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That is very helpful! I appreciate how much time and thought you put into your responses. I am around one kilo away from my new goal which I think is too low anyway, so I want to shift to maintenance at the moment but I am scared, worried, don't know how and I think I'm developing a low key ED. I was out with my mom and sister for lunch yesterday and we went to this fancy Chinese place and ordered dim sum, Kung Pao Chicken and Tenderloin. Obviously due to restriction I had very little food but then they brought in a dessert platter with mini samples of desserts they were testing and I was really scared to even trying a mini bite of anything. My mom and sister went like you aren't going to gain weight if you have one bite of something you fancy! this is not healthy. I don't know how to shift gears for maintenance and I am so worried of weight gain but also don't want to be sick looking. I have blabbered too much but I really want to learn from people who have successfully kept the weight off for years but are not afraid to eat. I need to achieve that balance and don't know how to do it.

hiya! alot of us worried about rapid weight loss and getting too thin. more often than not it really becomes a non-issue. very very very rarely does someone lose too much weight to the point that it affects thier health. aesthetics though, may be a different story. you (or others) may believe you are too skinny, but your labs will likely say otherwise. you are taller and weighed less than me when we started. i too was "normal-sized" for the majority of my life. my weight gain was in my 30's, and early 40's (kids, family, work, mortgage, lol). went from 130-235 lbs. but at 5 months post op, we are both very close in weight loss PERCENTAGE WISE. you lost 66% of your body weight, i lost 65%. ** EDIT: CORRECTION, did my math wrong: you lost 34% of your body weight, i lost 35%. (i used end 5m body weight vs weight lost at 5 months for original calc..oospies!) ** and i can tell you that i did not get dangerously thin, nor was my surgeon or primary care doc worried at any point during my weight loss (nor during maintenance). i DID think i got really skeletor-looking when i reached 127 lbs, BUT i was 118.4 lbs this morning (and over 5 years out now), and honestly, i think i have not looked better since i was a teenager (i was firmer as a teen vs now lololozzzz). stuff shifts around, and the same number will look totally different on you at different times of your life. regular exercise does WONDERS for your appearance (and well being). anyway, i know i can't really just TELL you to stop worrying and you will magically stop worrying. i worried for a month or so as well way back when i decided to enter maintenance. alot of us felt the same way. maybe we all need to just go THROUGH the worry to get OVER it. good luck! ❤️

This July it will be 5 yrs out since my gastric bypass. Originally I wanted to put goal weight at 150 but even when I was 16 and on the swim team and burning calories like crazy, the lightest I ever was, was roughly 145. As a teen I even did VERY UNHEALTHY things to try and get down to what at the time, according to the notorious insurance standards, was a medical goal weight of 114 -135 lbs for my height at the time. I never managed to get down to 114 despite going on under 600 calories a day (again, with no medical guidance..I was a teen and listened to peer pressure and society tell me what was 'ideal'). So to think that in my 50's that I need to even try for that kind of weight, I figured I'd just disappoint myself plus I'm older and my body has changed. I finally set my goal at 170. Fast forward to THIS year (year 5) - I had consistently been tracking between 169-175 (and been THRILLED) and for some reason I hit a rough patch about 7 mos ago where I was hungry all the time, scary hungry considering I had been more at ease with my life and not feeling like I had to monitor anything. Things felt like there was a natural rhythm to hunger and how I addressed it. I didn't feel desire to overeat and my family said I still 'ate like a bird, but I realized I had let bad habits creep back in and it was more a boredom thing and honestly, extreme stress. What I was doing that let calories creep in was I was eating more frequently. You can overcome any 'restriction' at some point by eating frequently. I gave myself 'guard rail'/target weight zone instead at the end of my first year post surgery. If I'm in my 'zone', then I'm not actively trying to gain or lose, I'm content. If I get up towards the high end of my zone, I re-evaluate what I'm doing. I ended up in 1 month blowing past the high end of my zone to a weight spike that I had not had for 3 solid years. I had been consistent AND happy with where I was at. Thankfully I've course corrected and with some help I'm at my lowest weight ever since I was...er...18? I'm 165 right now and as I am also considering plastics, I'm going to re-review the valuable info on the plastics forum/threads as I know I want weight 'stability' for sure. I knew when I did the surgery that I personally wanted to wait until a few years out because honestly, I was afraid I'd find some way to tank the surgery even though I waited 5 yrs before having the surgery to work on myself mentally/emotionally. I also knew I'd have to pay for it out of pocket so I would need YEARS to save so I figured I could lose the weight and tone what I could so the plastic surgeon, if I was fortunate enough to find one I could trust, would know what they had to work with. I'll let them tell me if they also feel I'm ready. I have SO much loose skin that I honestly don't know with it removed if I'd weigh 5 lbs less than what the scale says. I also learned my watching my 1000 lb life that loose skin doesn't weigh as much as I THINK it should..LOL. That is why I'm only attributing 5 lbs to my loose skin I think you are doing AWESOME! I'm glad you are keeping your goal where it is. Just settle into your 'new fantastic self' which is just another facet of the already awesome person you were! We can both spend time researching the plastics info while you are in this new chapter of your life and I'm hanging out at 5 years hoping I win the lottery or at least a big payoff scratch off so I can put some money 'down' with a plastic surgeon..LOL!

