Search the Community

Dang it! Back up to 200 today. I could see the digital scale contemplating telling me 199.8, but it decided nope. I've had days with tons of exercise. Days with no exercise. Days with over 1000 calories. Days with barely 500 calories because what I ate made me sick. None of it does anything to move the weight. I get on the scale daily because I like to see the graph as a visual. But I'd like it better if the number went down. On the bright side, my blood work all looks pretty good. A bit low in Vitamin A, zinc, and prealbumin, but so far no one has said I should change anything. @LisaCaryl I love the NSV with the jeans! What a nice surprise, even if you did get stuck wearing them to your group. I have one more week of school runs and after school activities before my kids are out for the summer. At that point, I am going to make a weekly meal plan and try out some new recipes from the bariatric cookbooks that are gathering dust because I've been too busy. I've also found a workout video to try with my pilates bar resistance band set, so that's going to happen this week, at least once.

Congratulations on your success for starters! I would not say you are weird, the excess skin is a badge of honor and proof of your hard work. That being said I completely 100% understand feeling self conscious of it. I am not a fan of the stomach folds and flappy arms on myself either. However, once you meet the right person, they will look past that to the person that you are. Yes it will take effort and bravery on your part to put yourself out there, but you've been on this journey I'm sure to live your best healthier life to the fullest which includes companionship. Maybe also seek out some therapy or a bariatric support group that can help with your anxiety. You are not alone in your feelings. I know plastic surgery here in the US is quite expensive, but I definitely will be looking into it when i'm closer to goal. If that is something that is attainable for you, may be something you can work towards. But in the meantime try not to hold yourself back from enjoying this new lease on life.

You are looking great, well done. Not a man but feeling the same way and have a lot of self doubt about starting to date (my friends are trying to push me to it) because the excess skin is all fine when it is hidden under the clothes but God forbid anyone was to see me naked, it is bad enough when the good looking doctors have to take a peak! I realise that a lot of my fear is in my own head and of my own making but not helped by social media etc.. At the moment I am trying to focus on the mental side of things and practice a bit of self love (no not masturbation 😂) by reading books on finding happiness and learning to dampen my own negativity. I never thought it would be something I would read and try to act on but I am trying my best to put positivity out into the word and hope it comes back. I am learning to have a smiling face instead of resting bit*h face, it is hard work 😂 Not sure if or when I will ever put myself out there but the positivity is good to give and get. Anyway, I just wanted to say you are not alone plus everyone (not just bariatric patients) is weird in their own way and we just have to try and embrace it and find that other person (persons) who get us.

Sometimes you have to ring some bells like HELLO, i need some aftercare and followup. Congrats you finally got your appt. and your A1C going down! I'm not sure about B12. Some labs calculate it differently as the high end of the normal range for mine is 1245. I'm sure if it's an issue it will be or should be addressed by your team. The Vitamin D for sure should be. I know for me it was getting to the higher side of normal and my dietician had me drop down from bariatric vitamin to a regular multi and cut back on my calcium chews which also contain lots of Vitamin D. Woohoo on the weightloss. And the hair loss will eventually slow down. Mine lasted from about month 3-6 at it's worst and has slowed considerably and now I'm only just slightly annoyed at all the short hairs from regrowth.

So I finally reached out my bariatric team and they said my post op appts "slipped through the cracks", So instead of having a 3 and 6 month appt I am have one next week (at 5months ish) that will combine my 3 and 6 month post op appt. ANYWAYS to my point! I got my blood work and everything is normal range! my A1C even went down from 5.6 to 5.3 which is pretty groovy! Also my iron is normal for the first time in my life! However my B12 is 1116 which from what I read optimal results are >500 for bariatric patients? So does that mean I am doubly good? My Vitamin D is at 119 and toxic levels are over 100. So my assumption is I could probably cut back on those vitamins lol. I feel great! I am down to 185 as of last week. Hair is still shedding but tis life. Thanks for coming to my ted talk!

Like the others said before me, I think it is highly unlikely that you have stretched your stomach. Weight will fluctuate (annoying I know) as your body copes with the changes. Please try not to stress yourself out unnecessarily. I think try to find a resource of a dietician, maybe even one online if that is quicker than a local one. Did your care team, at the time, give you any reading material for post-op foods etc? I didn't get much advice for long-term from my team so I spent a lot of time online and found some good online reading material at 'Bariatric Meal Prep', 'My Bariatric Dietitian' and a few other sites/blogs.

