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I had gastric bypass on 5/7/2021. I began my weight loss journey in August 2020 when I attended my hospital’s bariatric seminar. My insurance required 6 months of diet before surgery approval. My fist dietitian appoint was mid-October 2020. Prior to this appointment I had very little motivation to lose weight. I was 280+ pounds (5’ 7.5”) and depressed. My ankles swelled every day, I had trouble moving, none of my clothes fit well and my wedding rings didn’t fit at all. I had gone off the rails. Between October and March 21’ I managed to lose 45 pounds. I attribute my success to my husband also taking charge of his health and being a great partner. My packet was submitted in March and approved 1 week later. My surgery was scheduled 7 weeks form the approval to my disappointment. It was a long 7 weeks! I didn’t gain or lose weight during my wait. I was officially 237 at my pre-op appointment. I managed to lose 10 pounds prior to surgery on the liver shrink diet. I was 227 the morning of surgery The surgery went fine. I had some nausea and dry heaving the first few hours. I was able to get water down but not much else. The drain really caused me trouble so it was removed 12 hours later. I ended up only staying 1 night in the hospital because I was determined to get released early. I walked all the time and really kept my RN on his toes. Thankfully the doctor agreed with me that I would recover better at home. The next evening I was discharged and could sleep in my own bed. I followed the diet exactly for nearly 8 weeks. I went on a cruise with my family and 95% ate to plan. I would have a taste of dessert but let me tell you I sure paid for it. Dumping is real and it affects me. I seem to dump if I eat too fast, too much, or an item too high in sugar (hello chai tea!). I learned many lessons that week I’m thankful for. The surgery did exactly what I needed it to do- deter me. I have had trouble with constipation. I am taking 3 colace per day and benefiber each morning. Seems to help but my body likes to hold onto waste. I might go back to miralax to help move things along. I’ve always had trouble in this area but now it’s more consistent. On Saturday I hit “onederland” and weighed 199. I never thought I would get here. I weigh myself each day and I am fluctuating between 198 and 199 this week. I have a heck of a lot more energy than I did a month ago. I am moving my body every day and using my elliptical at least 3 times a week. I have changed sizes! Last summer I wore a 20 and now I need a 12. It blows my mind. It’s hard to describe how I feel. I can see the change but I don’t believe it’s me. People I haven’t seen in a year take a look at me and their mouth drops and tell me they didn’t recognize me or make a comment like “omg you have lost so much weight!” In a way it feels good to be validated but at the same time I hate the attention. Honestly if I didn’t lose another pound I would be happy. I am under 200 and I feel/look great! I can move without pain and I have energy. Heck I mowed the yard today! I’ve had some negative comments too- mostly from my parents- “you’re starving yourself, don’t loose too much weight, and I think you’ve lost enough” It’s painful so I don’t speak with them much. I feel my weight loss has been slow but I remind myself how far I’ve come. 80+ pound weight loss is nothing to bat at! I’m doing a great job! I hope to be better and update this thread monthly! Thanks for reading.

In my opinion, your money would be better spent and your health would be better.....seeing a bariatric therapist to discuss your concerns and create strategies for managing your habits if you feel you are overeating.

My surgical group's official stance is "No NSAIDS ever again." But privately, my bariatric surgeon has said that taking a few doses a month is not a big deal, but he wants me to take an antacid each time I do. Also, he doesn't want me taking it for extended periods of time. He also would not allow this the first year after surgery. For the first year, he was very strict to allow healing. I do take a couple doses of ibuprophen each time I get a bad migraine or bad menstrual cramps these days. No more than five doses in a month, and always with a big dose of antacid. Typically, it's one or two doses per month, if that.

You look fantastic. If you don’t mind me asking, I’ve wondered how the recovery is compared to bariatric surgery? Please keep us updated and congratulations.

I also take the bariatric advantage chewable multivitamin and calcium chews and they are not bad at all. The calcium reminds me of starbursts.

