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It's easy to forget that "weight" and "fat" are not the same thing. You can burn fat and go up in weight, and it's normal for daily weight to fluctuate by several pounds. You've been really lucky so far that the scale has gone down consistently, but you're getting to the 6-month mark and that's when the surgery's fat burning effect starts to slow (not stop, but slow). In the past, you were burning enough fat quickly so that even if you went up in weight from water or the food in your digestive track, you wouldn't see it on the scale. Now, though, you might only lose a small amount of fat in a week, so you could see the scale become a little more erratic. It's totally normal and you aren't gaining fat. It's also very common to hit a stall around 6 months post op as your body recalibrates. You'll probably see slower weight loss once it breaks, but you'll still see the scale go down for many more months. And if I just base it on my own experience, you will experience this type of thing the closer you get to a number that feels important to you because the universe is like that. The moment I dropped below 200 lbs, which was such a psychological milestone for me, my weight bounced back up and it took another 10 days to get back into the 190s again. My third month post-op, I stalled and only lost a total of 3.8 pounds. The following month was my best month so far for weight loss. So don't read too much into a little wobble on the scale if your habits have been reasonable. If it takes 3500 extra calories to gain one pound, unless you can identify some really bad choices that would have led to a 14,000 calorie surplus this past week, it's not anything you're doing. Just keep following your plan and ignore the scale.

Girl...if you don't smile... You look absolutely FANTASTIC!!! I definitely can see the difference. And don't worry about the scale. She's a shady bish that likes to cause drama. Pay more attention to your NSVs (Non Scale Victories). How are your clothes fitting? How are your rings fitting? How are you fitting in chairs with arms and booths? Are you able to move and walk and be active easier and more often? The thing that helps me is to look at the side by side pics a lot. Sometimes I still look in the mirror and see 421 pounds. But then I put on my size 30 outfit or my size 10 ring and it shocks me back to reality, Or I look at the side by side pics and then I can REALLY see the difference. You're doing AMAZING, especially since you're only 1 month out. Give yourself some grace and enjoy your progress. It's going really, really well.

Your bmi is 30.45. I looked it up. And if you lose just 3 pounds you would be 29.95 (below 30) Do you know the prescribing criteria for that drug.according to several websites your iBMI has to be over 27. From 27-29 you must have a comorbidity. Only at 30 can they prescribe it without a weight related issue. Unless your heart issue is considered one of those comorbid issues that losing weight would help with then you just need to lose three pounds and she will have to leave you alone. lol. I joke but my point is that you are so close that even if BMI was accurate representation for everyone for her to be pushing this is just so absolutely absurd. I mean three pounds could be a bowel movement. It would be one thing if you were driving this but for her to push it under these circumstances doesn’t make any sense to me. This is copied from the package insert posted on drugs.com Phentermine Hydrochloride is a sympathomimetic amine anorectic indicated as a short-term adjunct (a few weeks) in a regimen of weight reduction based on exercise, behavioral modification and caloric restriction in the management of exogenous obesity for patients with an initial body mass index greater than or equal to 30 kg/m 2, or greater than or equal to 27 kg/m 2 in the presence of other risk factors (e.g., controlled hypertension, diabetes, hyperlipidemia). Oh and also, I took that stuff when I was like 19 and I had no history of heart issues in myself or my family and they still made me do an ekg so I hope she at the very least planned to do that?? I totally understand why you are mad I would be too

