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Spartan Maker thanks for the feedback. I am doing my best to increase my physical activity every day. I am weight training with the a trainer 2x a week and I’ve been trying to get in 30-45 minutes of cardio 2-3 times a week to. I do agree I probably need to do my best to up the intensity. I think I’ll start couch to 5k and start jogging. Lately my protein has been variable. I always get 70-80 but I know I would like to get more like 150. On a good day I get 110. My calories have been anywhere from 900-1300 depending on the day and if I work long hours. My hunger is generally fair. I do get hunger cues and what not but it’s not terribly overwhelming. I have been feeling great overall. I would say as far as processed foods the main thing I eat processed is the shakes otherwise I have been trying to eat Whole Foods. I am a nurse and work 12 hour shifts and I do need To do better about getting a little additional physical activity after my shifts. This is a journey but have been blessed with feeling good and generally have good energy.

You are killing it! Your point about calories is really on point as well. I recommend any bariatric surgery patient read up on Relative Energy Deficiency in Sport (RED-S). The simple explanation is that if you work out a lot, you need to eat more. If you don't, then you are a lot more likely to start having a hard time with things like fatigue, various injuries, getting sick a lot, lack of concentration and depression. At its worst, you can get really sick, leading to heart issues and worse. My personal experience is that women tend to struggle with this more, though anyone can be impacted. Some people here might think it doesn't affect them because they don't consider themselves athletes, but if you are working out multiple days a week, it is a risk, especially considering how hard it can be for us to get more calories in. Over time, you'll hopefully learn where your personal limits are. For example, I've found that right now I can maintain my weight reasonably well up to about 30 miles a week, but beyond that I lose weight whether I want to or not.

Hello everyone. I'm 2 years post-op and was sleeved on 01/06/2023. I'm at goal and have been for awhile. I just wanted to pop in and say that I have no regrets. For the first time in 20 years, I am HEALTHY. Bariatric surgery is just a tool though, you have to follow your plan to see results and you HAVE to work on the "head hunger" because that doesn't go away with surgery. However, if you do your part. You will be pleased with the results. It feels wonderful to be on the "other side" of weight loss and maintaining. Best of luck!

I have always spotted for a few days before my period; I look at it as my warning that its coming. It has calmed down some now, but for the first 3-4 months after surgery, my period was like when I was a teenager again. I had terrible cramps and a heavier flow; apparently there is estrogen in your fat cells and when you start losing weight, it releases the estrogen so it can make your periods worse.

So just wanted to pop in and give you my short experience. I never ran, until 6months ago, I started out with walking outside, then stair master, then walking on incline a little faster to a short jog. I too would jog for 2-3min at a time then walk for a min and continue that pattern for about 15min. Now I can run 3.5miles on my lunch break and it takes me about 30-32min to do so. I started really slow but running really helped with my body composition, my mind is more focused and overall has really helped my moods too. I also lift weights 4 days a week so that has helped. My only thing I noticed with all the working out is that I eat more LOL however when I was only eating 1200-1500 calories I was not building the muscle I wanted, and not looking how I wanted. So if you start eating more remember its the working out and your muscles is burning off all that fast! Now that I am not able to work out how I like due to PS I am slowly dying LOL but soon enough i'll be back to it. Enjoy this journey its so fun!

Sorry, wanted to make one other comment here. Please don't approach your weight loss as something that will inevitably stall short of your goals. Plenty of us make it to goal and below, and have maintained this lower weight successfully. There are two things that will really up your chances here: You need to eat better and move more. If you slowly start making better food choices, you'll find you'll lose weight more steadily and be a lot less likely to regain. By making better food choices, I mean eating less ultra-processed foods and focusing instead on: Protein: High quality legumes Lean dairy Lean meats Carbs: Mostly veggies Some whole grains Some fruit Fats: Try to make this primarily monounsaturated fats This is not to say you can never have a treat, or have to eat only the above, but the more you focus on less processed foods, the better off you'll be. I also recognize that you can't make changes like this overnight. Take your time by just making small changes here and there until they become your new normal. Once those small changes are the new norm for you, it's time to make another small change. Keep at this process of making just small changes and eventually, your diet will be a lot better. In terms of movement, we now have lots of data to show that people that are successful in maintaining after weight loss tend to be very active. Once again, I know you're not going to be running any marathons tomorrow, but you absolutely can start small and focus on doing more and more over time. The CDC recommends at least 150 minutes of moderate intensity physical activity per week, which works out to 30 minutes per day for 5 days. They also recommend 2 days of strength training per week. Some data suggests that formerly overweight and obese people need to do even more than this, so my personal recommendation would be to shoot for at least 300 hours of moderate-intensity physical activity or 150 hours of intense physical activity, or some combination of the two per week. If you are over 65, the CDC also recommends you do some sort of regular training to improve balance since this can have a dramatic impact on fall risk. I know that sounds like a lot, but again, if you start slow (even 5 minutes a day 3 days a week), you definitely can get there. For reference, moderate intensity physical activity is walking a brisk pace, or similar activities such as a slow bike ride. Intense physical activity is more like jogging or riding a bike up a hill. If you didn't work up a sweat, it definitely does not count as intense.

