Search the Community

Today is day 9 of my pre-op diet and while my hunger cravings have subsided (that happened on day 3-ish) the weakness seems to be getting worse somehow? I almost wonder if I should reach out to my bariatric team about it but I don't want it to cause any issues with the surgery date. 🤔

I love what mom said that is so true we can be hard on ourselves....in other bariatric groups I belong too, I noticed a mindset amongst many that they were never satisfied. I will not be adopting that mindset and was glad I could listen in on groups early post op...I feel it's so unhealthy to never be satisfied with weight loss. Once I obtain my goal weight f**k it I am then in "maintenance" mode and I will allow myself 10 pound fluctuation. I'm not interested in loosing more after the goal weight. *it's unreal how much poop in the colon weighs..3,5, 10 pounds lighter

I’m dealing with some pretty scary medical stuff right now (outside of the bariatric stuff) and I had a long drive home late last night alone and scared of what the results will be from a test I’m doing Monday as well as the test itself which I believe is going to be pretty painful. I drove past McDonalds and even though I have no physical hunger, the emotional hunger was very real and I seriously almost caved. I didn’t stop, though. I went home and ate the chili I asked my husband to pull out of the freezer. This morning I got up and did my YOGA and kept right on trucking. I am going to a group fitness class at the gym I wanted to check out with a friend tomorrow. I won’t be able to do anything for five days after this test so I’m really trying to stick to my routine right up to Monday. I may need a little encouragement to get back into my routine, though. I’m pretty nervous that a five day break is going to make me lose my habits. I have to ask to be sure but I think I will be allowed to do everything again starting back Saturday but I was told I have a Princess pass for 5 days. No exercise, housework, nothing. Not even dishes. I was a little excited about that one.

If you are the same in the US as we are in the UK, then Amazon deliver the day after ordering. If thats the case, save your money and buy as you need it. As a example, I bought a blender and did not use it as I barfed every time I thought of pureed foods, still do. I sent for a bariatric cookery book, same outcome. On a whim, I bought a personalised bariatric plate, it is still in its wrapping. My clinic told me to buy suckable vitamins and dissolvable calcium tablets. I used a thermos cup, I was allowed coffee and it takes an age to drink in the early stages, it kept it hot for me. I bought a bed wedge as I had GERD, still do. I never had protein shakes, my surgeon did not believe in them, I just had milk. Everyone who has stock piled a protein shake they love pre surgery, has found it disgusting after surgery. Your tastes flip and you may have a problem with lactose or vegetable protein. Buy one or two of a wide range if you must. I really wished I had a recliner chair, I had to sleep sitting for 3 weeks. As I said before I had problems with Gerd. It took a while to get my meds right. This forum and its wonderful forumites are a asset I used so much. Its all gifted free. Paid forward if you will. They have so much knowledge, they have been and done it before. Some one will have had every eventuality and will help Good luck

You can totally DM me on here! Totally am down to help a fellow bariatric pal! I took 2 weeks off, just for my mental health too. I needed to get into the game with the foods and the meal prepping. I definitely had to work my way up, Lots of tears and sweat. Even still ! LOL I did greive clothes, I still have 3x tops and dresses in my closet that I have not been able to get rid of. I wear them tthe tops to bed now..For the most part I had to buy all new clothes. Still working on building it up. I went from an 18/20 to a size 4. 2/3x to a Small top. No you do not need to add the quote lol

It seems to be pretty standard to require a multi vitamin and the calcium citrate that you mentioned. Most programs require labs around 3 months and will add things like magnesium or B12 or ADEK supplements as needed. All of the bariatric vitamins are pretty close with the exception of the amount of iron and the ones for SADI/DS which are higher ADEK and higher iron. Of course they are not exact. My suggestion is to bring the bottle with you of whichever one you do settle on to your post op appointment and just make sure they are okay with it and to bring it with you to your follow up from your labs so they can see if your vitamin does contain whatever you may be low in.

I am not sure what age you are but did you get your hormones checked at all recently? Maybe some of the symptoms you are feeling are connected to peri/menopause. I thought my exhaustion and lack of concentration was all part of my bariatric recovery however my GP had me do a hormone test and now I am on HRT which has made a huge difference. May not apply to you at all but just something to maybe consider getting tested if you haven't already.