I think we all go through that and even now sometimes I think that if I eat a little bit too much. I'll just reiterate that it takes quite a bit to stretch your stomach. Also, most people who have gained weight, it wasn't because of a physical change (i.e. stretching your stomach) but more because they stopped following the basic rules for restriction. For example, they may eat a lot of slider foods, consume milkshakes or other high calorie liquids that go right through your sleeve or rny with little or no restriction... Etc.

Honestly, I think both? It can become a vicious cycle where you can't even find the 'root' problem anymore. For me, how I got to my heaviest weight was due to my problems feeding unto each other (no pun intended). I was overweight for the nth time in my life, and had always struggled with both weight and depression. My anxiety about being judged / out in public kept me homebound (and morphed into agoraphobia). Being homebound and anxious made me more depressed and judgmental about myself, which I punished / soothed with food. I gained more weight, and was more depressed and anxious and made it harder to go out and function in public. Early on in my "mental health" journey, I had a psychiatrist that was determined to find The Root Cause of my depression and anxiety. It wasn't until decades later that more MH professionals seemed to acknowledge (to me, anyway) that sometimes there's no one trigger or root cause-- sometimes its how several smaller issues fall together, like a series of unfortunate events.

I feel like most of us have mental health issues prior to WLS -- related to the weight gain in the first place, and the body dysmorphia that so easily comes along with life as a 'non-standard' size. I'm not surprised at all that many of us continue to struggle with both things during/after weight loss. People that haven't had a similar life might struggle to understand. Anyone who tells someone to "just get over it" or "just get passed it" in regards to any mental health issue is flat out not helping -- whether that's because they can't empathize with the struggle directly, or something else. I've been doing a lot of personal work on 'boundaries' lately. Just want to remind everyone that it's okay to remind someone that what they're saying is not very compassionate. It doesn't have to be a fight or an attack against them, even a simple "Yeah, that's really not a helpful thing to say but thanks for the effort, I guess?" might have them re-think their own words. They don't owe us support -- nobody owes anybody, really -- but we're all humans and deserve basic compassion rather than dismissal.

I had my gastric bypass surgery on 5/20. I have so much water retention! I'm up 20lbs from my pre-op weight, thighs and hips have gained several inches. I almost took one of my old diuretic pills until I read a thread on here. Anyone else having tons of edema?

