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I think I’m entering my ‘stall’ period now. Having had numerous attempts at weight loss in the past, I know my body sulks between week 3 and week 7. I’m just beginning week 5 so the timing is bang on. My weight has gone up 1.5lbs from my lowest weight this week but it happens so I will just keep on keeping on. Once my body has got over its sulk the weight should start coming off once again. A couple of NSV this week. I don’t know about anyone else but my clothing sizes can be a bit all over the place. One size of clothing can have 3 meanings for me, depending on what it’s made of. So, for example, there’s the ‘I’m kidding myself’ sizing - plenty of give, elasticated, stretchy material. It may say 22 but I know it’s really a 24+. There’s then the ‘huh, it’s not too bad’ sizing - some give, not that stretchy, a definitely generous 22, and then there’s the ‘unforgiving’ sizing - no give, no stretch, no elasticated waist etc, a definite 22. For long enough I’ve been at the ‘I’m kidding myself’ stage but I went shopping in my wardrobe and found a couple of tops with no give, a definite 22. Tried both on - they fit!! And they didn’t look like sausage skin!! Very happy dance around the bedroom! I also went out of my comfort zone at the weekend and bought myself a size 22 no-stretch denim maxi skirt. I can fasten it, just, but don’t rate my chances of sitting down and/or breathing in it 😮‍💨 However, I’m keeping it as I know I will fit in to it comfortably at some point. We’re off to London for a few nights in 3 weeks or so, so fingers crossed it may fit a little better by then 🤞🤞 Meds have finally been sorted and delivered, had my Oximetry test last week so hopefully that’s gone well. No Bariatric appointments this week but I have my endoscopy next week plus knee X-rays for my arthritis. Food wise things are going OK. My new favourite thing is Lindhals Stracciatella Kvarg protein yoghurt - oh, I could eat barrels of the stuff! I’ve also tried the Warburtons Protein Power bread as a change to the whole meal. It’s definitely nice as a change but doesn’t want to make me eat lots and lots of it, which is a definite plus! Hope everyone has a great week… Onwards and Downwards!

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.

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.

@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.

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.

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!

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)

