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i gave a 10 yr passport also (got it in 2017, had wls 2018), and it expires in 2027 i inquired, and apparently i can get the picture updated by applying and paying for a new passport. it'll cost me $160 (for the new passport) + a $45 admin fee for renewing before expiry. i know it will probably save me time at immigration and security at airports, and really its only $45 measly bucks, but i just dont want pay that extra $45 for a new pic ON PRINCIPLE! i'll put up with the extra questions and sideways looks for a couple more years just to be stubborn.

My surgery date is tomorrow. I just found out about bariatric pal and I'm looking forward to sharing this journey with you all!

A much better week than last week with a 7.5lb loss to show for it 😊 16.5lbs lost so far on this ‘try to eat healthier’ plan I have begun. It would be lovely to think that I could carry on like this, just losing weight quite happily and give the WLS a swerve but past history tells me that I will eventually pile weight back on (and more) so why set myself up for failure? I also know that I have a stall coming up, sometime between week 3 and week 7 if past experience is anything to go by. I just tell myself that it’s my body having a sulk because I’ve taken its goodies away, so it’s try to get me to give in by being stubborn. Huh…I have a 4 year old granddaughter who is the epitome of stubborn at times and if I can deal with her then this should hopefully be OK 😉 I had hubby take photos after my 1 stone loss, just so I can compare against the 1st photos. Oddly enough, I could see a teeny bit of difference, so that was a real positive sign. I’m looking forward to ‘shopping in my wardrobe’ once again - trying on all those clothes that are too small for me at present, and just generally getting some wear out of them. I just need to remind myself to try things on regularly, especially as I seem to have several sizes to go at! I read through all the information on my hospitals Bariatric area of their website yesterday, things like dietary advice, example menus, info regarding vitamins etc. From what I have read, it will be a couple of days of liquids, then 6 weeks of purée post-op before moving on to mashed foods for 4 weeks and then hopefully reintroducing normal foods. I now understand why bread, over-cooked rice and pasta are to be avoided but still not sure about caffeine? I am a tea junky so I will have to find a decent decaf to try. Any recommendations UK people? Anyway, the next couple of months are busy, taken up with both physio appointments and, much more excitingly, the bariatric-related appointments. This week is Oximetry so hopefully that goes well. I hope everyone has a fantastic week. Onwards and downwards!

i really depends if you can handle it. lots on here cannot, as it gives them angst and anxiety. if this is the case for you then don't do it. not worth it, honestly. the ultimate goal is to be able to maintain your weight LONG TERM (whatever weight that may be) more or less effortlessly. if it takes too much effort, gives you too much angst, is too restrictive and/or goes against your chosen lifestyle, then eventually, ultimately, it will let you down. case in point: a was a card-carrying carb-o-phobic. during weight loss phase and the first year of maintenance, i limited myself to 20g NET carbs a day (which is basically nothing). during that time, i was all, hells ya, i can do this forever! spoiler alert: i couldn't. pizza and pasta in italy has carbs. as does rice in asia, and mangos and bananas in the caribbean. there are no bariatric-friendly tasting menus at Michelin Star restaurants. i am an avid traveller and latest-and-greatest-restaurant-frequenter sprinkled with a touch of party-goer. and most likely a a high-functioning alcoholic. the low-to-no-carb M.O.just didn't fit. so i just ate it all. granted, i am an exercise addict and have (self-described) superhuman restriction, so it works for ME. my M.O. may not work for others. aside: i am almost 6 years post op and have maintained below goal weight this entire time. i look and feel pretty effing awesome, despite all the shite i eat and drink. again, i think this is just a personality thing. i am totally anal and LOVE stats and spreadsheets and data gathering and analysis, i get hot and heavy for graphs and rows and rows of aggregated data. so when you ask how do i NOT get bored..i answer with HOW COULD I POSSIBLY GET BORED???? this shite is RIVETING. it is legitimately FUN for me. and for those who don't share my specific brand of craziness, what i do is probably perceived as bonkers. but thats cool, different strokes and all that. the lesson here (as it always and forever shall be) is: Find what works for YOU, and do THAT. there will be a billion and one people on here and elsewhere that will tell you what to do and how to do it. they will tell you that this is terrible and that is the only way that will work. take from them what works and chuck the the rest. good luck! p.s. you look AWESOME!!!