So I am a USNavy Veteran. I am getting help through the VA Hospital. They don't offer injections for weight loss help due to the need for those medications to go to Diabetic patients which is what they were made for initially. So not having a larger BMI, the only option available to patients like me is the bariatric balloon. They do not do lap band or anything else similar here in the United States anymore with the VA health system. They offer gastric sleeve/bypass to patients with higher BMI- they said if I was just 10lbs heavier when I was referred to the specialist, they would have approved it 😕 which made me a little upset- if my primary would have known....maybe I would have waited for those extra 10lbs ? Well, any who- I am willing to try what's available to me- so Gastric Balloon it is So they will insert surgically a balloon filled with blue dyed saline solution. Basically, a breast implant in my stomach this will take up a majority of the stomach space- leading to feeling full and staying full feeling for longer. Basically, it is like the injection medications results, but not needing the injections monthly.

I had a sleeve done years ago and, for me, I would lose in spurts, so maybe this is just a spurt and you will level off for a week or so and *boom* spurt again. But I wouldn't worry until you've had the chance to talk to your bariatric doctors office. Odds are they will be like, "that's great! good job!" 😀

I had a ton of scar tissue from a butcher surgeon 40 years before my sleeve surgery. The bariatric surgeon noted it and allowed a little more theatre time for me. My surgeon said it was very stuck inside but he did it all keyhole. It just took him longer. This week I was due to have my ovaries and a huge ovarian cyst removed by key hole surgery. I was informed that I may have to be opened up if it became a problem. It was and I was. This is day 6 and I am feeling more like myself and the pain is manageable today without meds. So what are the differences, More pain, your muscles are cut. A big scar and drain holes. And a 12 week ban on house work and lifting, more of a bonus that one really. I hope it goes well for you. It will be worth it even if its not keyhole. Trust me

A typical pre-op is dependent on your insurance and your surgeon, but most require things like: A series of monthly visits with a dietitian. 3 to 6 monthly visits are fairly common A visit with a psychiatrist or psychologist. Depending on the outcome, you may need to undergo treatment for an undiagnosed eating disorder One or more education sessions typically done over a series of weeks. This is to better prepare you for both the immediate post-op diet, as well as long term expectations. These are sometimes, but not always done together with the dietitian visits. Clearance from your primary care doctor and depending on your health history, clearances from other doctors such as a cardiologist or endocrinologist. Numerous blood tests, both to look for potential problems and to set a baseline. Again depending on your health history and your surgeons preferences, you might need to have things such as an endoscopy and/or a swallow study done. Some people may even need additional imaging done such as CT or MRI scans. As a diabetic, they may require your A1C to be below a prescribed value. This is for your safety. Honestly I'm probably forgetting some stuff. If so, I'm sure others here can chime in. In terms of lifetime changes to your eating patterns, you need to make sure you're prepared to make better food choices for life. It's a sad fact, but a pretty high number of people that have weight loss surgery eventually gain the weight back. This can be avoided by learning how to make better food choices now, so you don't fall back into old habits once the stomach restriction eases off. It's often misunderstood by those not familiar with bariatric surgery that weight loss post surgery is "easy". Yes, the initial loss can be easier that it would have been otherwise, but keeping the weight off is just as hard, if not harder that it would have been had you not had the surgery. This is why learning how to eat better is so important. People that lose weight naturally and keep it off do so through repeatedly making good food choices and strict discipline. That knowledge carries over really well to long term weight maintenance. The people that fail weight loss surgery often found initial weight loss easy, but sometimes really struggle once they get to maintenance since they don't know how to eat like a "normal" person. Add in the fact that a formerly obese person trying to maintain weight typically can't eat as much food as someone that was never overweight even if they are the exact same body size, and you can see why retraining yourself here is critical. Throw in the fact that (at least in my opinion), most obese people either have an eating disorder, or at least suffer from disordered eating, and it's obvious that the surgery is just a small component to overall success. TL;DR: IMO, It's better to take your time and do it right.

