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My doctor put me on 12 weeks! Not a typo. 12 weeks of protein shakes and broth. I have 10 weeks to go. The doctor will have their reasons for the diet so I guess it's just individual difference.

I’m a few years out so I have a little bit of perspective. I think staying consistent in a sustainable way is the key. Inly commit to drastic changes you can see yourself continuing 5-10 yrs later. It’s the only thing you can really control, everything else happens on a biological level. Also try to avoid diet/lifestyle creep. Special occasions diets (birthday cake, peeps, royal icing cookies, apple pies, stuffing and pies, gingerbread houses, eggnog etc) should stay where they belong. Don’t do it all of the time. There’s always going to be special occasions but they don’t have to derail months worth of progress (l’m looking at you November/December!). Congratulations in advance on your surgery anniversary ❤️

She didn't ask much about my activity, but then again I'd mentioned that i was still working on getting active and that my energy had been hit and miss. Since then I've noticed I have some days where i have more energy than others, and I did start on my exercise bike! I started with just 5-10 minutes every day that I don't go for walks. I think it has helped with my digestion, and i feel like allowing myself up to 30 carbs on some days has helped my energy level. It's nice to eat a little bit of fruit here and there - I'd mainly been doing dairy and either meat or beans (very small serving, if beans!) Rounding out my diet some has been helpful. I'm still not eating any garbage foods - the most I've indulged in was a couple pieces out of an order of honey chicken and maybe 1/8 cup of the rice that came with it. Everything else has been very low or zero sugar so far. I've also let myself have one cup of coffee per week - all things considered, I'm feeling a bit more human. The walking has been nice, especially when I can do it outside in cooler temperatures. I think we've got one more week of 80s, and then back into the 60s and 70s. I can't wait!

7 years out this November (I can’t believe it’s been that long!) 1. The surgery did all of the work. I didn’t wake up hungry, I didn’t feel like I could eat more than recommended. I didn’t have any (initial) complications that slowed the weight loss process. 2. I was really strict and followed every rule pre and post op. I was super serious because I absolutely needed this to work. My motivation remains for medical reasons first and aesthetics second. 3. I limited calories from liquids. 4. I am finally ready to admit that I have a narrow palate. I don’t like most food and definitely not most fast food but in a pinch I will eat it *some* things. I cook the vast majority of my meals and most are very boring by foodie standards. 5. I was converted from VSG to RNY at my goal weight (GERD etc) and I’m sure the durability of RNY has made a difference in maintaining. 6. I was given a higher BMI range by my surgeon and thank goodness because getting any lower would have been a real struggle without added benefits. 7. I invested in plastics. I shouldn’t make sense or a difference but I didn’t want to mess up the work I had done plus removed skin and fat cells are gone forever. 8. I address the smallest regains IMMEDIATELY adjusting behavior and intake. I’m not ashamed of it or ignore it, I weigh often to stay accountable to myself. 9. I found what works for me and focused on that, adjusting as needed. I try very, very hard not to compare myself with anyone else. I never attached self worth or morality to weight (gained or lost). I think it helped immensely that no one ever bothered me about weight. I realize it maybe a different story if this wasn’t the case. 10. I check in yearly with my bariatric team.

You don't really have to worry about food safety if the food is frozen at 0°F (-18°C?) or lower. It technically can keep indefinitely. The problem is the quality will degrade over time and this is made worse if there is air in contact with the food. From my experience, freezer burn is the biggest problem. After a while in the freezer things will start to dehydrate and oxidize if exposed to air. That's why you want to get rid of as much air as possible. You'll know if it's freezer burned when it gets kind of a grey or white surface to any parts exposed to air. This will cause an off flavor that's not particularly pleasant. This may be happen in a few months, or much, much longer if stored properly. I once tried to grind up a ~5 year old roast that I "rescued" from the bottom of my freezer. I knew it was freezer burned, but I was hoping that if I made chili from if, the strong flavors of the spices would mask the freezer burned taste. It didn't. ☹️ 0/10, wouldn't recommend.