It's weird to see how different some of the advice is from different bariatric doctors/clinics. At 800 calories, your body would think it's starving and you would be hard pressed to lose anything because it would hold onto every calorie. Did they give you any guidelines for Protein grams per day or carbs per day? Right after surgery they had me on 90 grams of protein per day and 30 or less grams of carbs. That put me around 700-900 calories per day. Once I started the soft foods phase they bumped it to 100 G protein and 45 G carb. At my 3 month check in it's still 100 Protein but they raised the carbs to 59. I do workout everyday and I'm constantly wanting to eat/snack on some kind of protein or carb. No garbage snacks, mainly veggies & fruit. I would definitely follow their guidelines. But ask questions about meeting protein and carb goals. You definitely need protein, if they didn't give you a guideline for it you should ask how many grams min/max should you be eating. Every body is different, so the 800 calories maybe something you need. I wish you the best!

Did you lose this weight on the liver shrink diet? If so, that diet is specifically designed to drop a big chunk of weight quickly but unfortunately the weight loss won’t continue to come off that easily long term. Only you know if you have given it your best shot at natural weight loss in the past but if you are like many of us here you have tried a number of times and nothing works to lose a significant amount of weight and keep it off. It’s your body and there is no shame in rescheduling if you feel like you need to give it one more try but also keep in mind that the biggest regret that many people list about bariatric surgery is not having done it sooner. Maybe make a list of the pros and cons and one of all the ways you have tried to lose weight in the past. Also keep in mind that pre surgery jitters are perfectly normal. You wouldn’t be sane if you weren’t at least a little nervous about major surgery. You are not alone.

I assume my ferritin level is OK. It has been tested as part of the bariatric blood work required repeatedly over time. So I imagine he would tell me if it was low, but the next time I talk to him, I will specifically ask. My protein should be fine, but I am going to go back to ensuring it is daily. I haven't fallen off the wagon, but a year out now - I am not as focused on counting every little thing. I just eat well and proper portions and much of the food I enjoy in general is protein rich. Thanks!

@Dchonlee I first went to the Bariatric clinic October 2023. I was 363 lbs. I had my gastric bypass surgery Feb 7th. I lost 79 lbs. from October to my surgery date. Since, I've lost 50 lbs. Right not I'm in a big stall, and I've actually gained a few pounds. I did find out I have an ear infection in both ears. Currently on meds to take care of it. So, i assume the gain is from that. But the stall is nearing a month long. I've lost a lot of weight since October. I know it's slowing even being only 4 months post-op. The stall is still concerning. But, in saying that. I can tell I have other changes happening. This is a marathon, not a sprint. Just keep doing what you're supposed to and you will be fine.

took your guys' advice and am going to meet with two other plastic surgeons who have STELLER reviews! Both have worked on bariatric patients, they both are pricier but also more local. I am excited about this process its something to look forward to

This happens to a lot of people, both bariatric and not. One reason, I think, is that we restrict ourselves early in the day to "be good." It's an old "dieting" way of thinking, like if I eat nothing all day, I will lose weight. So your body gets tired from lack of fuel and starts to send hunger signals, and you ignore them until evening comes, by which time you can't fight them off as much. Plus, now you are probably getting cravings for all sorts of junk food that will give your body a rapid energy burst because your body is sneaky like that. Eating your biggest meal in the morning or early afternoon can help reduce evening cravings, as can adding in more fiber with each meal in the form of vegetables, if you have the capacity. Try to shift your major calorie intake to early in the day so your evening meal is just a light bite to finish the day. If that doesn't help, try breaking the cycle of what triggers cravings at night. For me, watching television is a big one because of the association with old snacking habits, plus the constant food commercials. Sometimes recognizing the bad habit and naming it to yourself, like "I only think I am hungry because I am watching a commercial for a fast food restaurant right now" actually helps you overcome it.