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.

Question for you all with experience with going on GLP-1s after surgery. First of all I started out at 325 before I started my pre op diet, Day of surgery i was 315 (Oct 2), Tomorrow I am 4 months post op gastric bypass and I am down to 259.8 (55 since surgery and 65 since the pre op diet)Anyways, I also have a failed attempt with the gastric band back in 2013. Lost 100 lbs only to have complications and gain it back so thats part of my side story. My Dr. recommends GLP-1 starting now because of my high BMI and how much I want to lose after surgery. Personally i would prefer to start this after I’ve lost all the weight I can with diet and exercise and have plateaued. What is your experience with this. I am always wondering if im on track. I would ultimately like to see 160-175 but I guess I wont know until I get there. Any feedback or experiences would be great! Thanks

I think trying to compare yourself to others to determine what's "normal" is a losing game. Plenty of people struggle with various things like fluid intake or nausea early on, but lots of others (like me), had very few issues at all. There really is no normal here. Regarding weight loss, it's only been a week. I'm quite sure you've actually lost some fat in the last week, but you are probably hanging onto some water weight after the surgery. That's quite common. I would suggest that you keep in mind that you're "playing the long game" here. Daily or even weekly variation in your weight are not things to be concerned over. It would be physiologically impossible for someone to eat 600 calories a day and not lose fat. It probably takes more calories than that just to keep your brain alive (much less the rest of you), every single day. If I can give you one piece of advice, try not to stress the process because stress can derail your success really quickly. People sometimes don't realize this, but stress can have a bigger impact on weight loss success than just about anything else. Stress will suppress your metabolism and also cause you to retain fluid, thus even further masking weight loss. I know it's hard, but trust your doctor, trust the process, and follow your post-op diet. It will work, as long as you do what you're supposed to do.

You ready for a long story? 😎 My exercise history is definitely one of extremes. I was very athletic in High School (Secondary School). I played football (American), was on the swim team, and ran track and cross country (not all of those every year). Afterward I spent time in the US Army where running was the norm, so I ran quite a bit. My recollection is that I was running roughly 30 miles a week at that time, so actually a lot more than the minimum required. Unfortunately I was badly injured while I was in the service and was barely able to even walk for a long, long time. Once I mostly recovered from that, I got heavily into powerlifting for almost a decade. I had convinced myself that due to bad knees I shouldn't run anymore, so instead i just focused on the strength training as well as a tiny bit of cardio on the elliptical. Unfortunately, I tore up my back in a workplace accident, so from that point on, no more heavy lifting for me. This was really the beginning of my descent into inactivity and severe weight gain. The heavier I got, the less I was able to even move, until using a cane or walker had become the norm. In addition, during this time I ended up having multiple surgeries, including 5 different shoulder surgeries, multiple knee surgeries culminating in a total knee replacement, and even open heart surgery for a bad heart valve. Fast forward a lot and about 9 months after my bypass surgery, I was walking and backpacking pretty consistently. A bit like you, I decided mostly on a on a whim to just try jogging a bit. It was more to see if I could even do it than anything else. You have to understand with my health history, lots of my doctors would say I shouldn't run. I say I'm going to do whatever I need to do to keep myself healthy because I suspect at some point, I'll need both a revision to the knee replacement and a new heart valve. My ability to survive those surgeries at an advanced age is going to be highly dependent on my overall health. Anyway, back to running. I was so shocked at how well and relatively pain-free the running went, that I decided to start training for a 5k. From there it's just snowballed and I've now done around 20 or so different races between 5ks, 10ks and Half Marathons. I'm not super fast (I am 60 afterall), but I am still pretty competitive in my local races, at least for my age. I'm also lucky that I'm now retired. This means I have the time to train appropriately. I typically run 4 to 5 days a week and average between 25 and 35 miles a week. I'll probably ramp that up in 2025 because I'm targeting a fall marathon and I'd like to be around 50-60 miles a week at peak fitness before the race. At this point running is my passion, but I do still strength train twice a week to keep what strength I do still have. As an aside, I'm strongly considering becoming a Certified Personal Trainer. Not really because I needed the knowledge, or because I expect to work in the industry (I am happily retired after all). My real goal is to help others where I can on their journey to fitness. I feel I can better relate to those that are struggling than a lot of CPTs that have always been fit. I also at least want those I work with to know I do have some knowledge of the subject (even though I've frankly probably forgotten more about training than a lot of CPTs even know). I'm really glad you're going to keep after it. You might surprise yourself in terms of what your capable of!