@NeonRaven8919Exactly! @AmberFLHe‘s currently on the platform, unsure if the weight loss train is the train he wants at the moment @JennyBeezRomanncy-love-stuff? What’s that then? LOL! @SleeveToBypass2023All my stats are up to date right now. Don’t know which surgery as I haven’t had my appointment with the surgeon yet (NHS - it’s never a rush 🙄) I had thought sleeve initially but, after my first group education session, I’m now thinking bypass, purely because of reducing the hunger hormones which isn’t a factor with the sleeve. However, I will listen to what the medical professionals recommend and make my decision from that. So, I had the conversation with hubby last night and got a lot of things cleared up. It’s not just the WLS that’s concerning him but some other things too like me having knee surgery and not needing him anymore, especially as he has his own disability which cannot be addressed with surgery. He thinks he will be holding me back and I deserve better etc etc. I truly understand where he’s coming from but we’ve been together 22 years, married for 17. His accident happened when we’d been together a couple of years and back surgery made it much worse. We’ve dealt with horrible shitty ex-wives, massively entitled kids, redundancy, depression, illness, disabilities etc. If we can come through all of that and not want to stab one another then I will take that as a win 🤣😂 Life throws things at us when we least expect it, both good and bad. I think we’re OK for now, thankfully, so I can stop eyeing up the pillows in bed, thinking of ways to smother him 😈 Physio was cancelled today due to staff illness. They had a bit of a panic trying to find an appointment for me as I’m supposed to have physio 10-14 days after the steroid injection. As it stands, they found me an appointment for next Monday which will be 19 days afterwards so I will have to see if that’s acceptable. I’m not stressing though as I’m doing the circulation booster and knee programme every day so hopefully that will have a positive impact.

It's valid to feel scared about this new experience and really good that you can express your fears to other people. My first thought as I'm reading this, though, is that your size is thoroughly unremarkable. It may not be where you want to it be, and you're doing great taking control of that and changing your life through having gastric bypass. But at your height and weight, surrounded by adults as you will be in college (and not middle school bullies), your weight simply isn't going to be a thing people notice about you all that much. I had my surgery when I was just slightly under where you are now, and I honestly had a friend (who is average weight/skinny) express total shock at my choice because she thought I was "only a little overweight" (while I thought I looked like a Macy's Thanksgiving parade balloon on two legs). Other people do not see us the way we see ourselves. In your mind, you seem to see yourself as worthy of being judged poorly and disliked for your appearance. I would ask, is this how you look at other people? Do you only befriend skinny people? Do you think fat people are terrible? Because if you do, that's a serious personality flaw that I would be way more concerned about fixing than my weight. And if you don't...neither do most people. Also, if they do? See my point about it being a serious personality flaw. Don't give that kind of person power over you. Your existence, exactly the way you are at any point in time, is not the problem. A person who is judging you for existing is demonstrating that their opinion is not worth considering. Most people don't notice weight first, unless maybe when someone is truly remarkable in size. Most people remember a person's confidence, humor, and overall disposition. They might remember a beautiful smile or a charming laugh, or maybe how you wore your hair or a colorful scarf. They want to be friends because they feel a connection to your personality, not because you have the "correct" size tag in your jeans. Again, if this is not the case, ask yourself why this is someone you want to concern yourself with. The person you want to be is not just a "skinny" person. At least, I really hope not. I would encourage you to make a list of 10 qualities right now that you want people around you to see and remember about you, and none of them can be about your weight or similar societal measure of physical attractiveness. Focus on that list. Do you want people to see you as smart? Kind? Funny? You can be all of those things today. You probably are all those things right now, if you let yourself believe that it's true. You don't have to lose a single ounce to make that happen. Do you want to be someone who takes care of your health? You're already doing it. Who eats right? Who exercises? You're that person now. Focus on the things you have control over. You don't get to choose your weight. None of us do. But you can make food and activity choices every day that promote a lower weight. You can't make a specific person or group like you. But you can be the kind of person many people will like. I wish you the very best of luck. I really wish I had known 30 years ago how absolutely, perfectly fine I was without changing anything, and how little other people's judgement actually mattered. It would have made so many things so much easier.