Hello everyone! I see that the mid-month surgeries will be starting, some as of today! I'm am a week and a day post-op and have to say - I'm SO tired of being on a liquid diet and am absolutely counting down to this next Monday when I get to start purees. I'm telling myself I'm excited about purees, anyway - but I think I'm more looking forward to being able to have intake that isn't 'room temperature'. I've struggled to enjoy my pudding (sugar free, made with protein shake) because while cold it starts out nice and thick but as it begins to warm it gets slimy and watery I had things I wanted to respond to from the many posts I've just caught up on and by golly I'm going to try to tag multiples in this post and see if it works! *Please* forgive me if this is long; I'm a writer (unpublished but working on it - fantasy for anyone curious - so overwriting tends to be my worst tendency!) To start with, since I think this will affect pretty much everyone - I had an amazing revelation a couple of days ago that made PERFECT sense. Colace / Docusate is a stool softener, NOT a laxative! A friend of mine is a research junkie about medications (I am about almost everything BUT that) and shared a video to me of a Pharmacist talking about the absurd cost for Docusate / Colace considering what it IS. Miralax and Senna are laxatives, all Colace / Docusate does it provide lubrication to your stools so they will be easier to pass. I'm pretty irritated about this, honestly, because whileI can see the purpose of Colace/Docusate if you're severely constipated it won't actually get things 'Moving'! Literally >. I can attest to this being true because during my liquid diet the only times I had stools were when I took Senna - (obv check with your doctor/pharmacist, but seriously this helped me SO much because post-op I was again at 5 days without a stool, took some Senna, and bam.) To @AndreaJD and @Singingbarista , our Multi-care Clinic twinsies - How's it going?! This is your week!! I'm so excited for you both and hope your surgeries go great. You've both been wonderfully helpful and insightful in all the support you've offered and I'm eager to hear from you on the other side of the adventure! @AndreaJD - I just love your attitude SO much. Yes; we are certainly in a marathon for the next few months and NOT a sprint! I'm also rethinking my approach to food and looking forward to exploring new recipes. I find myself reading and re-reading my dietary instructions. I get a bit overly excited for my family's meals, savoring the smells and almost a bit resentful when they are NOT excited about the variety of foods that are available to them to eat. My fella says he wishes I'd stop vicariously trying to 'eat' through him - and I told him that's just tough, lol. I'm going to keep right on suggesting all of the available items like a waitress at a diner selling the food until I can eat a better variety myself! To @Justarwaxx and @Mandalynne- Today is your day!! I have you both in my thoughts and hope everything goes well for you! @Justarwaxx - Welcome to the forum, I'm so glad you joined us! @Mandalynne - Oh I'm SO glad to hear that my mentioning the Finch app helped someone! I'm rather ND myself (in case you couldn't tell from my rambling responses lol) and for me, Finch has been almost as life-changing as this surgery. Everything always felt overwhelming and scattered, with me constantly struggling to 'get on track' with endless efforts of organizational methods, then I would slide right back 'off track' for however long. My friend code on there is YJAMJAC79Y if you want to add my to your 'Tree Friends' lol - no offense taken if you don't! I can't believe they said only ONE day in the hospital for your surgery?! Surely they will keep you longer than THAT - it's pretty invasive! Please give us an update once you're situated and feel up to doing so! Also, I'm SO with you on enjoying the smells of food cooking! I keep looking at some blueberries and strawberries that are sitting in the fridge and literally pushing my Mom and fella to enjoy a popsicle for me, lol. I can't WAIT until I'm off this room temperature everything!! Update: I'm so sorry your surgery date was postponed! Hey there @draikaina8503 - Greetings, fellow nerd-friend! Your response about playing D+D & WoW resonated with me! I, too, am a gamer and nerd! ❤️ I have tried so many times to revisit WoW but it just is NOT the same now that I don't have all of my old friends and guildies from the 2007-2015 era around I have played WoW since 2004 on and off, and now have somewhat given up and just play Sims4. I love being able to create story and be immersed in my gaming, and always felt guilty to move into the territory of roleplaying storyline with folks when I never knew how long I'd 'stick around' on a given revisit to the game. But here you are, only *two days* away from your surgery! I hope that everything goes smoothly for you and that they aren't stingy with the pain relief. Ice packs have been SO helpful for me, as I previously stated, and making yourself get up and walk as soon as possible will help alleviate the gas pain. I had them get me a fresh ice pack each time before I went walking and would hold it pressed to my surgical area while pushing the stupid IV pole with my other hand. Remember, too, it's the act of walking and NOT the speed! You'll almost certainly feel the burps start to rise up and the relief that comes with that is as Shoppgirl said - it feels like a rainbow after a storm once the tooting and burps begin. Also; I appreciate you sharing that you're going through this as an individual with Au/ADHD; I'm on a wait list right now for testing and your mention reminded me that I need to follow up on that! As a result of my opening the different pages of this thread in different tabs I feel SO much more able to handle making a response all in one go like this! For anyone having trouble tagging you have to do the @ symbol, then start typing the name of the person you want to tag with a capitol letter. It will bring up a list at that point and the more letters you type the shorter that list of names will get - you can then tap on the right name (or click, if you're using a mouse - hope this helps!) I actually just noticed by combing through that @Pepper_No_Salt is also an 8/16 surgery ! You and @draikaina8503 are indeed surgery twins, just like you said! I bet you're starting to *really* feel it now! Or did they not get you scheduled back for the same day? I am SO glad that you got that issue corrected - I was mad on your behalf when I saw that it was cancelled! Hello and welcome, @Farhad , and congratulations on your surgery! Which one did you have, if I missed it, and how are you doing? I hope your pain is being managed well and that are having a good recovery. It sure is wild how quickly we fatigue now, isn't it? I learned around days 5-7 post-op that standing and doing anything that requires movement side to side causes me a lot more tenderness than when I slowly walk forward for the same amount of time, and couldn't for the life of me understand why. I guess it just makes a difference on how the incisions are pulled or tugged. I've got staples that I sure HOPE they take out Thursday because I'm SO tired of them pulling and feeling weird as a rough surface on my skin. To @Onemealplan - Thanks for your post and all of your great reminders that this journey will be very individualized experiences. We can see similarities but I've also definitely noticed how varied some of the doctor's orders for pre and post-op are. I was feeling jealous of @ShoppGirl for her ice chips, but then again she ALSO had a much longer pre-op diet than I did and we both were going in for a SADI surgery. My doctor ordered me to start with the vitamins as soon as I got home from the hospital, and I was here worrying about how I didn't re-start my calcium until yesterday because even though I ordered Bariatric calcium because it was STILL three big pills, so I reordered a chewable and it just got here yesterday. I will say the chewy Fusion style Calcium ones are tasty and felt like a brief reintroduction to flavor town, lol. I also appreciate what you said about the difference between physical and mental hunger - that's 100% true for me. The 'idea' of food sounding nice to me I've been treating as a craving for flavor, and I've taken to trying to sate that with different flavors of water beverages and a rare sugar free candy like a jolly rancher. I don't know if I'm supposed to allow myself those or not, but so far thankfully haven't had any negative consequences for having the occasional one. The visit to flavor town is certainly a welcome break from this shake monotony. Welcome and congratulations to you @Greekmom4! I'm taking the Prilosec as well and am right along with you, today I am 8 days post-op. Have you been experiencing nausea still? I'm not sure if it's due to my type of surgery but I've not had much nausea in a while, thankfully. Granted, I am trying super hard to alternate sipping water/sugar free Gatorade/Propel every 15 minutes and a bit of a 30g Protein shake every 15 minutes most of the time when I'm not napping - which seems I can never really do, because whenever I go to get flat or semi-flat I feel the settling in my chest of burps that will only come up if I sit upright fully and/or walk. I have been fortunate (I guess??) to be able to meet my protein goals for the past several days; the 30g Protein drinks are SUPER filling and feel a little heavy, especially felt very heavy at first. Finally - to @ShoppGirl - I was rereading and realized that of COURSE your journey was different than mine, not only because we have pre-surgery differences but also because they took out your Gallbladder as well! I'm so glad you're starting to get some relief due to the burping and such. I agree, the post-surgery bowel movement made a world of difference. See also above where I discussed learning the difference between the Colace and Senna/Miralax! You're a go-getter, that's for sure! I personally wouldn't recommend vacuuming today even though I know you're SO eager to get back to being productive. You may have already done it lol - I wouldn't be surprised! Thanks for the reminder to get up and move; I took longer writing this big response post than I should have and even though I have my ice pack in my lap I know I'm way overdue to get up and move around a bit. I enjoy you your sterile strips, I've got a total of 12 staples and they tug and pull obnoxiously, plus I can feel where my body is trying to push them out and HATE it. Thursday can't come soon enough!! Wishing you the best and so thankful for your continued interactions and support