the kind of reactive hypoglycemia that some people get after bariatric surgery isn't necessarily related to diabetes. It can happen to non-diabetics, too (I'm not diabetic). I've also seen it referred to as "late dumping", because it tends to happen a couple of hours after you eat (as opposed to soon after, as is the case with regular dumping). I mentioned in my response above that my physician couldn't find anything wrong with me when she did the workup, but she told me to let her know the next time I had that experience. The next time was a couple of weeks later. I'd been at a retirement party and had a whole piece of cake (instead of a couple of forkfuls, like I used to have back in those days). A couple of hours later, there it was again - dizziness, etc. She said it was likely reactive hypoglycemia (AKA post-prandial hypoglycemia), and it may not have shown up at the workup because my glucose might have been normal the day I went in for that. Anyway, yes - it's not uncommon after WLS, . It often appears when you're a year or so out (although sometimes sooner...or later). They say to eat protein - or a something paired with a protein - every three hours or so to prevent it (I know it's orange juice or something similar for regular hypoglycemia - but she specifically said protein with this type - may be something to specific to the WLS-caused version)

I'm going to start with my obligatory recommendation to talk to your surgical team. There is a possibility your issues are complications due to surgery, or even other potential medical conditions. It's better to be safe than sorry and talking with a medical professional can help rule out some issues. With that out of the way, I will give you my non-medical opinion just based on what you posted. Again, just based on what you wrote, it is possible that what you're experiencing is related to the volume of exercise and your low calorie intake. While it's not exactly the same, this is similar to something we call RED-S (Relative Energy Deficiency in Sport). Feel free to Google that to get an idea of what I'm talking about. Both in the case of RED-S, and what you're describing, it sounds to me like your body is telling you that you're overdoing things. I love that you're being more active, but without properly fueling your body, you can actually cause some nasty problems (again, see RED-S). Keep in mind that your body actually only improves physically during recovery, which includes both proper rest and proper nutrition. Dehydration can also exacerbate the problems your having. Plus, while dehydration can always be an issue for anyone, for someone so soon after bariatric surgery it can be really problematic. One of the most common reasons bariatric surgery patients end up back in the hospital is due to dehydration. My advice would be to give yourself a down week from the exercise, which should do a couple of things. One, it will give your body a chance to recover some, which is a good thing. Two, it will help you know if this really is due to the volume of exercise and the incredibly low calorie intake. By the way, a down week, does not need to be a week completely off, Just stepping things down 25% to 35% is enough. For example, instead of walking 5 hours, shoot for 3 or 3.5. Do the same on your swimming. Taking a down week like this around once a month is really common for even pro-level endurance athletes. I promise it's going to help and not hurt you in any way.

I'm sorry you're going through all this, especially since like most of us you went through surgery to become healthier. As far as the "under 900 calories" at 1 1/2 years out, I'm at at 800 at 15 months out myself. I've even asked about increasing my calories at my 12 month checkup having seen most ppl on these forums discuss that they've been put on 1200 calories a day at this point in the journey and I was told I could maybe add 100 calories but they were very hesitant about it. Now you have me worried. What symptoms are you experiencing? Currently, I have no energy, I feel like I'm dragging my legs and feet... I'm grumpy most of the time and I've started getting nerve or some kind of pain in my right armpit area... My joints ache was just thinking arthritis, I've been very hard on my body with 14 years of gymnastics and being in a physical confrontation job with ppl twice my size..headaches.. . could you if you don't mind share what you've been experiencing? Luckily my co-morbidities have all gone away so far.. Thank you for your post, hopefully I can address this with my GP next month! I hope you start to feel better soon I know this isn't what you signed up for. I take it your bariatric clinic kept you low calorie too?