I never did do a 5-yr anniversary post (which was like 3 months ago, oopsies). Here is a reply I made to someone's thread about being newly sleeved. I had alot of fun composing it - despite it going off an a total tangent - and thought it had a five-year-sleeve-anniversary type of feel to it so I'm putting it here! Am also adding my requisite swim suit shot, but this one is from vacay last month, and its NOT a full body shot, AND I'm half in the water, lol. Its too cold around here for me to change into one now and take a pic. Plus I'm lazy. So i give you: "5+ YEARS IN 1000 WORDS OR LESS": #### Begin #### Day 0: YES!! I'm alive! Weeks 1-2: Ouch, this kinda hurts. I detest all food and water! I'm sooo effing tired, im just gonna lay down here and be found in 3 weeks, half-eaten by wild dogs. Weeks 3-4: Oh wow, I LOVE water! Eating is such a chore. I don't want to do it. I lost HOW MUCH weight?? Whoa, this thing is gonna actually work! LET'S DO THIS! Those dogs will be very disappointed in eating me. Months 2-4: Am I ever going to eat like a normal person?? It taking me for-EVAH to eat my tiny cup of food. I am sick of people commenting on how I eat. Exercise is so much funner/easier when I'm not so big! Let me sign up for EVERYTHING! I LOVE new clothes! I am losing my hair! Who knew salad is my favourite thing on earth? Months 5-7: If one more person tells me to stop losing weight or asks if i have a disease I'm going to sic my wild dogs on them. I guess this is life now: eating tiny bits of food all day long...I guess I can do that, small price to pay for looking HAWT and feeling A-MAY-ZING. I wonder if anyone knows how full of myself I really am.... Months 8-10: OMG.I CAN'T POSSIBLY UP MY CALORIES TO MAINTENANCE LEVEL! HOW AM I GOING TO STOP LOSING WEIGHT! I AM GOING TO WITHER AWAY AND DIE! Month 11: Oh. So THAT's my maintenance calorie level. That's not so hard. I'm not going to die after all. Ok, Ok, I'll just take this ONE cigarette from you, handsome Italian guy in Italy...even though I quit cold turkey 10 years ago...it can't hurt, right? Month 14: Plastic. Surgery. Month 15: *cries* Month 16: Whoa, I'm looking even HAWT-er than before. How is this even possible? I wonder if anyone has ever exploded from being so full of themselves.... Month 17: Why hello carbs, I've missed you. bread, Pasta, Rice, we shall never be parted again! Oh, nice to meet you for the first time COVID! How long are you staying? Month 18-21: All skinny and plastic-ed up and no where to go. Eff you COVID. I guess I'll just do a little online shopping for stuff to wear when I am finally allowed out of the house. Sure, I'll have that martini for Breakfast. Hey, my hair is back to normal...and its even nicer than before. Go figure. Years 3-5: Huh. I stayed below goal weight this entire time and I am the picture of satisfactory health...does that make me awesome? I dunno...my closet is bursting with clothes...most of which I've worn maybe once or not at all. How am I still smoking??? It was only supposed to be one cigarette!!! I think I may have developed high-functioning alcoholism? Food intolerances? Who me? Nah, I can eat anything and everything, EXCEPT large amounts of sugar at one time cuz, you know, I may pass out on the couch. I may not eat as much as everyone around me, but I don't want to anyway, so there! But let me cook for you, bake for you, make copious amounts of food for you! And no, i AM NOT finished reading this menu in it's entirety...I'm about to order enough food for 5 people...you better be hungry! Today I take no medications other than for my acid reflux (which unfortunately came on due to my sleeve surgery). I eat carbs and (small amounts) of Desserts, I drink alcohol. My last physical/labs 6 months ago produced no concerns - other than an abnormal thickening of my uterine lining, but that has since resolved. I have ridiculous amounts of energy, I rarely fight with my husband, I handle stress and annoyance like a grown up. I'm digging life. Oh, and I still look HAWT. *mic drop* P.S. i also finally quit smoking 5 months and 14 days ago. yay me! hopefully I don't meet another handsome Italian with an extra cigarette in the future. Edited to add: P.P.S. sorry..i meant to just reply about the first few weeks after my sleeve surgery and food progression, but my fingers got a life of their own as I typed out my reply. plus it was kinda fun writing this. I may cut and paste this into a more appropriate thread if I find one Good Luck! ❤️ #### END ####

The eggplant lasagne is really just a moussaka. Traditionally lamb mince is used but you can use beef. And use cinnamon & all spice instead of Italian herbs like basil. This is a pretty simple recipe for it: https://www.taste.com.au/recipes/classic-moussaka/88513a78-4b3d-4546-b985-32f4c33382a7# I’m not a great lover of eggplant but the small ones are usually tastier as a side than the large ones but the large ones are best for cooking in things like the moussaka. You can also make the magic quiche (or frittata) as muffins (often called savoury egg muffins or just egg muffins). Some recipes say use 6 eggs but I used 10 so that was almost one egg in every muffin. Great to freeze too. I used to make them a lot (until my tummy said nope I don’t like eggs now) with caramelised onions, roasted capsicum, feta, cherry tomatoes, frozen mixed vegetables (defrosted & patted dry) or whatever I happened to have in my fridge.

BMI isn't always the best way to judge for people who've lost massive amounts of weight because even though we've lost muscle and bone mass in addition to fat, we still have more muscle and bone than "normies" who weigh about the same but were never obese. (we needed a lot of infrastructure to hold up all that weight!). The PA at my bariatric clinic said we often look 10+ lbs lighter than the scale would suggest, because of that extra muscle & bone (well, there's the extra skin, too - but skin doesn't weigh very much. I think I "lost" about 4 lbs after my skin surgery - but there's that, too, if you haven't had it removed). Your PCP evidently hasn't worked with a lot of massive weight loss patients....

this is more a response to what you said rather than the general focus of the post, but I just wanted to say that when I weighed 170ish and told my clinic's dietitian that I wanted to try to get down to 150 (which at 5'6" is within the normal BMI range), she told me that was a bit unrealistic because only about 10% of their patients make it to a normal BMI. The rest end up in the "overweight" or "stage 1 obese" (which is not very obese) categories. Research actually does back that up (I checked). I DID actually make it down to 150 - well actually down into the 130s. But at nine years out, I'm now slightly "overweight". But that's where they wanted and expected me to end up anyway, so I guess I'm OK with that (I'd still like to be around 150 +/- though - but it's hard to lose weight when you're pretty close to a normal BMI!