No matter how small your pouch/sleeve/stomach is, it stretches when there is food in it and contracts when there is no food in it. Also, liquids go right through it. Also, restriction is strongest in the first year. It's up to you to limit what you eat to ensure you do not regain weight. For example, it's possible to gain weight if you are "grazing" all day. Like, your smaller stomach will only accommodate a small amount of food in 30 minutes, but it will start to pass through, and if you are eating all day long, you will end up eating more calories over the course of the day than your body needs and you will gain weight. That's why it's best to have 3 small meals along with 2-3 small snacks. Also, drinking liquids with your meals may "push" the food through and allow you to eat more that you need, that's why they recommend you wait 30 minutes after eating to drink. I would recommend finding a bariatric nutritionist in your new state, or ask your old surgeon to recommend someone you can see to find an appropriate eating plan/number of calories per day.

Ok thanks I think I’ll stay in the states. I was going with Oasis of Hope but just saw a recent article last month where someone’s intestines were stapled and she had emergency surgery it was bad. My next choice is ALO bariatrics but now I’m terrified to go to Mexico idk. I guess it’s a risk we all take

I've been on the Bariatric Advantage Chewable with no issues. Only have to take 2 in the morning. I also take their Calcium chews and they are like pieces of candy. I switch to non-chewable next week.

I am pre-op but got these to start getting into the habit of taking them and I absolutely can't stand them. I tried for several weeks and it got so bad I started gagging every time I took one. I just ordered a bag of the Bariatric Fusion soft chews to try, and I requested a free sample pack from ProCare. Hopefully, I'll find one I can stomach, but I don't blame you one dang bit for wanting to pitch the the BF chewable ones, they are awful! Other folks have also had success with the patches, but the research on absorbency is a little sketchy. Its hard to know how well they actually work, but definitely worth a shot!

The first few weeks can be such a challenge and you've received many great ideas from comments here. I found that I worked through the stages of grief during my immediate post-op surgery experience. A loss of my "normal" life and a loss of the food that I thought that I needed. Working with yourself either with a bariatric therapist would be very helpful as someone previously suggested. I didn't have one when I first received my surgery, but my Mom was my rock through those initial processes. Perhaps you also have someone in your support group who can empathize, listen, and assist you during this time. I remember those feelings of longing and the thoughts of "why did I do this??" but it does get better! The cravings have never left me, but I have learned how to enjoy so much more out of my life that while sometimes I may have a bite or more than I initially thought the life that I have after losing the weight is so much better than I could have imagined. You CAN do this! Your body is still healing from surgery so give yourself some grace and kindness as you work through healing, all of your emotions, and dealing with an eating disorder that drove you to your pre-surgery weight. One day at a time and suddenly you will have made it a week, a month, months, and a year. The journey doesn't end...just shifts. Best wishes to you!

Hey all, This is my first time posting. Its just my husband that knows about my surgery but I wanna share it with you all because today I've reached my target weight[emoji1][emoji126] Im 7 months post op. I'm 5ft1 and weighted 15 stone before gastric bypass surgery and now today I've reached the 9 stone mark. Getting surgery was the best decision I could of ever made but the hardest thing I've ever done also. I travelled to nord bariatric clinic from Ireland to Lithuania in Dec 2020 solo. I was scared, ashamed nervous and so so miserable. I missed my kids and my husband so much for the time I was away it was scary being alone doing this but I knew I had to do this for me and for them. The first few months are a learning curve post op but honestly things get easier and you adjust. I still enjoy nice food and drink but know my limit. Having surgery has allowed me to feel like me again I feel the head demons are gone and I just feel free. Here are some before and after photos . Best of luck everyone with your journey. Its so worth it Sent from my SM-G781B using BariatricPal mobile app