Not to dis on your friend, but that's just not how this works. The ski slope chart itself may be about what your weight loss looks like for many people, but I promise you, you are losing fat the entire time. You just can't overcome basic physics. Think about it. If you eat less calories than you burn, your body has to make up that difference from somewhere. Even the leanest people on the planet have something like 40,000 plus calories of fat stores. This is what your body uses to stay alive when intake is less than output. Do the math: Your Total Daily Energy Expenditure (TDEE), is made up of your Resting Metabolic Rate (RMR), your Exercise Activity Thermogenesis (EAT), and your Non-Exercise Activity Thermogenesis (NEAT). The average normal sized person has a resting metabolic rate somewhere between 1200 and 1800 calories. It's even higher for overweight and obese people. This is just an estimate, but yours is probably somewhere around 1900-2000 based on your height and current weight. EAT obviously can vary quite a lot from basically nothing if you don't workout, to well over a thousand calories per day if you exercise a lot. NEAT is important as well. The basic idea is that very few of us are completely sedentary. We are moving around cooking, cleaning, doing chores, etc. This is what we sometimes call "Activities of Daily Living". This tends to add another 15% to 20% to your overall calories for most people. The point of me adding all that is because very few people really understand how many calories their body needs per day just to stay alive. If your body needs 3000 calories per day and you are only consuming 800, then the rest of your energy needs for the day have to come from your tissues. If we do things right, the vast majority of that will come from fat, though no matter how hard we try, some of it will come from muscle tissue. Regardless, (and here's the point of all this), there is never a period of time when eating a very low calorie diet like we do after bariatric surgery, when you just lose water weight, or stop losing fat. Early on, you will lose a lot of water weight, but what you are losing is not JUST water. Later, you may experience stalls, but that's not a period of time when you stop losing fat. Instead, you may be putting more water weight back on (this IS part of the healing process), but you're still losing fat underneath that water gain. Note that there will be other times when your weight plateaus or even goes up some. This is 100% normal and not a cause for concern. If you are following the diet plan your surgical team sent you, you WILL lose fat. It's impossible not to. This is why I said it's just not healthy to weigh yourself daily. Scales LIE. They don't measure our amount of fat loss, they just measure weight, and weight is made up of so much more than just fat.

My surgery is in two days so I'm thinking WAY down the road but I'm curious - does anybody use a healthy meal delivery service like Hello Fresh, Hungryroot, etc? I'm a single mom of two with a demanding job and I wonder if it might make sense to use a service like this (eventually) to take the pressure off meal prep once or twice a week. In your opinion, are any of these services bariatric-friendly, specifically the keto plans?

There are some specific Bariatric journals on Amazon - I don’t know if something like that would help in the beginning?

If you’ve undergone gastric sleeve surgery and are experiencing sleep apnea, our expert Sleep Apnea Doctor in Brookfield can help. We specialize in diagnosing and treating sleep apnea that may develop or worsen following bariatric surgery. At Advanced Sleep and TMJ Solutions, our comprehensive approach ensures you receive personalized care and effective treatment to improve your sleep quality and overall health. See more: https://advancedsleepandtmjsolutions.com/sleep-apnea-treatment/

Hello and welcome in the forum. There is a whole thread listed as Bariatric grief, its very worth a read. I had mine pre surgery. Anything with noodles was my thing. I had lots of Asian food funerals. I promise, it gets better. I eat everything I feel like except I cook it or it comes from a quality restaurant. I live in a part of the UK with out fast food places and the only one is a Dominos Pizza, I dislike the price £20, so would make it at home if that was my thing. I can eat a good amount of good icecream and some good chocolate, too much and I puke. I can eat a Magnum for instance. I eat Falafel with Tzatziki regularly and thats the first time I ever heard of it being off anyones menu. I bake it rather than fry it. I have had some Pad thai but its not really a thing for me anymore as I can eat so few noodles. I will go for Tom Yum or Tom Kha at our Fav restaurant. I can not eat anything ultra blitzed like Guacamole, shudder ... the puree stage has left a memory on my soul. I tried making it chunky but my brain will not accept it. All those slimming classes did have something to tell me after all. Being skinny is better than a bowl of the very best tasty noodles. Saying that .... if I could eat them I would, but not every meal, every day or week.