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)

I want to address those who might be struggling with the big decision on if they should go through with bariatric surgery, let me say this; 1. I have lost 33% of my weight so far. Even like you, I struggled with it having tried every diet known to human kind - I'd lose and gain..you know the routine. 2. I have officially been taken off all my meds; pre-diabetes and hypertension meds, this alone should convince you that having the surgery is a healthy choice and will help extend your life and reduce the drag on your wallets having to purchase meds for the rest of your life with the possibility of more being added. 3. You've probably tried everything else, what do you have to lose other than your weight? Its one of the most successful safe surgeries out there. 4. You'll have so much to look forward too in your life, I'm sure you have a mental image of how you'd like to see yourself if you were healthy and thinner. Having the surgery IF recommended by your bariatric surgeon will bring about that change. Let you be the thinner person you know is in there deep..waiting for you to bring the healthier you out! 5. Lastly, you will find the welcoming, understanding and empathy on these forums to help you when and if you reach out. There are years of experience here by people who at one time have been standing in your shoes and can help you, who want to help. I bring all this up because I know the doubts you're facing, but you'll never know the great outcomes available to you, unless you take the leap of faith that this life altering surgery will give you. I had a friend who self doubted and unfortunately she is no longer with us because she listened to those doubts and "taking the easy way out" nay sayers. Please take the leap and live the life you want to live before its to late. - End preach 🤗