No I haven't started yet. My wife was off of work today and we went grocery shopping and I stayed in the car. I saw my friend and his wife that I haven't seen in over 20 years at the grocery store as my wife was going into the grocery store. They passed my wife but only know my wife by name so they didn't stop to say hi but they have a son that's I'm guessing maybe 10 or 11 years old. I haven't talked to my friend or his wife since they got married I was an usher at their wedding but it was nice to see them I didn't say hi because they were in a rush to get their groceries home and they didn't notice me had they noticed me they would have stopped to say hi. But next time I see them I will definitely stop and say hello. Hopefully after I lose 150 pounds lol. But my friend is kind of a family friend so he's seen my sister and my mother since and said hi to them and asked how I was doing and he knows that I'm married now and he knows my wife by name. He also has a daughter that is probably close to being in her early 20s now but she wasn't with them today it was just their son that I knew nothing about. So in 4 days I'll know when my surgery is. I'm really excited for it and am looking forward to getting the surgery done and over with. I'm looking forward to losing the 150 pounds I want to lose so that I can go into public situations like this morning and actually say hi to my friend instead of being like "he is probably not going to recognize me weighing almost 450 pounds when we last saw each other I weighed like 280." There's always my voice and my face which is how I recognized him, that and he didn't really gain much weight over the last 20 years but... idk... I just didn't think he'd recognize me weighing almost 200 pounds more.

Hello all! I had my SADI-S done on July 17th and I was trying to find a community/support from others who have gone through bariatric surgery. Both my parents had the RYGB over 10+ years ago, so I guess I'm not really new to bariatric surgery, but I am new to all things SADI/sleeve. I'm currently taking the Bariatric Advantage multiEA with iron and they are...gross. So I'm curious to the alternative people have been taking, but that also meet with the SADI requirements, since I know the malabsorption is an issue. I'm diabetic, and on the Omnipod insulin pump, but with U-500 Humalin instead of U-100. I am extremely insulin resistant, even after the surgery. But it has been way better than before the surgery, so whoo hoo. I think I'm just looking for people to share their own stories with the sleeve/SADI and any tips/tricks along the way.

Because I am still 'fairly" early in the journey (a little over 9.5 months post-op) I completely get your fear and worries. I go through the same cycle of thoughts and what ifs, I wonder if I'm eating too much, too little, losing too much, regain....etc. so I get it. What I can tell you is that you used your surgery to build really good habits and that is eating well most of the time, steps, weight training...etc. and I'm sure those replaced your previous bad habits. Please do a mental comparison of yourself pre WLS and post WLS and see how much you've changed. From what I gather is that you took up exercise after WLS and that gives you great advantage. Your body will build muscle and lose fat simultaneously and you will be at the peak of hypertrophy so take that chance to build as much muscle as you can (fat burning machines). I can tell you that someone at your height and activity level would need quite a bit more than 2000 calories to maintain, so you're still in a deficit. And the beauty of it, is that you can always dial back up or down when you see changes on the scale! Weight fluctuations are very normal (up to 10 lbs), yesterday I was 53.2 on the scale and the next morning I was 53.9 overnight! I know that I was getting my period that day so I knew it's water retention, no biggie! I think you absolutely got this!

