another and let bad habits slowly slip back in and they gain. I think this is probate going to be the hardest one for me. To not take my eye off the prize 5 years down the road. But we can do it. I think that staying active in these support groups and checking in with my team is going to be key for me. I am going to ask to have my follow ups a couple times a year even when I’m a ways out just to keep me in check. I know that I am able to gain a lot of weight in a year!! I never did the In person support groups at all after my sleeve and I stopped posting here for a while and didn’t go to my follow up appointments when things were out of control and I needed the help the most. Basically for me the sleeve was just one of my longer and more successful diets that started with the curved appetite and a lot of hope that it would work this time but slowly ended when the hunger came back, bad habits slipped back in, the cravings got unbearable and my all or nothing thinking finally got the best of me. I think I probably would have leveled out somewhere between my starting and my low weight if I had not given up but since I started at a relatively low BMI to begin with that did not seem like a success to me at the time. 89 pounds later I only wished I had been back to that weight though. I learned a lot from the sleeve experience though and I think that knowledge is helping me now. Hopefully, it helps others too. I try to let my experience be a cautionary tale without scaring anyone too much. Anyways, based on your nutrition changes, steady loss and your activity I do not think you are like me with the sleeve or others who I’ve seen who never even tried to eat differently or exercise so I don’t think your surgery was a bad fit at all or that your just expecting the surgery to do all the work. I think that your surgery is doing what it was designed to do for you and so as long as you keep doing your part you should get your where your body needs to be. Just don’t get caught up in a certain number and let your brain get the best of you like I did. That last 10 or 15 pounds may feel like a lot but your already so much healthier and happier that you were before. Keep striving for that goal but don’t let it be the only thing that matters. To me it will be icing on the cake to what is already a success story Your body will have its own idea of what is an ideal size for you and you may have to just accept that it may not be exactly what you have in mind (it could be lower but it could also be a bit higher. It may be a sorry to accept where your body is happy and healthy if you don’t want to be really working hard at this forever. Honestly, I imagine we will have to work at it for the rest of our lives to some degree. By that I mean that we will probably never have it as easy as someone who has never been obese. You are doing so incredibly well, though, making actual lifestyle changes and I have listened to anyone who is willing to share whether they were successful or not and that seems to be the biggest piece of advice. This is not a diet it is a lifestyle. Your surgery is working for you and you are working hard for you as well. Those two things are key to this journey long term. Just keep it up and I really believe you will reach all of your goals. ❤️

TLDR: 1.sugar-free pudding with sugar-free Cool Whip, 2. Mio, and 3. plastic portion cups. There are two food/drink favorites of mine, looking back to my first 3 months of post-op. First is Jello sugar-free instant pudding. The box says "makes four 1/2cup servings," but I make five. I top it with a tbsp of sugar-free Cool Whip, and I had one at the end of every day. A real treat. And, you'll be able to eat pudding very soon. Second: in a 32-oz water bottle, put in about a cup of water and squirt in some Mio water enhancer. My fave is the fruit punch flavor. You'll have to experiment with how much to put in. Too little and there's not enough flavor; too much and it's too sweet and heavy. After squirting in the Mio, I add my daily scoop of Miralax (has absolutely no taste or texture). I needed it-- you may not need any laxative at all. Stir well. Then fill up the bottle with more water. Sip throughout the next few hours. It's a great way to get your minimum 64 ozs of water. One more tip is to order a sleeve of 5-oz condiment cups (Amazon calls them "plastic portion cups") with snap-on lids. The kind you find in restaurants for putting salad dressing or salsa into. Restaurant ones are only about 1-ounce size, which is too small for our use. The 5-oz is what you need. I use them every day for portioning out so many things. I bought 100, but I keep washing them out after each use, so 100 looks like a lifetime supply for me. Wishing you the very best!!