YESSSS!!!! I'm so happy for you! There is NOTHING like that feeling of having a capable body. All the walking at incline you've been doing really paid off for you so far. Next thing you know, you might get bitten by the running bug like i have and be training for a 5k, 10k or more! Remember, the vast majority of people that have lost weight and successfully kept it off for long periods of time are very active.

Prior to weight loss surgery, I could barely walk 5 minutes without stopping from the pain. I think the last time I actually tried jogging was with my mum when I was about 17, so like 11 years ago! And back then it was this Couch to 5k app so you would walk for a few mins, and then jog for 30 seconds and boy did that almost kill me off! Anyway, I was in the gym today on my lunch break, and I always do 20 mins of cardio on the treadmill after my weights workout. I do 5 minutes at a 12 incline, and then lower it by 4 every 5 mins, and increase the speed (hopefully that makes sense). So during the last 5 mins of cardio, the gym was empty, not a soul apart from me, so I decided to do something I was too scared to do with others there. I put the speed up so that I was jogging...full-blown jogging. At first I just expected my lungs to give out like they would previously, but they didn't...I was breathing fine, I was not in pain, and I realised I can do this! I did the last 5 minutes at that pace, and I left with only a little bit of a sweat on, and no pain in my legs or lungs. I just called my dad to tell him because I think this is perhaps the first time in this journey I have felt like I love my body, and I love what it is capable of. My NSV, that I didn't even know was on my NSV list ❤️

Today, I'm officially under 200lbs! only by half a lb but I'm counting it! I did a little weight conversion and had to remeasure due to disbelief! After gaining and losing the same kilo for the last three weeks, I'm so happy!

I was sleeved in 2016. Lost weight, but no where near goal. Gained it all back. I just had a revision to a bypass this week (Jan 13). Things are going fine, almost too fine. Minimal discomfort, I have no problem keeping fluids or protein down. I am eating about 600 calories per day with 80 grams of protein. I’m not hungry. (I am on a 3 week liquid diet post op at the moment.) I also haven’t lost any weight. Does this sound normal?

Maybe check out Dr. Matthew Weiner’s pound of cure weight loss book. He goes over a handful of things that you can change and you can pick which one you want to start with. For me, the fruits and veggies was a good one because I actually like fruits and veggies. Replacing a lot of the process carbs with healthy carbs for me is the most important component to weight loss not just to cut calories in the short run but to stop cravings in the long run. For me processed carbs, make me crave sugar. One cookie and I want pasta I want cake. I want it all and I crave it for a week. Natural carbs do not do that to me and they can help reduce the cravings a little while I get through the week or so to detox from them. Once I am off of the processed carbs so long as I get my protein, I stay feeling full so it’s much easier to sustain a healthy diet. Keto never worked for me either and I have learned post surgery that is most likely because of not being able to eat hardly any carbs at or it was all the processed junk I was eating instead of natural food. They alter things by adding more fiber to cut the carbs and all of that and that may be reducing your calories to help you lose weight, but for me it wasn’t the same for my body as a veggie with fiber. It’s not sustainable because my body was still craving the carbs. I would lose weight in the beginning, but the cravings were horrible and eventually I would give in to them and then I just wanted even more. Anyways, you may not be able to replace every unhealthy carb with healthy carbs on your own before surgery, but if you can reduce some of them by trying out different recipes to find fruits and veggies that you like, it may cut enough to lose your 10% and be a good start to finding healthy carbs that you enjoy