Honestly, your food pictures all look pretty healthy, so no notes there. I would watch out for any mindless snacking, just in case you have fallen back into a habit of popping a handful of nuts when you walk past your pantry (guilty!) or adding a lot of cream to your coffee. You know, the type of thing your brain may not even be registering. I had a friend who thought his coffee was fine because he didn't put sweetener in it, but he put a ton of half and half, along the lines of a full cup per day, or an extra 300 calories he forgot about! But other than that, plateaus are normal. I am approaching 9 months post-op and for the past 6 weeks, I have been bouncing up and down by about 2 lbs but never dropping lower than the lowest weight I hit in early October. From everything I've heard and read, it's part of the process and is pretty common the closer you get to a normal weight and the farther out you are from surgery. There are a few things you might try, though. First, increase your protein so you are at 80-100 grams instead of the minimum 60. Try to make that from real food and not a shake. You might also increase your non-starchy veggie intake, which will provide more fiber. Add in another 32oz of water each day. Go to bed an hour earlier if you can. It's counterintuitive, but increase your calories by 100 and cut back on your exercise a little to see what happens. Sometimes, your body starts to conserve too much energy because it fears starvation and giving it a little more while asking it to do a little less breaks that cycle. Also, the fact that you fit into clothing at 195 lbs that your family members wore at 30 lbs lighter suggests that some of your weight is not fat but "infrastructure." When we get very heavy, our body grows more bone and muscle to hold it, and bigger organs to carry out their functions on a larger scale. When we lose weight in a hurry, all that architecture remains in place for quite some time, adding to the number on the scale. You may look now like you did at 10, 20, or even 30 pounds lighter back in the days before you ever became obese. If you have some old photos of a time when you were the goal weight you have in mind now, try doing a side by side comparison. You might already look really close to where you are trying to be even if the scale says otherwise.

OH!!! Ok. I've heard people say something weighed 6 stones or 10 stones and I always thought "why are they weighing things with rocks?" Now I know lol Thanks for clearing that up!! And congrats on the weight loss!!!

September 19!

Excellent thread - thank you @JamieLogical! I got sleeved almost 3 years ago. I hit my goal weight well within my first year. I lost another 10lbs very slowly in my second year to reach a BMI of 20. I was absolutely thrilled - I had lost just over half my body weight and was well beyond wildest dreams territory after a lifetime of obesity. But I started to regain this year. Initially I thought it was just the classic '3rd year regain' of the 10 - 20 lbs that so many people seem to experience. I asked lots of questions here and was reassured by the answers. I hadn't really drifted *that* much off the path (I thought). However, I continued to regain with no let up and was getting really worried. I eventually reached 16lbs over my lowest weight a month or so ago. Finally, I decided to go back to absolute basics and see whether that might reverse the regain. Carbs had crept in a bit (NOT A LOT, honestly) so I started every meal with protein, ate veg next, and stopped all bread, rice, pasta, potatoes etc. Just as I would have 2-3 years ago. Guess what? I have lost 9lbs of that regain in just over a month. My current diet is pretty much strict keto and not hard at all. I totally agree that the tool is there, we just have to use it and not eat around it. I'm so happy that I caught myself before I regained much more, but I can also totally see how I might have undone much more hard work. I wish you all the very very best with your new loss. I suspect you'll greet every milestone with just as much joy as you did originally.

Yeah €150 is expensive but I get a small contribution from work towards gym membership so I think I will try it out, plus if it is too cheap I may not turn up! I have a free introductory personal training session at the end of Sept (have to wait until I am back from holidays) and then if I like it I can start membership from Oct. and they include personal training in their price so that should help me. It is a small gym, only 10 people allowed at a time and no-one from my work is a member there which is a bonus as my boss is a member in the cheaper gym near me. I really just need to be shown the correct way to use the weights to try to tone up arms and legs but any tips from you @AmberFL would be great and much appreciated for at home use. I have 3lb and 6.5lb dumbells at home but no idea where I am on fitness scale, I would think medium - I do pilates and aqua aerobics (but not for August as everything in this country closes down for the month!) and walking but nothing high energy.

it's very common to have a 10-20 lb regain in year 3. It's not inevitable, but it's very common. And no, one day of bad eating when you're in maintenance is not going to affect your weight - I'm sure most of us long-timers have those days once in awhile. But if you go back to your old eating habits, you WILL gain a bunch of weight back (and maybe close to all of it). The trick is to be able to recover quickly from a bad day and get back to your regular plan ASAP (like...the next day). This is a lifetime battle (made easier by WLS, but still...a battle).