Congratulations on your loss. I was a savory girl Lee bariatric world and post sleeve I became a sweet girl too. Then post SAFI that went away but has started to come back. I think MAYBE it’s just our bodies wanting carbs and sweet food is usually the absolute highest in carbs so the quickest way to get them. I did not have the bypass but I don’t think your friend is correct about eating whatever you want. I know that was for sure not true for the me with the sleeve. I started at 235, lost down to 168 then gained it all back plus some to 258 and was still gaining when I started the preop diet for my revision. I have also heard plenty of regain stories on here about the bypass. Now, does it malabsorb some of your food, absolutely. So if you were like 900 pounds before it’s possible you would stay a bit smaller just because you pretty much already ate all you wanted volume and calories wise before and the malabsorption would in theory make you weight a bit less if you ate the same exact food, but it would only be a bit less anyways and who of us wants that. . As far as a more common starting weight I really don’t think so because even at our high weights we still weren’t eating absolutely all we would have liked to or we could have and if we ate any and everything we wanted, even with some calories not absorbing that’s still probably giving our bodies more than we were eating before. I do know from experience that what fuel I put into my body changed how I feel, though, so even if I could get away with eating anything I wanted cosmetically, I know that I wouldn’t feel as good as I do when I eat a balanced diet and keep up my activity. That processed junk that most of us used to eat all the time is not good for us and it doesn’t give your bodies what it needs to run efficiently. Another thing to keep in mind is that we are still pretty early out to be relaxing too much. Most people have a 10–15 pound bounce back even if they keep working at it. I don’t know about you but I’ve still got more that I want to lost. I definitely don’t want to be bouncing back!! for the sweet cravings try the sugar free popsicles again. They can trick my brain sometimes and others i Have fruit. I figure calorie wise they may be more calories but at least it’s not added sugar. I try to avoid that as much as possible because that makes me have more cravings the next day and for like a week.

The simple answer is yes. Just getting a small stomach does not cure your brain. It is hard wired to feast whenever there is a glut of food and unfortunately that is what is all around us these days. I waited 30 years for this surgery so this is me - I allow myself 1500 calories a day. I religiously track them I could easily eat around my sleeve, I love chocolate and dont have any will power. If I open a bar then I eat it. So I buy the packs of tiny 25gram bars. I have increased my activity. I walk everywhere. I shop better for quality protein rich foods and menu plan, You may find when your new stomach has healed, about 6 - 12 weeks out, you will hopefully feel your restriction kick in. You should feel the full signals. Certain foods fill me longer than other. I physically can not eat or drink for two hours after eating meat. Mince it and I can go again after an hour. Its a massive learning curve.

Hi guys I didn't realise how obsessed with food I was until now! Head hunger is the worst for me and I am very always having to push it away! I eat 3 small half cup meals a day, I get in at least 70g of protein and at least 2 litres of fluid. A lot of it is due to my old bad habits like sitting in front of the TV, looking in shops for nice food, going out for the day. It was all focussed on what I would eat! Does it get any better? What was it like for you? Are you still going through this? Thank you!

Thank you so much for your replies, my tummy has calmed right down now and I am managing to get in at least 70g of protein a day. I am also getting in at least 2 litres of fluid daily too. I am having 3 small meals a day - half a cup each time. I am trying to space them out as well. The head hunger is worse for me, I didn't realise how obsessed I was with food until now! Every time I pass a shop, go out for the day and loads of others scenarios! Any tips for that guys? x

Lately, I've been eating quite comfortably, and honestly, it's scaring me. I had a week where the scale didn’t move, and just when I started panicking, boom – down 1.7 kg the next week. But here’s the thing... every time I feel confident in my weight loss, I start getting too comfortable, and that makes me so uneasy. And the weirdest part? I’ve become a sweet girl! Like, I actually crave sugar now, which I never used to before. WHY?! 😭 There are no actual signs of regain, but that doesn’t mean I shouldn’t be worried, right? My brain is panicking even though nothing bad is happening (yet). I have a friend who also had gastric bypass, and she keeps telling me: 👉 “Don’t worry, you will lose weight no matter what – that’s what bypass does.” But how true is this??! 😭😭 I feel like I can’t fully trust it, and I don’t want to get too relaxed and regret it later. Someone please tell me I’m not losing my mind. 😣