First of all, can I just tell you that you're beautiful!!! I don't mean anything awkward or inappropriate with that, but I just felt like I wanted to tell you that you are a very beautiful woman To answer your questions: 1. What was the best part of surgery for you? Getting off blood pressure, diabetes, cholesterol, and anti-inflammatory meds, losing the weight, and gaining mobility back 2. What was the worst part of surgery for you? I had several complications from the sleeve and had to have a revision a year later 3. Did you have any complications (minor or major) during or after your surgery? not during the surgery but about 7-8 months later, complications started showing up. 4 endoscopies, 1 colonoscopy, and massive amounts of PPIs later, had to have the revision 4. How has adjusting to your new life been for you? it's been hard sometimes, but overall, so worth it and rewarding and a huge blessing 5. How long did it take you to feel comfortable eating food? If you stick to the plan, it's a gradual process. By 6-8 weeks, I was nervous but ready to eat food and just made sure to go slow. 6. Is there anything you can’t eat anymore that you used to enjoy? pasta, rice, potatoes, bread (a year or 2 out, some can eat it in small amounts every once in a while, but I'm so sensitive to carbs that I stay far away...but there's alternatives that allow me to not feel like I'm deprived so it's completely ok) 7. What was your recovery like? Any vomiting or dumping syndrome? dumping really only happens with the bypass, not the sleeve. Never had vomiting and very little nausea (in the beginning). Once I had my revision to bypass, I had dumping twice and learned my lesson lol I follow the rules and I'm careful, so I haven't had it again. 8. How long did it take you to feel semi-normal after surgery? about 4 weeks after the sleeve, about a week to 10 days after the revision to bypass (much easier surgery to recover from, for some reason) 9. Did you experience higher energy level post surgery? not right away. I was beyond exhausted the first 2 weeks. Weeks 3 and 4 it started to get better. By week 6, I felt normal, and by 3 months out I had lost a good amount of weight and my energy levels really started to pick up. 10. Did surgery affect your mental health? not in any kind of negative way until I started having the complications. Once I had the revision, every complication went away and I've been beyond happy and thrilled. The only real issue I have now is body dysmorphia sometimes. I have moments where I look in the mirror and still see 421 pound me and not 195 pound me. I'll look in my closet and think someone stole my clothes and replaced them with someone else's (I use to be a size 30/5X and now I'm a size 14/XL). 11. Do you regret it? Would you recommend it? I absolutely do not regret it. The only thing I would go back and change is I would just have the bypass to begin with and skip the sleeve altogether. Now, there are a lot of people really happy with the sleeve. They have zero regrets. I was one of them, until I wasn't. Many of us sleevers have to get a revision to bypass for one reason or another, but just as many, if not more, have the sleeve and never have any issues and love it.

so heres the funny thing: my original goal was 120 lbs, but i actually called goal when i got to 127 lbs cuz i felt like i was looking too skinny/sickly. this was as 7 months post op. as time went by, the lost a bit more weight, the gained a bit of that back. im 5.5 years post op today and weighed 119.5 lbs this morning....which is roughly 7 lbs LESS than when i thought i looked like dead man walking all those years ago....BUT....honestly, i feel like i look waaaaayyyy better and healthier and fitter now, at a lighter weight! further, there are some days when i legitimately think i could lose 5lbs for effs sakes. things tend to shift around and settle and regular exercise does WONDERS for one's physique. long story short: a particular weight can look totally different on you at any particular time in ur life. dont worry so much about the number on the scale and trust what you see in the mirror or how your clothes fit and how you FEEL. Good luck! ❤️

I have no medical or other wize knowledge to affirm your thoughts or not but I do think it would make sense from a logical point of view. I did a quick google, here are some things you could read https://menopausecare.co.uk/can-hrt-help-to-lose-weight-does-hrt-make-you-gain-weight/#:~:text=Many women actually find that,regime to minimise this impact. https://pubmed.ncbi.nlm.nih.gov/10515671/ https://www.nirvahealth.com/blog/woman-guide-losing-weight-post-hysterectomy Love the new profile picture!