I am a huge fan of these new meds because: they work and it’s moving the research of obesity forward instead of continuing to moralizing it. For our population, it’s not clear whether or not this a life long commitment because there are no current trials for this. https://onlinelibrary.wiley.com/doi/full/10.1155/2022/6820377 (section 2.9. Potential Roles of GLP-1 RA on Prevention of Perioperative and Postoperative Complications of Bariatric Surgical Individual) https://www.thelancet.com/journals/landia/article/PIIS2213-8587(19)30157-3/abstract GRAVITAS Trial from 2016-2018

This was at my bariatric surgeon's office, so I'm not sure if I can see anyone else for my yearly blood work and follow ups. At this point, I'm not sure I even want to bother anymore. As far as the carbs go, I can't tolerate more than 10-12 carbs per sitting and no mare than 40-45 total per day before I get sick. And by sick, I mean SICK. Light headed, stomach pain, nausea, vomiting, shaking, serious fatigue, headache, It's like I went from being a carbaholic to my body almost not being able to process them at all. And there doesn't seem to be much difference in the type of carbs, either. Although bad carbs send me over the edge almost immediately, long before I get anywhere near my limit. But as far as actually going over the limit before getting sick, my body doesn't care if it's good or bad carbs. It just doesn't like them. Period.

I’m not sure how I am doing I started at 145kg Op day 31/5 I was 135kg Today 19/7 I am 121.6 kg I’m losing 1kg per week but just seems very slow especially when the first 3 months your suppose to lose the most.

Yes everyone's programs are different for sure and I agree with @ShoppGirl that if you have the option of a meal go with that. My program was 12 days pre-op diet - the first 10 days were 2 shakes - my team had a guideline for the calorie/carbs/sugar count they should have - and then a lean protein with a non starchy veg dinner. All other diet/no sugar drink options were fine - seltzer, diet soda, tea, black coffee, broth. I think I could have 1/2 cup of milk and a yogurt somewhere in there. Day 11 was liquids only - shakes, jello, broth. Day 12 was clear liquids only basically broth lol. Thankfully I was released from the hospital at the pureed stage and did not have a full liquid stage, but even pureed was not it after awhile. Vitamins and supplements you don't have to really start until after as long as your current bloodwork doesn't show any deficiencies. I had to start chewables only for the first 30 days and then could move to capsules.

So glad to hear your checkup went well and everyone’s plans a little different depending on their surgery their age, their activity levels, their medical conditions so you’re probably gonna get a lot of answers. My team doesn’t give a calorie goal either but once I showed her my Fitness app which logs my level of activity as well as my food blog she told me I needed to increase my carbohydrates and protein, which has been really scary and hard to do especially because I went three days without losing and then actually gained a pound after I increased it but I’m trusting the nurse practitioner that she knows what she’s doing and hoping it will work out. I haven’t had my three week stall yet so maybe that’s what’s going on. I mean, I’m eating probably a third of what I did before surgery and I’m exercising 10 times more so there’s just no way that I would be gaining. Oh, I should add that. I weighed myself this morning and. I lost that pound plus another one so I really lost 1 pound in the three days well in four days I guess. I do remember from my sleeve, but it does slow down quite a bit at a certain point. I just don’t remember when and how much. I am also trying to focus on the fact that I feel healthier and have more energy and I’m in a better mood than I have been in years.