So I am around 6 weeks post surgery I think! Seems like it has been so much longer! I have found that my restriction recently has been annoyingly high. I just have 0 interest in eating, and when I do take a bite it takes a while for me to get into it - I feel full quickly, which was something I wasn't struggling with a couple of weeks ago! I have started going back to the gym as of last week, and I am nervous but excited. Quickly realised my body is a lot weaker than it used to be 😅 I did 3 x 10 sets of squats and was walking like a cowboy for 4 days 🤣 I want to try swimming but I am nervous about wearing a swimming costume if I am honest, even though I can tell my clothes are bigger on me! Which is another thing...stuff just isn't fitting right! I was excited for this part, but I didn't think it would be annoying 😂 I can't wait to buy new stuff! Thanks for reading my useless waffle ❤️

August 7th isn't too far away! You're close to the preop diet. I started mine a few days ago and it's testing me, but I knew it would. If I were a smaller person, I don't think it would be such an issue. If I weren't having appetite issues even before the diet, things would be easier, too. What's helped has been sipping on broth or slurping on sugar free Jell-O all day. I go slow with those so it feels like I'm eating/taking in more than I am. I'm only nervous about one thing: the gas pains immediately after surgery. I've never had surgery before, so I am not sure what to expect. I want to have a realistic expectation of pain before experiencing it. I know I will handle it better that way. Luckily, I have a few family members who have had laparoscopic procedures before and we willing to be honest about the experience. I've been avoiding stories online of others' experiences of that moment, because we all have different pain thresholds and it's too easy to go down the rabbit hole of scary stories. Especially with AI/algorithms thinking we want to see the worst of the worst. I want to share why I made my decision to have the SADI-S vs a sleeve or bypass. While I cannot speak to what things will be like after surgery, I am confident I'm making the correct decision for myself. I'm in my 30s with no kids, but would like some. I have been struggling with my weight ballooning up and down for the last 20 years. At my heaviest, I was over 320 pounds. I hit that as I made the decision for surgery. I didn't know what surgery I wanted, so I started doing research into the best bariatric surgeons in my state. I read through their websites and looked at reviews for the surgeons through my insurance provider, google, yelp, and other such websites. Then I asked a few friends in the medical field which doctors they would want doing surgery on them. All of that narrowed my list down significantly. I ultimately went on gut instinct and don't regret it at all. My surgeon is amazing. Her teams is extremely supportive. Here's some information she gave me on my options: -- Gastric Bypass: She does not recommend the procedure to any patient. It has more points for potential surgery complications and, in her medical opinion, the highest chance for weight regain. -- Sleeve: potential to lose 70% of excess weight. Less than 1% chance for complications. -- SIPS/SADI-S: potential to lose 80% of excess weight. Less than 1% chance of surgical complications. I want to have children, and she advised that the SIPS/SADI-S (there really needs to be a better name for this) is the best choice to allow me to get pregnant a year or so post-op (depending on how I'm doing) and reenter weight loss when appropriate post-birth. I will have to work very closely with my weight loss team throughout the entire pregnancy, but it really feels like a bonus to have more support. My surgeon's office also recommends patients to very talented specialists for all surgery clearances. They all treated me like they were part of a huge team dedicated to helping me get through surgery clearance. It was amazing. I was given a packet with all the possible issues I might encounter post-op, what can be done if they happen, and how to avoid them in the first place. When I read through it spelled out in black and white, it's easy to see what my life would need to be to avoid a horrible experience. The most embarrassing ones are noted as being most common with gastric bypass than sleeve or DS. Most of these complications can be avoided by chewing well, not drinking during meals, and not overeating. One of my doctors said I am going back to being a baby again, digestively. I will need to reteach my body how to process what I eat and not be afraid to push back milestones if I'm not ready to start the next leg of the journey. I'm definitely anxious. The unknown is always scary. I'm confident at the same time because of the team I'm working with. And because of the support I have at home. I know I'm extremely lucky to have the surgeon and support I do. It's definitely a burden to afford this surgery right now, but I don't believe I will feel that way in 5 or 10 years.

Hi all. I'm having surgery on 7/10 as well and just started the Pre-op diet 2 days ago. I'm getting the sleeve. I'm a little nervous about the process but looking forward to continuing my good health.

I know exactly what you mean by the stretchy clothing. I think the past couple years before my surgery, I was able to fool myself by only buying the stretchiest clothing. I stopped wearing jeans and bought lots of leggings, loose tunics, and flowing kimono-style wraps to wear over. They always fit, even if I went up 10 lbs. It was such a nice day when my jeans fit again, but it also drove it home to me how I had been kidding myself about not changing size in all that time.

Hello! My surgery is scheduled for 7/10. I am having the gastric bypass. I'm on the pre-op diet right now. Doing well but am so weak from this diet. Last night I could barely finish my evening meal - got nauseated and just felt terrible. This is a revision surgery. I had the VSG 2914, lost 100. Foot surgery and the covid lockdown started my regain of 80 lbs. The surgery is to fix my hernia and hopefully get rid of my acid reflux. I am hoping to lose but more importantly to maintain my weight loss. I'm currently on 3 hbp meds and 3 acid reflux meds. How do I complete the settings about my surgery, weight, etc.?