I had a total abdominal hysterectomy and am now on HRT (literally the first time since I was 15 that I've had my hormones regulated at all). My uterus, 3 huge uterine fibroids, both ovaries, both fallopian tubes, and cervix combines weighed 4 pounds when they were removed. I weighed 212 on surgery day on May 7th. After I lost the water weight from 3 days of IVs, I was 208, which I expected. I was started on estrogen in the hospital. So here I am, 18 days post op, and I have lost 13 pounds. I walk 3-4 times every day, I eat normally, I rest a lot. I take my normal MS and Lupus meds and my normal supplements. The only difference is I had the hysterectomy and I'm on HRT. I'm noticing that I seem to be having a much easier time losing weight. It's almost like it was when I first had my bariatric surgery. I haven't lost weight like this in over a year. So here's what I'm wondering.... since pcos is known for causing weight gain and not allowing weight loss, and since my hormones are finally regulating with the HRT, and since I no longer have any issues with fibroids, cysts, horrible periods, etc... could the hysterectomy have maybe corrected a lot of the pcos issues and now the stuff slowing and stopping my weight loss is gone and I'm back to losing again? Did having the hysterectomy actually help with weight loss? I know a hysterectomy isn't a cure for pcos, but I'm really wondering if the combination of the HRT and hysterectomy are working together with my WLS to actually give me normal, proper results? Has anyone else experienced this, or know someone who has?

they don't all require it, but personally, I would wait. It's super common to have a weight rebound of 10-20 lbs after hitting your lowest weight (and some people gain even more than that - but 10-20 seems pretty average), and I was told by a couple of my consults not to gain more than 10 or 15 lbs after plastic surgery, because I can affect the results.

Ok I'm the QUEEN of stalls lol So here's what I can say. Take from it what you will. Cold hands and feet: I have that, and for me, it's due to weight loss AND low iron. I'm anemic, so I take a bariatric vitamin w/ iron and an additional iron supplement w/ vit c and it keeps my iron levels at the lowest part of normal. When it dips down, my hands and feet are like literal ice cubes. Breaking a long stall: So I tend to gain 3-5 pounds when a stall hits and then lose the same 1-3 pounds over and over until it breaks (and I lose like 6 or 7 pounds all at once). My stalls can last anywhere from several weeks to 3 months. It SUX. When I have a stall, I change up my work out routine to confuse my body. If you do the same things in the same order every day, your body gets used to it and gets complacent and the work out becomes less affective. So I add new things, take things out, add or take away reps, etc. I pay extra close attention to what I eat and when. On work out days, my fluids, protein, calories, and carbs MUST be higher because if not, my body thinks it's starving and holds on to everything. I prioritize fluids, protein, and low carb above all else, but I still make sure that I'm at a calorie deficit while getting in enough to prevent my body from thinking its starving. I also only weigh myself once per week and pay special attention to NSVs, because even when the scale isn't doing what you want, your body still is. Fat gets redistributed, you slim down, that's when you see you drop sizes in clothes, rings, etc... When I work out, I keep my calories at around 1300 - 1400 depending on what work outs I do. I drink an electrolyte drink (Propel or gatorade zero) and an additional 64oz of fluids at LEAST. I keep my protein at 80-90g, my carbs at 40-50g, and healthy fats at 40-50g. When I'm not working out, I keep my calories at around 1000 - 1150, my fluids at around 64oz, my protein between 60-70g, my carbs between 20-30g, and my healthy fats between 20-30g. We need less when we aren't working out. We need more when we are. Just keep at a deficit while still providing more when working out. And make sure you change up the work outs. Right now, your body is really confused. You have to be patient with it, but at the same time, show it who's boss and shake things up to get it going again. You still have time to get where you want to be. Make sure you're not grazing through the day, be mindful what you're eating, when, and how often. Go back to your bariatric diet basics if you need to. You got this.

i had my plastics done just shy of 14 mnths post op. i would have done it earlier (at 7 mnths post op when i reached goal) but my surgeon of choice was booked up. i had tummy tuck, arm lift and boob lift in one shot. second best decision ever (after wls, ha). if its worth anything, i understand that further weight LOSS affects the results more than further weight GAIN. but i mean, if you have the means and inclination, you can always have revision plastics if need be.

I have my goal set at 190 lbs. but it maybe lower than that in the end. I'm going off from how I looked in high school at that weight. I had much more muscle back then, before I started gaining a lot of weight. I googled my weight for my height and frame, the average is 152-156 lbs. I don't think I could look healthy at that weight. Once I hit 190 I'll see how I feel before I set a hard line for a goal weight. Right now I'm at 236 lbs. and feel good. Another 40 lbs. may be my number. I'll keep posted when I get there.