Hello everyone, I'm Emma and I have been waiting for bariatric surgery for a long time now. I was discharged in 2019 because I was at another hospital appointment and told I would have to wait 6 months before my dr could re refer me back to Homerton hospital, I would have to start again from the beginning and then covid happened. I eventually received my new appointment for May 19th which was cancelled due to too many people in the clinic. It was rearranged for 28th May. Only to be cancelled on the day, I get refered back to gp because they asked for my weight and BP. I then had to re refer myself back to Homerton hospital, my appointment was for August so I called up for cancellations regularly and finally I had 1 for July. I still had to wait weeks but finally that day is here 12 July my appointment is today and because its a telephone appointment I really do not know what to expect. I realised both the appointment in May and this appointment mentioned different departments. May appointment said Pre-Operative surgery appointment, where this July one just says telephone appointment outpatients 2. I have now also received another appointment letter to attend the hospital in September which I find a bit strange as I have not had the 1st appointment yet. I have been trying to have this surgery for the last five years and everytime I feel like I'm close to having it, it seems to not happen. I am so mentally prepared and focused to what I need to do to make this a success. I need this surgery for a better quality of life, thats all I'm trying to do. Gain a healthy lifestyle and hopefully extend my life and avoid extra health problems. I need this surgery so I can have a operation on my leg, I have mobility issues which makes it hard with weight loss, I have missed out on so much being pretty much home bound and all I want is this tool to help aid me in my journey as I have tried so much over the years. I just wished they wouldn't make me have to start all again, because what about all the hard effort I have already put in? Giving fact I was at a hospital appointment at the time and how badly I need this surgery, I feel it was really unfair to refer me back to my gp since I was at another hospital appointment. I'm just over ready to get this journey started, I feel like how long will the wait be this time? I really told myself not to feel like that, but i guess as the appointment approaches, I just really wish I could show them how dedicated,focused and determined i am for this. In my mind I'm ready to start my liver shrinking diet and head for surgery but in reality I now have to wait for the 1st appointment where you do there (probably Septembers appointment) then its what tests and checks they will want me have from then. Its just a shame its taking me this long to start my journey. Sent from my SM-N770F using BariatricPal mobile app

A bariatric surgeon I watched on YouTube once referred to the first 6 weeks as “the buyer’s remorse stage”where you wonder if it was worth the pain, discomfort, and the gradual shift back to puréed and soft foods. I agree with the suggestions above. See if you can tolerate icy liquids. Soon you’ll be able to have coffee and it’ll be amazing but most importantly right now you want to avoid any strain on those internal sutures. Try to rest as much as possible and walk if you can, even short distances help. Maybe pick up a hobby that you’ve long forgotten or find a new one to help distract you from food for the time being.

The mind is a powerful thing and learning how to manage your head hunger is probably the biggest challenge you will face. Some can do this alone. Some need the help of a therapist. Did you team recommend a therapist who is knowledgeable about bariatric patients? If not ask for a recommendation. I’m concerned you’re still experiencing pain. Were you given pain meds when you left hospital? Can it be managed with over the counter pain meds? Is it gas pain or surgical pain? If the pain is surgical & you’re still experiencing it contact your surgeon. Gas pain can persist longer. Walk. Try some gasX if it’s gas pain. I was allowed herbal or green tea & I found warm/hot drinks much more soothing on my tummy than cold. Try heating your coffee flavoured shake. I used to heat my chocolate shake & pretended it was hot chocolate - lol! It will get better. Undergoing surgery can be stressful & has probably stirred up a lot of anxiety & fear which is also feeding your head hunger. Good luck.

Is anyone having trouble stomaching the bariatric fusion vitamins? They are gross. I feel like post up my taste buds are so sensitive. But I’m a few days out and I can’t bare to chew them. Any advice?