Totally agree! I think people get way too hung up on the number on the scale or BMI, and expect that everything will magically change when they hit their goal weight. The non-scale victories are what really matter. Nothing is more gratifying than being able to fit your whole a$$ into one leg of your old pants. 😊

google "waistband clip"... i've only seen lics of it used in front or the side, but i dont see why u couldn't affix them to the back (or at least side-back). full disclosure, i've never tried them myslef, but i did contemplate buying them during weight loss phase, just never got around to it. (im 6+ years out now and my weight loss days are long behind me)

Happy New Year 2025! Perhaps, this is an ideal time to share, encourage and exchange our Non-Weight Scale Victories? Our past, current and long term success is not simply a mere number on the weight scale. Or the antiquated medical BMI charts. Do you agree? Just a few of my NWSV's... 1. Long fitness walks without achy knees or feet 2. No longer the need for an airplane seat belt extender 3. I can now see my feet 4. Lost ½ of myself 5. Wear belts and boots that never fit my obese body before 6. Dropped one entire shoe size 7. Winter layers without feeling extra huge & bulky anymore 8. I control food now, it does not control me! AND, so much more.

Several good possibilities above but also consider this. It is copied from Google AI because I couldn’t think of the words to describe it. “ “Glycogen storage: When you drastically reduce carbs, your body depletes glycogen stores, which are stored with water. When you reintroduce even a small amount of carbs, your body quickly replenishes glycogen, leading to temporary weight gain due to water retention” I know this happens to me. I eat low-ish good quality carbs and then when I have like one cookie it seems like I gained 3-4 pounds and I panic but it always goes back down.

I agree, almost certainly just fluid retention. Both hormonal changes, as well as exercise will lead to extra fluid retention. Keep in mind that when you stress your muscles, whether by cardio or by strength training, muscle fibers break down. The repair process requires fluid buildup to do things like help remove waste products and transport things like cytokines and amino acids that are needed for muscle repair. It's really unlikely to be fat, since in order to gain that much fat in 10 days, you would have had to eat over 10,000 more calories than you burned off, or roughly 1,000 more calories every single day. While a little bit of it may be additional muscle, it would be a really small amount (maybe a 10th of a pound, if that). You're just not eating enough to pack on a lot of muscle in just 10 days, and even if you were eating a lot more, you just don't have enough free testosterone to gain much muscle in 10 days. Even male bodybuilders taking anabolic steroids couldn't pack on 3 pounds of muscle in so short a period.

i wouldn't worry too much about a 3 lb gain over 10 days, especially if you haven't drastically changed your eating habits and/or activity level. maybe if those 3 lbs are still there a month from now, you can do some re-evaluating, but until then, TRY not to stress (yeah, i know easier said....) case in point: 3 nights ago, i weighed myself and i was up 5.2 lbs. now i don't usually weigh at night, and i hadn't pooped in a few days, AND i JUST had dinner, AND i had a super extra-salty vodka caesar. then yesterday morning, i was a little over 1lb less than my "normal"...(i pooped! lol, and it was morning, my usual weigh in time). i didn't eat less nor more, i didn't exercise less nor more either. long story short, our weight will fluctuate (sometimes by alot) day to day. what matters is your average weight over time (and not over 10 days, but over months) good luck! you are doing great ❤️

I was on tricare for a short time years ago but didn’t have it for my bariatric surgeries. But after dealing with the revision process with any insurance I I learned that them covering it for GERD would be far more likely than just for weight regain. GERD it would be repairing a complication or side effect of surgery instead of just doing another bariatric surgery. They consider that more of a medical necessity If that makes any sense.

3 lbs in 10 days sounds like water retention. Have you had more salt than usual? I gained almost 4 lbs in a week at Christmas, but it was gone within 2 weeks and now I'm back to slowly losing. If you've had a disruption to your routine, that could explain it. Or hormonal shifts. Or just your body messing with you because you were looking forward to hitting a certain number on the scale and the universe finds it amusing to taunt you (been there).

It happens to us all as our bodies adjust. We can be totally irrational about it, not giving ourselves the benefit of what we have achieved..... I had a 6 month check up with my surgeon on Wednesday and I was annoyed with myself as I was up (0.5kg) on previous weeks but that was just me being silly, he said my weight, 63kg, was "perfect" for me and my loss had been "incredible". I came away feeling much better BUT still want to get rid of that 0.5kg plus another 0.5/1kg