It will probably drop and get you well under soon!! I'm with you where that 200 mark is concerned. Years ago, I got to 202 and was so excited to get under 200 but never did, and it started to creep back up. As usual, I gained it all back plus more and reached my highest ever weight. I was at the point where I was afraid to diet cuz I always gained it all back and more. That is what made me decide to do the surgery. We can do it!!!!! Good luck with the doc appts!

Ok that sounds good! Because one of my concerns is that I'd never be able to enjoy a piece of pizza again or even a hamburger at burgerking (i know a whopper or Jr Or cheese burger is out of the question) . And you're right usually right now I eat at least half or more of a large pizza because it tastes so good and my wife would eat the rest. She remains 130-140 pounds I gain weight. Which is probably partially why I weigh over 400 lbs and need wls. While you had a bypass I'm sure a sleeve is slightly similar. I know they take out most of your stomach and overtime it supposedly stretches to where you're able to eat what a quote on quote normal person should be able to eat. Thanks for your advice though. It's probably a very good idea and I'm very glad you weigh 160 pounds now.

Not sleeve but RNY here and I can say you can stretch it out a bit. I can definitely eat grazing style all day and definitely gain weight back (as I found out over Christmas tho year). It’s a Conscious choice to eat healthy regular planned meals to keep the weight off. When I want to slide back to binging to handle life and feelings, I use my skills from eating disorders therapy. The feelings of wanting to binge are still there, but I’ve worked really hard to substitute healthier rituals to deal with anxiety and depression and just feeling unlucky. I strongly suggest OA or an eating disorders therapist. The size of your stomach doesn’t really matter. If you want to eat the whole bag of cookies or chips you can do it. Or, you could choose not to and have sex, crochet, go for a walk, talk to a friend, journal, bird/star watch instead. It’s all a choice. The fact that you are investigating choosing surgery is a choice for yourself to live a healthier life. Why surgery at all then? It’s true it’s a metabolic “tool” that helps your body with the healthier choices you make. It’s like an e-bike, you still have to steer and pedal.

I had RNY rather than sleeve, but it's probably similar. I'm nine years out and can eat a "normal" amount of food, but my "normal" now is a lot different than my "normal" was when I weighed 373 lbs. Which means, no one now would guess that I had WLS. At. most they'd think I'm a "light eater", if they even notice at all. If I go to a restaurant, I'll often order an appetizer or a salad or maybe soup & salad. Or if I order an entree, I'll eat half of it and bring the rest home. If we go out for pizza, I'll have 1-2 pieces, whereas before I'd eat half a large pizza. This really is no different than most of my female friends who've never been obese. So it's "normal" eating. The way I was eating before surgery was not normal. Maybe that's what your doctor is trying to say. of course, it's possible for us to scarf up a lot more calories than that. Surgery basically restricts how much you can eat at one sitting. You will probably not be able to eat as much as you used to at one sitting. You will likely be stuffed after eating 1-2 pieces of pizza, for example. BUT...nothing but you will stop you from grazing all day. For example, you could eat 1-2 pieces of pizza at 5:00 pm, and 1-2 more at 7:00 pm, and 1-2 more at 9:00 pm - so in the end you would have eaten just as much as you did at 400 lbs. So that's why some people end up gaining a lot of their weight back - it they can't control their grazing. That's where the head work comes in. P.S. years ago when I was first contemplating surgery, the two choices were lap band or RNY (it took me ten years to finally get surgery - by then, the sleeve was on the scene, rapidly replacing the lap band). Anyway, at first I wanted the lap band because it was reversible. Some of the WLS patients I talked to said "why would you ever want it reversed? You'd gain the weight back". True. So I decided maybe that wasn't such a bad thing (although RNY technically IS reversible - it's just that it's a very complicated surgery, so they only do it in extreme situations). Anyway, I love my RNY and would never want it to be reversed, so I'm fine with the fact that it really can't be (or in my case, only in an extreme medical situation)

I think this is the time when you stop worrying about what you weigh and you start focusing on how you are living and how your body feels. Are you still hungry even though you just ate a meal that would've been fine for you a month ago? Maybe you need to add more veggies to fill yourself up. Do you feel weak? This could be a sign your body needs more fuel. Are you getting the exercise you need? Are you eating the foods you know provide balanced nutrition? Fix these types of things if they need fixing and let your body do what it will. You still have many months to go before your weight loss journey comes to a stop, so to speak. Ride it out and don't try to steer things too much. It may feel weird to be the weight you are now because you've never been this weight before, but let your body figure it out. You'll get used to it. And if you don't like where you land in the future, you can start eating more to gain.