Ps: I told one person. This topic can really divide the community, but personally I needed to do this myself without judgement or questions. I told my boss and colleagues I was having a procedure, fit note from GP just said "post op". Told my family I was having a hiatus hernia repair (as I was at the same time so not total lie!) which helpfully also means you have to stick to a puree/soft diet for a few weeks so I could be open about that. It has come up in discussion with friends that I am doing a lot more walking and my meals are very protein focused, and I don't feel one bit that I have cheated because at the end of the day, bariatric surgery is a tool and I'm putting in a hell of a lot of work. Your body and your health is noone else's business, unless you choose to tell them! There can of course be power in sharing your story and distigmatising WLS, and you might have some very understanding and supportive people around you 🙂

When does the clock start in regards to weigh in and you cannot gain any weight. During my consultation with my bariatric surgeon I weighed in at 218-219. Based on my height and weight and he said that if I dropped down to 212 I would not qualify just on BMI alone. He also advised me that if I didn't believe I had any co-morbidities that I should gain an extra 5-10 pounds for cushion (like I don't have enough LOL) So can anyone advise me on when the clock start. When the weigh in start being documented and I cannot gain anymore weight.

I have been wanting to get the Gastric Sleeve surgery for a while, but my insurance doesn't cover it, and even with trying to save as much as I can. I'll be dead before I'm able to come up with the $25,000 cash to get it done here in the states. I have been too scared to consider getting it done elsewhere, but I have come to the realization that this is going to be my only option. I have been trying to research, but with all the different options out there, and stories of bait and switches, I'm more confused then ever. I have read good reviews for Dr. Ramos Kelly, but most of them are older. I went to his website drramoskelly.com and saw that it is in fact for the International Metabolic Bariatric Center. Is this a reputable place? I really can't find any newer reviews on the doctor, or any reviews for IMBC. I just want to be safe. I have 3 kids, I'm trying to get healthy for. Any information would be greatly appreciated.

Doctors' philosophy on this vary from a few weeks to never again depending upon their experiences. The basic issues are: Healing - alcohol is somewhat corrosive to the stomach lining so one needs to give things a chance to heal first, Typically we see a few weeks to a few months sited for this. Alcohol tolerance - rapid stomach emptying means it tends to hit faster, and with less (i.e., a "cheap drunk") so care must be taken there, Transfer addiction - we can no longer satisfy whatever addictive tendencies we have with food, so it is easy to transfer that addiction to something else, like alcohol, drugs, shopping, gambling, etc. What was a casual habit of a glass of wine with dinner occasionally can easily turn into full blown alcoholism. Liver health - starting as morbidly obese, or worse, our livers are not usually in very good shape to begin with (hence the "liver shrinking" pre-op diets that are often prescribed) and the liver is further stressed from its role in metabolizing all that fat that we are rapidly losing. It doesn't need any more stress from ingesting a known liver toxin like alcohol (not a judgemental thing, just our physiology at work). My surgeon is also a biliopancreatic (livers and pancreas) transplant surgeon, so he is in the no alcohol as long as we are losing weight camp (and ideally forever) and indeed we sign a contract to that effect - he doesn't want any of his bariatric patients coming back onto his transplant table! Those are the issues in play, and some aspects bother different surgeons to different degrees, so they have different policies. Check with what your surgeon's policy is, and decide for yourself - we are all adults here.

timmytommy, ColieCallwell, I'm surprised you wouldn't be approved if you lost too much weight durring the process. I thought insurance used your starting weight for approval. This just proves how everyone's path to surgery and requirements are different. timmytommy, what you'll need to accomplish during your six-month pre-op depends on what your insurance requires and what your doctor/ surgeon wants/needs to prove that you're physically and mentally ready for surgery. You may be required to do the following: Begin a medical weight loss program Lose weight Have psychological evaluation See a registered dietician (RD) See an exercise therapist or get on an exercise plan Attend a support group for bariatric patients Reduce soda/ alcohol Stop smoking/ using tobacco products Make dietary changes Increase protein Start a vitamin/ Supplement routine Sleep studies/ Maintain CPAP/BiPAP compliance Labs/ Tests: blood panel for CBC, thyroid function, B12, HgbA1--for prediabetes/diabetes, other vitamins EKG/ cardiac stress test EDG (esophagogastroduodenoscopy) Good luck!