I think the best encouragement I can offer is to help manage your expectations. WLS is a treatment with results measured in months and years, not days. For perspective, my day of surgery weight was only 6 lbs higher than yours. I am 4 months post op as of tomorrow and I hit 189 lbs...yesterday. That's 17 weeks to lose 34 pounds. And I promptly bounced up to 190 this morning. Barely eating anything has very little bearing on how much weight you will lose in the beginning. Your body is going through some stuff. Like, a lot of stuff. We don't even know the half of all the systems that are recalibrating in the first weeks and months. Calories in and calories out is just not a useful equation to describe what is happening to you right now. The weight on the scale is a single data point, but it doesn't even tell you what type of weight you have lost. Fat? Water? Muscle? No idea! And the smart scales aren't actually very smart because they give you averages, not actual measurements. I only lost 2.8 lbs the entire month of May, but I went down a dress size and a bra size during that time. Then I lost 10lbs in 2 weeks. Why? Who knows! So, for long term sanity, I suggest focusing on the things you can control and not worrying about what you can't. Focus on meeting protein and fluid targets. Add in a sustainable exercise routine (for me, that is just walking consistently every week). Do some reading and watch videos about good bariatric nutrition (I recommend The Pound of Cure videos on YouTube to start with). Collect and try new recipes as you move through the food stages. Take your measurements and a monthly progress photo. You may see the changes better in photos than you do by looking at yourself in a mirror. Basically, you are only 2 weeks into a 52-week-plus journey. You'll get there, but it will take time. And you will drive yourself crazy if you're like the kid in the backseat asking yourself "Are we there yet?" from the minute you pull out of the driveway.

your body doesn't store B vitamins - whatever it doesn't use is excreted in your urine - so a high dose isn't toxic, it just might be wasteful if your body isn't using most of it. I'll check the requirements of the American Association of Bariatric and Metabolic Surgeons and post it - they've changed their Web site since I was last there, so I have to hunt for their supplement list. also, it's the thiamine part of the vitamin that smells and tastes awful. The other B vitamins don't smell. I switched to B complex capsules, since they don't start melting until they hit your stomach. Much better - these don't smell or taste weird. EDITED to add: it looks like their supplement requirement sheet is now in the "members only" section. Cripes. I'll see what else I can find. I had my surgery nine years ago, so I don't remember how much thiamine I was told to take, other than whatever it is is in the B complex capsules I take. EDITED again to add: I'm still looking for Thiamine (B1) requirements for bariatric patients, but NIH does say that 100 mg is a common dosage for people with thiamine deficiencies, which I guess would be us (for normal people, 12 mg is recommended). I'll let you know if I find anything else, but I'm guessing 100 mg wouldn't be considered too much for us, since we're prone to vitamin deficiencies. EDITED yet again: I just cut and pasted this from a very long report by the NIH. Since it says 12-50 mg twice daily, that would be 24-100 mg if you only take it once daily. SO...100 mg isn't too much. I would take it - the problems with thiamine deficiency sound pretty awful, and if you're taking the upper end of this recommended dose (100 mg/day), it should keep those at bay. Try capsules - they changed my life. Not sure if that much comes in gummies. Maybe liquids - but then with liquids, you're still going get that smell/taste. Postoperative bariatric surgery patients should receive thiamine supplementation as part of routine multivitamin therapy (12–50 mg orally, twice daily)