Sorry I'm a bit sporadic here. I'm nearly two weeks post op (tomorrow is 2 weeks) and have no trouble at all drinking smoothies, Optifast shakes, tea, thin soup etc. In fact I'm a bit worried because I can easily have a cup (250ml) or more quite quickly - say within ten minutes. I go to Sydney on Wednesday to meet with the bariatric GP and dietician at my surgeons office so I'll ask them about this. If I have anything a bit thicker - pureed but thinnish chicken soup for instance - I can feel it sitting in my belly as a lump for a minute or two, so I'm hoping when I move onto puree on Wednesday it will slow me down a bit. Water I find difficult - it makes me burp painfully and feels really rough. I've had something called Vital Zing drops recommended, they add flavour, and apparently help to make water easier to drink. Problem is I don't like flavoured water and I particularly hate artificial sweetener. So I'm battling on with water. I'm hoping the tea I drink is helping to keep me hydrated! I used to drink sparkling water so perhaps I'm also not used to plain water. I haven't had sparkling since the op for obvious reasons! I've wanted something savoury and a bit solider so I've been having my husband's home made hummus for lunch, 100g. It feels a bit lumpy in my belly too but I get sick of all the sweet shakes and things. He thinned it out a bit with the aqua faba but it is still thicker than could be drunk through a straw. I've lost ~9kg so far since start of pre-op diet - 107 to 98. So it's good to break the 100kg barrier. The next one is 96kg, which I got down to in 2023 with a gastric balloon.

That definitely sounds like depression to me. If it’s not impacting your daily living significantly (I mean it’s not the end of the world if you have a bad hair day but if your not doing other basic hygiene for days then that could become a medical issue). If you are safe and not suicidal or anything you could try to just ride it out giving yourself permission to just give into it for a few days or a week if that’s what it takes to get through it. In Dialectical Behavioral Therapy they call it “riding the wave” and I spent a lot of time and money in an intense outpatient therapy program to learn that the technique is as simple as it sounds and it truly does work for me sometimes. If giving yourself permission to feel all of your feelings and do as little or as much as you gotta do (anything not harmful to yourself or anyone else of course) doesn’t work then you may need to seek professional help. Talk therapy can be quite helpful but a prescribing physician may also give you something temporary to help you feel up to taking better care of yourself if that’s what is necessary. Before my bipolar manifested and I was put on permanent meds, I had situational depression when I lost my grandfather and they put me on a low dose antidepressant for a short time because I didn’t cope very well. Just try to remember that depression is temporary and that you will feel more like yourself again even if you need to reach out for help getting there. ❤️

Hi all, New here names Kat. 46 years old. In 2009 I had a gastric sleeve and hiatal hernia repair in Colombia. In 2020 I had horrible GERD and had another hernia repair as my stomach was in my chest cavity behind my heart at that time. I was doing ok until last week. I work in an animal hospital and I assisted in lifting a 90lb dog that fell off a table during a surgical prep and instantly felt I had injured myself when I lifted this dog. The next day I went to the ER and was told I had a large hiatal hernia which incorporated my entire stomach as well as part of my large intestine and my liver was also coming up through my diaphragm. I consulted with the surgeon that did my repair in 2020 and he is recommending a sleeve to bypass revision as he does not want to risk my sleeve slipping and the hernia recurring because going in for a 4th abdominal surgery isn't ideal and becomes quite difficult as scar tissue accumulates with every repair. Needless to say I am terrified. Having done my original procedure in another country I did not follow America protocol when it came to the appropriate mental health to go along with a bariatric procedure. I have never had a healthy relationship with food and have continued with a poor diet throughout the years. My fears are not so much surrounding the procedure more so the lifestyle change that must be made post surgery. The liquid diet pre and post surgery, the portion control, the protein and water intake that's require the regiment of vitamins and supplements needed to stay alive. Over the years I've never even been good with taking a daily multi vitamin. I'm not really sure what Im looking for by posting this thread as I'm sure I will get plenty of negative comments about just having to do what I'm told but was hoping that someone anyone can relate to the anxiety I am feeling about not being successful in what needs to be done. I know I WANT to do the right thing. I know I want to see my 9 and 12 year old grow up. I know I don't want to leave my husband heartbroken and alone. I know that even if I suck at doing the right thing for myself I need to do the right thing by my family. Im just freaking out a little. I just dropped of the CT scan cd to my surgeon yesterday and am waiting to hear back from him this coming week about talking to a bariatric dietician and discuss a date when this is all going to happen. Looking for any insite and honestly from people with similar fears sticking to post op care and life long lifestyle changes. Thanks in advance and please be kind.