So #1 is you definitely need to fight to get this rebilled properly. It's insane to me that they won't fix the billing. They get paid more for the proper procedure, so that's crazy that they won't fix it. Then #2 is you need to contact someone about starting a lawsuit. The surgeon should have called an ambulance for you. The surgery should have been done in a hospital. You should have been monitored closely and been up walking within 2 hours of being out of recovery and back in your room. Knicking an artery could have literally killed you and definitely should been noticed before 10 hours. Finally #3 is getting this covered by your insurance. BCBS should be covering any lifesaving, medically necessary health care and procedures. No, they won't cover care for non covered procedures, but that's usually just follow ups and complications of the NON LIFE THREATENING variety. Everything you've been telling us falls into the life threatening, surgeon negligence, medically necessary to SAVE YOUR LIFE category and should be covered. You need someone to fight on your behalf to get this stuff covered and either greatly reduce or even completely eliminate your bill. I'm from Florida, and while it might be done in some places to have a surgery like this in a surgery center and not a hospital, it's definitely not the absolute norm. Did you do extensive research on this surgeon, his reviews, compare him and his pricing to other surgeons? No way would I have had this surgery and NOT been in a hospital. Too many things can happen when you least expect it. This guy distancing himself from all of this, when clearly he screwed up, is the first HUGE red flag. Refusing to fix the billing error is the 2nd one. Not calling an ambulance and instead having your husband take you (effectively making it appear that you left on your own and went to the ER instead of him seeing an issue while under his care and calling an ambulance for you, so he can wash his hands of it and look like whatever happened was on YOUR watch and not his) is a 3rd red flag.

my win today is successfully holding a straight handstand for just over 5 seconds! been working on this for a few months now and this is the first time i held over the 5 second mark (the goal is 10s...halfway there!) i would like to note that i am 52 years old and this year is the first time i EVER did a handstand (of any length of time, outside of a cartwheel) in my LIFE. 💪🏼 i feel very accomplished lol

Hi! I got approved for the surgery in May of 2024. Doctor first told me that I would most likely have to wait until 2025 because of how the long the hospital waiting list is. Suddenly, I got called last week saying they were able to do it in October of 2024. So this is the first day of a 12 week liquid diet to lose 10% of my body weight before the surgery. My birthday is coming up and I have wedding that I'm going to next week! I'm happy that this is happening this year, but I also feel bummed because I feel like this is bad timing. I'm really happy that this journey is starting. I've always been overweight and so was my mother. We were the only one's in the family who were. We moved to the UK when I was 14 and my stepfather was also overweight and he passed away in 2022 due to pneumonia and other weight related complications. My mother had gastric bypass in 2008 and due to surgical complication, they couldn't fix a bowel perforation and she passed in 2023. She and my stepdad were the only people in my life who were really supportive of anything I did. I fell a little bit alone going through this now, but I'm feeling optimistic at the same time. Just looking for other people to share my story with.

In reference to a comment above, I had a DEXA scan and found it very helpful. I thought I had more weight I could lose since I was near the top of my normal BMI range - but the technician said "no - you're done. You're at 21% fat, which is on the low end for a woman". I was shocked. But like the commenter said, you're always going to have more bone and muscle than someone who's never been obese. And I remember being told at one point by someone in my clinic that that is why we often look 10 lbs lighter than the scale would suggest (you do lose bone and muscle while losing weight - but that's fine because we don't need it anymore - we had all that infrastructure to hold up all that weight we once had. We do lose some of it, but not all). some pain isn't uncommon because of shifting architecture, as someone else said. You're carrying your body differently now, and your bones and joints aren't used to it. I'm not sure if that happened to me, but I'd get major butt pain if I sat for too long. I had to buy coccyx pillows for my car and office chair. I don't really get that any more (although I keep a coccyx pillow in my car for long drives) - not sure if I just figured out how to sit on it so it doesn't produce pain, or what.. re: unrealistic goals - after successfully getting down to around 170 lbs, I told one of the staff members at my clinic that I was going to shoot for 150 (which is a normal BMI for someone my height). I was told that wasn't realistic, that only about 10-15% of their patients make it that far. Most end up in the "overweight" or "class 1 obese" category (which isn't very obese). The research I read back that up (I did end up making it - actually got quite a bit lower than that - but years later, I'm now technically "overweight"). Anyway, that's what your surgeon might have been referring to. Not many of us make it all the way down to normal BMI.