My PreOp was food - high protein low carbs. I wouldn’t worry as the whole process is to shrink and soften your liver. Mention to your doctor or say nothing. A friend who did Bariatric said she didn’t stick to hers and it still happened. I had a chicken burger and french fries with a soft drink a couple of days before my surgery and my liver had shrunk and there were no complications and my dr said they didn’t need the tool to lift they could use a stitch xx hope this helps

@MotoZen, I'd read that the author of Proteinaholic was a bariatric surgeon. Does he have anything written about pre-op and post-op plant-based diets, or would you be willing to share information from your nutritionists there? I've tried asking the dietitians at my program about plant-based options and they are really not helpful. I'm not 100% plant-based, but mostly plant-based, and I don't eat meat or consume dairy. I was really curious for his recommendations...

8 months- checking in today at 192.8 lbs, for total weight lost of 146.2 lbs. I have 27.8 lbs left to go to get to goal. My weight loss is slowing down but it’s still going. I know that as I get closer to a regular body weight the weight loss is going to get slower and more difficult but I do miss the days of regular 3-5 lb drops every week. July 5 represented one year of concerted weight loss effort for me. On that day in 2020 I started a low carb low calorie diet that was supposed to last for two weeks- I needed to drop weight for my first in person weigh in at the Bariatric clinic and I was terrified I was going to be disqualified due to gaining weight during my 6 month program. I squeaked under the line, and when I got home I just decided to keep it up a little longer to help with weight loss prior to surgery. I ended up keeping it up a whole year! So I have two anniversaries in my head, July 5 and November 10, diet date and surgery date. I’ve been doing good on exercise, and I’m trying to focus better on making sure I keep my diet in check. I’ve gotten lackadaisical about tracking food and I need to work on that because I can’t rely on portion control forever. I also need to focus more on getting sleep- I know that impacts weight loss and I’m terrible about staying up late after the kids are asleep to read books. I remember some celebrity had a big awards show and said something like “I want to thank myself, for all the hard work I put in, for the sacrifices I made, etc” and everyone laughing. But you know what, I would like to thank myself. For starting a diet 12 months ago and sticking with it though the hard parts. For getting a surgery that terrified me but still jumping through all the hoops and getting it done. For drinking tomato soup for thanksgiving and giving up the candy and snack food that got me to 339 lbs. 😀 If anyone is reading this and has 150+ lbs to lose, it’s possible. It’s possible with a sleeve, or a bypass, or whatever surgery you get. Surgery doesn’t do the work for you, but it helps so much. Next month I will be in the 180s and getting closer to a normal BMI. I’m committing this month to tracking each day, exercising 3-5 times a week, and going to bed earlier. August here we come!

I have thought about all the milestones (negative) that I hit before finally turning to surgery. These were NOT tipping points for me: -needing seat belt extender on flight -struggling to tie my sneakers -Winded walking to my office or up the stairs -prediabetes diagnosis And so many years of dieting struggles The tipping point was -getting an A1C test of 6.9 and a Diabetes diagnosis. - getting prescribed diabetes, cholesterol, and blood pressure medications. -And Not being able to go on bike rides with my daughter I felt so hopeless until I finally followed my cardiologists suggestion to attend an informational session for bariatric surgery. After another 4 months of considering all the risks (real and perceived) with taking this step, I could not imagine any other way that I would be able to lose the amount of weight that I needed to get healthy again. Just over 3 months later and 54 lbs down, I am only sorry I was so resistant to the idea of surgery to help lose weight. I feel more than hopeful again. I have a long way still to go, but it feels doable now. And I already feel so much success to be able to move more comfortably and no longer need the medication prescribed just 8 months ago! And I am getting my bike tuned so I can go biking with my daughter on the nearby bike path that I have avoided riding for over 5 years!!

I currently have a BMI of 36.5 with comorbidities. I have to follow the 6 month pre-op diet as part of the bariatric program. My question is: what if I lose too much weight during this phase and fall below 35 BMI? Will this exclude me from surgery? I know I can be successful at a 6 month diet, but past experience has proven that I will gain that weight back. Any feedback is welcome!