I have. Reversal from mini gastric bypass to RNY. It's early days for me, but I'm glad I had the reversal. I was suffering from steatorrhea and excessive malabsorption. The steatorrhea has been cured as well as the toxic off the scales smell following a visit to the toilet. I'm now just hoping for some weight gain.

I had a total abdominal hysterectomy on May 7th. I was in the hospital for 3 days and 2 nights. The initial surgery took 3 hours because not only did they remove my uterus, cervix, fallopian tubes, and ovaries, but they also had to call in general surgery to detach my intestines from my uterus (was attached with lesions in 3 places). My heart actually did really well and there were no complications.....with that. But it wouldn't be me if there wasn't something wrong somewhere. Ok, so I get back to recovery and seem to be doing well. Blood pressure is a little low, but all in all, not too bad. About an hour into my recovery, the nurse notices a lot of blood. She checks me and apparently I was hemorrhaging blood and clots. I went through 3 big pads in 25 minutes. Just as I came to, I was told I would have to go back into surgery on an emergency basis. My surgeon was with me and actually held my hand the whole way back to the OR and while I was being prepped. The 2nd surgery took almost 2 hours but they got the 2 places that popped internal stitches on the vaginal cuff re-stitched. I was in recovery again for another 2 hours and then was FINALLY allowed to go to my room. My husband was extremely panicked and white as a ghost. He made all the necessary calls and told me he was scared. I felt awful for him. I had to get 2 units of blood because I lost so much. I'm normally on the low side of normal because I'm chronically anemic. My blood pressure was also extremely low for over a day. They gave me a 1/2 liter saline bolus while I was getting the blood transfusion because my blood pressure was staying around 82/39 and thereabouts. It was around 4pm on day 3 that my blood pressure stabilized enough to go home (it stayed around about 93/55 for 4-5 hours). Since I've been home, I sleep a lot, I walk 3-5 times per day, I just finally got off my pain meds and can get by with tylenol. I'm not cleared to drive or exercise, but I walk the apartment complex a couple times a day and that seems to do well. Still have some pain at the incision (it's about 6-7 inches long at the bikini line) and the muscles and nerves under the incision ache sometimes. I can only sit at the computer for about 15 minutes at a time, so this is the first chance I've had to type this out. I had to go to my doctor yesterday because 2 stitches on the right side of my incision popped and I had to be re-stitched. That really sucked, but it is what it is. I'm on leave from work for 6 weeks (well, 5 now). I normally heal well, but this one is really slow going. I'm already on estrogen patches (Climera) but I was told it takes anywhere from a couple of weeks to 2 months for the estrogen to fully kick in and get my hormones regulated. Lemme tell ya, I've been riding the crazy train, complete with night sweats, hot flashes and flushes, and insane mood swings. Can't wait to feel normal. Initially, I gained 13 pounds of water weight in the hospital, but it's slowly working it's way off. Once all the water is gone, I can't wait to see how much weight has actually dropped since my lady parts were removed (everything together, including the huge fibroids, weighed 3 pounds) so I'll start weighing myself again in about a week. That's about it!! So glad to finally be done with everything. Once I'm fully healed and on the other side of this, WATCH OUT!!! lol