This coming Friday is my 6 month “surgiversary” and I’m 174 today (down 84 pounds from 258 pre-pre op diet so technically 6.5 months next week I guess). I totally thrilled with my loss so far. I feel good and I’m relatively happy with the way I look, but the anniversary is making me look at the numbers. Does anyone know when they calculate BMI if we should go by our young adult BMI or our current one. I mean our bones still weigh the same as our tallest height I would assume but I have shrunk at least an inch. I am just curious to know when I will reach a “normal” BMI. I went from 40.4 to 27.3. I’m getting close 🎉

Happy to see you're doing so well! I'm going home today. Ended up getting sleeved on Wednesday, which wasn't the initial plan. My surgery was scheduled for Thursday, Jan 30. When I arrived on Wed morning for my pre-ops (blood work, urine test, EKG, meeting with psychologist, etc) they asked if I'd like to have the procedure that same day as the schedule had unexpectedly opened up. I was like, sure let's just get this over with lol They gave me a bottle of water with 1000mg Tylenol, benadryl, and Clonopin to help me relax, and told me not to drink anything else from there on out. I had the VSG around 3:00p. I remember the anesthesiologist saying, "If you feel a little dizzy, that's normal." And then nothing. I woke up in recovery lol I was really groggy when I woke up and a little disoriented, like "Where am I? What's going on? It's over already? That's it?" Haha. I did feel pressure in my abdomen and I kept having to tell myself to breathe. I haven't felt much pain, only when getting up and sitting down, and I haven't felt nauseous at all, thank god. A young lady in the room next to mine had nausea SO bad. I felt for her cuz that's awful. I've been walking a lot to help relieve the gas pressure. It's a lot better than it was a couple days ago. They took out my IV yesterday and I have been able to take my medications by mouth without any problem. I'm able to tolerate liquids, and have been mixing water with gatorade. I got a B12 shot in the ass today, and that sucker hurt! Yowza. They have me on an antiobiotic and blood thinner for the next week. I also have pain medication that I can take every 6hrs, but I honestly haven't needed to take it that much. I'll just use Tylenol once I get home. Looking forward to going home today and seeing my three babies! (They're cats lol) But first I have to discharge and then go to the airport. Hopefully the flight home isn't too bad. 🤞

I have an appointment with my seurgeon in about 3 days time so will talk to him about it and see if this is something he has seen before.

73 last week. Had RNY in June 2016 when I was 64 and only 20 lbs regain. This surgery changed my life and has made aging so much easier Would certainly encourage anyone who’s interested to give it serious thought

Well it took a week, but I shifted 1 kg (2lbs) to now be below 100kg!! 99.9 lol I am taking it!!

I absolutely welcomed the pureed food phase, because by then I had been on liquids only for a month. I cook dinner every day for my family so I just took tiny portions of meat and veg (and teeeeeny tiny - like a teaspoon - portion of the carb) and blitzed that with extra liquid/gravy/whatever to make my little meals at the start. I so loved the taste of that food after so many weeks on non food. I didn't focus on protein then, only on getting in my fluids. My team hadn't stipulated any specific protein goal. I am very lucky in that I haven't experienced any digestive issues at all following my sleeve. I know that many people do develop intolerances, both temporary and permanent. Hope you enjoy your transition to proper food OP.

Hi guys I was sleeved 2 weeks ago and am due to go onto pureed foods tomorrow. MY main concern is how I am going to get the protein in as I know I will only be able to manage a few mouthfuls at first. Do you have any tips? I have ordered some protein flavoured water power and I am fed up with protein shakes now! I have to be careful what I have because I have suffered with digestive issues and have had to drink more to keep hydrated! Did you have problems with your digestion after surgery, not constipation though Any help would be gratefully received. Thank you!

I am doing well thank you! On purees now, which is great after weeks of liquid, feeling good, learning my limits and healing nicely! I have not lost a lot of weight for a week, but am taking that in my stride, desperately close to.my first mini goal, but not quite there yet! Overall going very well, I can see the differences already, clothes are starting to hang off me! 😁 Thanks for asking, how are you doing?

How is everyone doing?? I am 22 days post op VSG and feeling great at the moment. 25# and several inches, tolerating all my liquids and hitting my protein goals. Currently on puree diet and excited to be moving to soft diet next week 😍

I definitely had some burning in and around my incision the first week when changing certain positions. It goes away, but please check with your surgeon.