I have similar case but at lower back, I got MRI and I have inflammation in facet joints, the doctor give me 8000 IU a day of vitamin D for 3 months and 15 pain killers pills (I take every 2 days in first month, and one a week in second month), my pain is gone since 3th month after surgery, l still have multiple prescription to buy painkillers, if one year pain is not gone, she suggest to retake MRI, since my pain is not comeback after my BMI below 33, so I stop take painkillers, but I will continue take 3000 IU vitamin D (basically once daily bariatric vitamin)

My bariatric team says my daily vitamins should be (1) Bariatric Multivitamin (1) Super B Complex where they want the Thiamin in it to be at least 100mg (seems high to me?!) and (2) 650mg Calcium chewables taken (at separate times). I am absolutely struggling with the Super B vitamin, due to its very strong odor and taste. It makes me gag easily, it upsets my stomach.. it's wretched. Yes, I've called the office about it and they pretty much politely told me 'suck it up buttercup' and wouldn't offer alternatives. Anyone else have an issue with this one? How'd you get past it? Are there alternatives that work out okay? I really couldn't give a rat's behind if its a chewable or a gummy with sugar or whatever, I just need something to go down easier than this and not taste disgusting lol Pretty please some advice/recommendations would be great.

Thank you! I felt the username was well deserved. Lol yes I have tried everything and my brain is the problem, i can't seem to leave old habits behind or let them die. My biggest issues are snacks. I'm a snackaholic i love salty sweet crunchy gooey snacks and I'm having a hard time. Good luck to you also! You will do great! So glad I found this forum. I recently was listening to an audio book called the big book on the gastric bypass. Super helpful information and it lead me here as bariatric pal was mentioned so I figured I'd try it out. Nice to talk to other people in the same boat.

@LisaCaryl I wouldn't worry about it too much yet. We're still pretty early out from surgery and according to the nurse practitioner in my office, a lot of the results at this point are in flux. My A1c went down a bit, but my cholesterol was all sorts of weird. Just keep doing what you're doing and give your body time to adjust. I doubt you're getting too much sugar or carbs at this point, but if you're doing a lot of sugar alcohols (sometimes in "low sugar" processed foods) you could maybe see about cutting those back. Otherwise, a lot of the studies for A1c and bariatric surgery are looking at results a year out or more from surgery, not a few months.

I wanted the best surgeon I could find that wasn't too far from where I live (within two or three hours). Although I would have been open to traveling if I couldn't find anyone in the region. I don't think he had the best bedside manner of those I did my consults with, but he specialized in plastic surgery for massive weight loss patients and had been doing this particular type of surgery for years...and years. He had excellent reviews. Of course, it's great if you really connect with the person, too - but you'll only be seeing this person a handful of times - if that - but you'll be living with the results of your surgery for the rest of your life. You might want to schedule a couple more consults before deciding. I found realself.com to be somewhat helpful when I was coming up with my list of potential surgeons. you're in California - Dr. Katzen is nationally known and specializes in massive weight loss patients, I believe. EDITED to add - looks like he does all kinds of plastic surgery, he doesn't specialize in massive weight loss patients. However, he's very well known in the bariatric community.

Hi other newbie here! Pre op was difficult during those periods for me too. As I'm sure nuts/surgeons and everyone here repeats a billion times (lol) protein helps you stay fuller longer, so up your protein even pre op to help keep sated and if you haven't already- avoid caffeine and sugar *now*, they can worsen hunger cravings. I cut both cold turkey and would reach for a protein bar if I had a snack attack. But I think the most helpful was people distracting me from hunger. Get out more, get busy with a task that requires your focus, socialize more, do anything to keep your mind off it. If you're stationary and doing something like playing video games or reading, that hunger sneaks up on you real quick! I also recommend this post surgery (but don't do anything your bariatric team says not to!), as being active and busy distracted me during the healing process and some phase struggles. Hope this helps!

I've been trying to find all the podcast I can to get other perspectives post op. The other one I listen to is called "Active bariatric nutrition" podcast. The woman is a nutritionist. She has a lot of insight as well.