Hi everyone! So I've been scouring the internet (and the forums lol) for information on menstruation complications post WLS. I've seen plenty of 'scientific' and medical journals talk about how menstrual cycles are better regulated after Gastric Bypass & Sleeve surgeries, and even more comments from WLS patients about how their cycles went haywire, flows became excessive, pain levels increased, etc. Myself, (prior to my WLS) I've always had fairly regular cycles, always heavy flow -- other than at certain points of severe weight gain where I would start skipping (once for 6 months!) or just get trickles of a flow. Other than in my early teens, I never experienced spotting -- whether pre-cycle or between cycles. Now, 2 months post-op I've been getting ... spotting. I think. Again, I've barely ever experienced spotting before but for the past 4 days I've had red/brown discharge on liners & when I wipe. Today one of my ovaries feels sore and my lower back is acting up in a suspiciously pre-period way. I sent a message to my care team -- but they never reply on Fridays to begin with and it's a long weekend here so I doubt I'll hear back from them until Tues/Wed. Would love to get more input on people's personal experiences, whether it's recent post-op or years down the line. Commiserate, complain, let me know this is an (unfortunately) normal thing.

Liquid clears your stomach pouch in a matter of seconds after gastric bypass. I know this because on the morning after my surgery, I had to do a swallow test and l literally watched on the screen as my new little pouch filled with a swallow of liquid and immediately started dripping it into my small intestine. By the time I took the third swallow, the first one was no longer in my stomach pouch at all and the second one was mostly emptied, too. That's how it is supposed to be. "Stretching out" your stomach is 99% myth for two reasons. First, at the early stage, your stomach is swollen and stiff. You couldn't stretch it out if you tried, let alone with a mere few ounces of liquid. Second, as time goes on, it's supposed to stretch a bit to allow you to eat a healthy quantity of food because you can't live on 400 calories forever. If you stick to your recommended portion sizes, eating schedule, and fill up on healthy foods, it won't be an issue. I highly recommend watching Dr. Pilcher's video about stomach stretching if you're concerned. Bottom line, most people do not actually stretch their stomachs, they learn to eat around the size restriction by grazing all day and eating high calorie junk, and then blame their "stretched" stomach for their bad behavior when they gain back all the weight. At 8 weeks post-op, swelling has decreased and capacity is closer to what it's meant to be. Drinking 12 oz in 35 minutes is totally normal and healthy at this point. It means you are healing. Solid foods take longer to empty, so eating 3-4 oz per meal will feel very different than drinking 12 oz of water. At 3 months post-op, I can drink 32 oz of hot decaf tea in 30 minutes. I can eat 5-6oz yogurt/bean soup or only 2-3 oz of chicken breast in the same amount of time. It's a function of how much your stomach has to do before it can move along. My advice is to follow the instructions you were given with regard to your number of meals per day, quantity of food at each sitting, macros, etc. Stop when you feel fullness cues, but don't eat more just because you don't feel fullness cues, if that makes sense. You will never need more than 4 oz of chicken at a sitting, but you will likely be able to eat more than that in a year or two. Resist the temptation, and add non-starchy veg instead if you feel hungry. Build good habits now that you can stick to forever.

Funny you should mention Vraylar. I learned the hard way before I was put on Latuda that I couldn't take that. Why? It caused a 7 month long manic episode that was just terrible. It was one of the worst episodes I had ever had I nearly died from the experience and had I actually passed away from it my wife would have been able to sue the pants off of my psychiatrist for malpractice because she definitely was in the wrong. I was on Saphris beforehand and she took me off of Saphris cold turkey and then immediately stuck me on Vraylar. She later said she shouldn't have done that. Anyway, we're supposed to be talking about bariatric surgery not Psychiatric meds. I just figured I'd share my own personal story since we seem to have similar med history. The only reason I'm concerned about Latuda and getting bariatric surgery is you're right, it needs 350 calories to be absorbed properly and if im on a 1k calorie diet that's going to be problematic because thats almost half of my daily calories. But I do so well on Latuda (it really, really helps stabilize my moods and my psychotic symptoms) that it's really stupid to take me off of it and stick me on something else. So my surgeon and nurse practitioner/psychiatrist have to all work together and figure out how it's going to work. I'm not discouraged by your weight in fact, I wish I was your weight I weight almost 440 pounds lol. But I get what you mean you gained 4 pounds. But that's what happens when you don't follow the diet. I've heard lf many people regaining the weight because they got discouraged. I really hope that once I lose the 200-250 pounds I want to lose I'm able to keep it off!