I think you have to first understand what these medicines do. They stimulate insulin production. This may or may not be important to you depending on if you are diabetic. They slow gastric emptying, meaning you'll feel full longer They may suppress hunger signals. Interestingly, researchers don't fully understand why all of this occurs. My personal take in your case is that if you are still steadily losing and are not feeling overly hungry yet (most people don't feel a lot of hunger 4 months post op), then I personally don't see the need to use this medication. I doubt it will do a ton, and might even make it hard to get adequate protein intake. If on the other hand, you are already feeling a lot of hunger and are struggling, then these might help. A few other things to think about: For most people in the US, these medicines can be VERY expensive, even if you have good insurance. If you don't have good insurance, then I hope you're independently wealthy because they can be several thousand dollars a month. Most of the pharmaceutical companies that sell these drugs do have some sort of savings card to make them SIGNIFICANTLY more affordable. Keep in mind that most of those are only good for up to one year. That means you could be back to looking at thousands of dollars a month to continue the medication after the savings card runs out. There are companies that are selling compounded versions of many of the GLP-1 agonists and they sell these for a lot less (typically hundreds of dollars a month rather than thousands). Bariatric Pal is even doing this. These companies can do this because the FDA has special rules for drugs in short supply that allows companies to make them to help fill demand. The issue is that you may or may not be getting what you think. See this link for more info: https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/fdas-concerns-unapproved-glp-1-drugs-used-weight-loss While some companies are certainly reputable and selling you what they say they are, others just are not. It's a little like the wild west right now when it comes to compounded GLP-1 agonists. There is a percentage of people that don't seem to respond to these medications. It's about 15% for semaglutide and a bit less for some of the others. I mention this since some people get really disappointed when this happens, so it would be good to be aware of this possibility ahead of time. These drugs (like most any drug), can have side effects that make then not worth taking for some people. There's really no way to know ahead of time if you will have this sort of problem. Generally speaking, most people that stop using these medicines tend to gain weight back pretty quickly, since the hunger will kick back in. As such, most doctors and pharmacists recommend staying on these for life. It's best to be prepared for this now, vs. thinking you're going to get away with just taking it temporarily.

It’s never too late to change your mind and choose an alternative surgery. Please, please, please talk to your Bariatric team and tell them your worries and concerns. Being apprehensive is completely normal I would have thought, as this is some major surgery we’re choosing. You have your own fears because of what happened with your mum - again, completely normal. Let the team at the hospital go through it all with you and explain the pros and cons. Whatever decision you make, just make sure it’s an informed decision and that you feel comfortable with the outcome. I bet you’re not the first person the team will deal with who is having doubts, they will be prepared for it so make use of them!

My NHS offer 3 ways of completing the LRD - all shakes/meal replacements or 2 meals of replacements and 1 of food or all 3 meals actual food. All 3 ways are for 3 weeks and must average between 800-1000 calories. If you’re having food for say dinner, they say you can have a healthy ready meal of approx 300 cals plus a yoghurt of around 100 cals. As @Bypass2Freedomhas said, different providers seem to have different rules and expectations so I would contact your dietitian or Bariatric department just to double check 🙂

I'm almost a year and a half since my RNY (November). I've lost about 135 give or take (I bounce between 125-130lbs). I haven't lost any fat free body mass since month 3, and have actually gained 5lbs of fat free mass since May. At my 1 year, in May, my body composition said I was at 18.1% body fat which is on the low end of "lean" I did another one last week because I was feeling off (tired, muscle cramps, brittle nails, headaches) My body fat percentage was at 12.3% which translated into roughly 16 pounds of my overall weight (130 at the time of the test) being fat. Anything under 15% is "at risk". I eat, what seems like all day long, I get my calories, protein, healthy fats, fiber. I take all my supplements. All my blood work I've had this year for random things and specifically for post surgery, has been normal. Nothing, other than feeling off, pointed to this. I do have an appointment with nutrition and my bariatric team this week. But wanted to see if anyone has gone through this, heard of this... Anything? My initial thought is how my body is absorbing nutrients, but again, my labs have been normal.

I have not found a practice that will accept me since they didn't do my original surgery. I tried to go through my local Bariatric Center...I was even referred there by their surgeon who removed my gallbladder but they only saw me once and said that was all they were willing to do since I didn't have them do my original procedure. My PCP monitors my labs for me.

Hi all! So I am working on Maintenance, I feel good, I *think* I look good, health is great, I am eating anywhere from 1800-2000 calories a day. I am burning around 500-700calories for my workout and walking over 10k steps a day usually hitting 11,500 steps. I am maintaining which is great! I am hungry or I get lethargic which when I eat helps a lot! My obese mind set is slightly freaking out. and I am scared because I'm still within the year of my surgery I am messing it up. I have tried all week to stay within the 1500-1700 calories, 140g carbs, 40g fat that my bariatric packet tells me, and its IMPOSSIBLE. I know I have done well on this journey, I am just terrified of going back and eating too much and ruining all this progress. My approximate daily macros: 1700-2000 calories 100-150g carbs 130-175g protein 65-80g fat Just need reassurance I am not alone in this journey.