I've listened to some podcasts on bariatric surgery. The one in particular I've just listened to a couple times is called "Former fat friends" I listened to their finale of season 1. There's some things they talk about that may help. I'm an audible junkie, I listen to podcasts and books while I work. So, I'm not sure how many platforms they are on. I think everyone can take something from that podcast.

I wish I had a suggestion.. Unfortunately you've eliminated my suggestions for jello/pudding protein additions that would qualify for the liquid diet portion of bariatric programs.... I just added both to different soups etc. Good luck!

Hi, I know this thread is old, but I have recently approved for medically needy program by medicaid, and I want to go through the bariatric surgery process. I don’t know where to start and what to do, if anyone had a same situation can help me it’s really appreciated 🙏

As far as getting ready: I've got a binder my doctor gave to me. It has basically all the information that I should need going forward. I do look at it periodically to refresh my memory about what is expected of me. For the dietary changes and stages, I write everything I need to stop/start on a calendar. For example: I need to stop drinking coffee and need to taper off to avoid headaches. I am also weaning myself off carbonated water and need reminders. I'm struggling with a few things such as taking small bites, so I like to put reminders in my calendar so i have to see them every day. I'm also changing my vitamins over to different brands and also needed reminders for that as well. (I'm forgetful!) I've made a list of the things I need to buy such as different kinds of protein powder, unjury protein, chewable vitamins, calcium chews, small utensils, small plates, a drink blender, etc. I've made a list of things to pack for the hospital (thanks to several threads here on this website, I have a list going). As I purchase them, I mark them off. Along those lines, I have fairly good ideas of the types of things I will be eating in each dietary stage so that I can plan ahead for grocery shopping when I get to that point. I purchased several books off amazon that were used, and very inexpensive. Things like bariatric cookbooks and bariatric mindset success books. I do try to read a little bit each day and then journal about what I read. I drive a lot for work so I have plenty of time to listen to podcasts. There are several that I enjoy that I feel are science-based, supportive and informative. I've learned many things from these podcasts about bariatrics. They're free and it's easy to just put one on a few times a week. Besides bariatricpal, I am trying to avoid other websites that deal with bariatrics at this point. It felt overwhelming and felt like I kept going down a rabbit hole of horror stories and it was not helping with my anxiety. There is one person on youtube that I enjoy watching because she's many years out and is very inspiring. Now that I have a date for surgery, this all feels very real and scary. I am trying to not give into the fear too much and remember why I am here at this decision. I need to take charge of my health. I have ONE precious life. I want to live the rest of my life in the best health that I can. I've tried desperately since I was about 20 (in my late 40's now) to lose the weight and keep it off. I've had high blood pressure for 15 years and no matter what I do, It continues to be an issue for me. I've been warned that I am pre-diabetic and likely someday soon that will catch up to me and I'll officially be diabetic. I cannot do this on my own and maintain it. It's that simple. This is my second chance and I will not turn back. This is honestly a story about saving my own life by asking for help. I hope this helps.

Mine came after an open conversation with my sleep doctor of all people. I was seeing him because I was getting set up with a CPAP machine due to my sleep apnea. In addition to my sleep apnea I had developed several other obesity-related health conditions including pre-diabetes, chronic pain in my knees and back, some minor heart issues and the worst of all, scrotal lymphedema (I wouldn't wish that on my worst enemy). My doctor pointed out that losing weight would help all of those issues and he added that his mother was quite heavy and was dealing with a lot of health issues and that the sooner I could lose weight, the better my long-term health would be, and he recommended I look into bariatric surgery. That was the first time the idea had even crossed my mind. I did some research on it, but found out my insurance wouldn't cover it and it would be around $20,000 to pay for it out of pocket. But 3 years later I started a new job and got on their insurance, and it covered the surgery, so I began the process at that point.