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.

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.

Just tried the Bariatric Pal Hot Cocoa. It is so good! It tastes just like regular hot cocoa. I was very surprised.

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 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!

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!!!

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 🙏

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 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.

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.

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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.

I have to be honest about my experience so far with dietitians, and with post-bariatric advice and counseling in general. If you ask 100 dietitians what we are supposed to be doing, you will get 101 different responses. And if you ask them a second time, you will probably get even more. Too much protein, not enough protein, carbs are the devil, carbs are fine, low fat, don't worry about fat, count calories, only count macros, work out more, don't exercise too much... You've lost over 100 pounds. You are 12.8 pounds from your goal at only 5 months post-op, work out 6 days a week, and look and feel great. You seem really happy. I fail to see why you should change anything if you are happy with your results, unless you think the advice will benefit you. You know your body and what works for you, and unless your dietitian is a bariatric patient, she's never been through what you are doing first hand. Take what she says with a grain of salt, except salt is bad, unless it isn't because electrolytes are good...who knows?

First time posting on these forums, so hello everyone. Glad to have found this space to talk about my experience as I find it very hard to communicate with everyone else in my regular day to day life. I'm exactly 15 days post op (Gastric Sleeve) as I type this. And honestly, after reading many replies on here, I almost feel survivors guilt, but I do feel blessed as I thankfully did not experience many issues whatsoever. 24 hours after surgery I walked out of the hospital on my own, sore, but proud. I guess my biggest issue has been sleeping as I move around a lot while I sleep and at the beginning it would wake me up from pain for twisting and turning while I slept, and even then, that's no longer an issue. But, I never had nausea, or vomit, did not take any pain medication past the first 48 hours, I'm not trying to brag, just feeling fortunate after reading some stories on here. Everyone has their own stories and journeys, for me I was obese my whole life. This was ok through my 20s as I felt invincible, and eventually those checks I was writing on my body came back to collect. Back pain and diabetes were first. But it wasn't until a week before the world shut down that things went really off the wall. A long term relationship ended, and as the world closed, it kept me from my support groups, and led me down a dark path of basically eating and drinking myself almost to death with nowhere to go. At my absolute heaviest I thought I would die at a staggering 407 pounds. Poetic as that's the area code for my city lol. Knowing I had to make a change or I would not make it to 40 I went to a doctor, which led to a cancer scare. At that moment my life changed, and I knew change needed to happen now. I began diet and working out and made it down to about 375-380 where I had been hovering for over two years. Bariatric surgery is what I knew I needed to help me, and after fighting with insurance for two years, I finally got a new job last November, and the insurance there covered the surgery 100%! So I began the process in January. And on May 30th, 2024, at 10AM, I went in for surgery. To say that life has changed, for the better, is an understatement. In two weeks I have dropped almost 30 pounds. I'm feeling amazing as far as my stomach (kinda weirds me out to say pouch lol) is concerned post surgery. Still in the liquid diet though looking forward to chewing something this weekend, as I'm absolutely sick of Jello. I am still not hungry, and almost feels like a miracle. My blood sugar is stabilizing without medication. My blood pressure is improving almost daily. Walking a mile a day does not leave me searching for oxygen, and I can't wait to start the gym on June 30th and really kick this into high gear. TL/DR: This is a second change at life, and I will not waste it. Look forward to learning more from others through this process. Onwards and upwards.