Great advice from everyone and I would second finding yourself a nutritionalist/dietician sooner rather than later. And maybe a therapist who has experience with bariatric surgery & disordered eating. Do you track your food? I’m not a tracker (didn’t have to) but I do random checks on portions sizes, nutrient content & protein to ensure I’m on the right path or haven’t got complacent. It might be idea to start tracking if you don’t even for a few weeks just to see where you may be missing some key nutrients, to ensure a balanced intake, etc. can’t hurt anyway. Check out some the you tube videos by Drs Matthew Weiner and/or John Pilcher. Dr Weiner has some great books too which may be helpful. These may offer some support while you’re trying to find a new surgeon & doctor.

First, don't panic! And don't compare your progress to others, if you can help it. I agree with everything Nickel said -- including the book rec. Kristin Willard's Bariatric Meal Prep is a great resource, and I also really like "The High-Protein Bariatric Cookbook" by Stacey Gulbin and "Fresh Start Bariatric Cookbook" by Sarah Kent. I think a good Bariatric book might help cover some of the information you've been missing from your 'care-team'. Is it possible that you've been focusing extra/too much on calories and not enough on what makes up those calories? My team told me that calories can be important (especially later on) but the first several months it was definitely more about making sure you're getting enough nutrients. 60-80 g protein per day minimum -- my team told me for me personally, she'd actually recommend 70-90g -- and definitely 3 meals a day (+ 1-2 protein-geared snacks). If you have to make them smaller at first since you're used to eating two meals, that should be ok. Maybe while you get back into a regular routine, make one of your meals a protein shake or protein bar? It was suggested to me that both my day (and each meal) should be 50-60% protein, and the rest of my plate should be mostly non-starchy veg -- with any starchy veg or complex carb coming in at 10-15% (20% max). The types of carbohydrates can be really important too. A whole grain/whole wheat item or a starchy but nutritious veg is going to put you in a much better place than a processed corn taco or white tortilla. Are you taking any supplements? Also, maybe check out local nutritionists and see if any of them have experience with bariatric patients.

Stretching in the sense that you mean it is exceedingly rare and only happens if someone consistently binge eats over a relatively long period of time. What does happen naturally is increased capacity. This is true for sleeve and bypass both. After 6 months or so, your stomach regains some of its elasticity and can accommodate a bit more at one sitting. This is fine and healthy. Everyone is different, and everyone's capacity at a given point post-op is different. I don't know what you were told for goals, but my program says 60-80g protein per day and 64oz minimum of water. They want my protein to be around 40% of my calories, and I generally aim for 800-1000 calories per day, but that was not strictly set and will change over time. 1200 seems to be a common goal for the later stages of weight loss, with the amount going up once you are in maintenance. 5oz per meal is reasonable, but you need to be eating breakfast, lunch, and dinner. Plus possibly a snack. My program says aim for 20-25g protein per meal, and supplement with a protein snack or shake as needed until you can get the full amount from food comfortably. By 9 months, you should be fine getting it all from food. Your brittle nails and hair loss suggest you are not getting enough protein and may not be getting enough other nutrients. You should continue to aim for around 4 oz of lean meat or fish, (or a serving of Greek yogurt or cottage cheese, for example) per meal. 4oz cooked skinless chicken breast has 25g protein. Your second priority at every meal should be nonstarchy veg. If you still have room, you can have a little bit of carb (rice, potato, sweet potato, bread, etc.). A serving of fruit makes a nice dessert. An easy way to eyeball it is to take a salad plate (not dinner plate), and put a piece of meat the size and thickness of your palm on one side, and fill about 2/3 of the other side with nonstarchy veg and the remaining 1/3 with carb. Go light on the sauces and butter. If in doubt, check Amazon for bariatric cookbooks. There are several by bariatric experts, including surgeons and registered dietitians. Kristin Willard's Bariatric Meal Prep is a personal favorite, with portion sizes for different stages, and a full color photo for every recipe.

I had my gastric sleeve surgery on 5/28/24 and everything went smoothly. I was discharged the next day on a stage 2 diet (protein) and did many walks around the hospital. No pain, no nausea, and no vomiting. However, since I have been home, I have fallen off my bed four times because there is no comfortable sleeping position. I am a side sleeper normally and, on my back, I just cannot breathe I have some sleep apnea. If I do not take the liquid Tylenol I am in such pain. My elderly mom is helping me out, but it's been rough. I am not meeting my protein goals and or water intake goals. I do the best I can. I am sometimes starving and sometimes not hungry at all. My taste buds are all off protein shakes and vitamins and things that I loved that I purchased before surgery are gross. I might be in love with this broth soup today and tomorrow the same broth soup is the worst I ever had in my life. I cannot tolerate or smell my bariatric vitamins and I am concerned. Is this all normal? has this happened to anyone? I spoke to my surgeon's office, and they were not concerned they were just like do your best! As long as you are not vomiting or have a fever you are good. huh? I feel malnourished.

Hi 👋 I’m right at the very beginning of my bariatric journey and I’m equal parts excited, apprehensive and relieved. I’m 55 and have had numerous attempts at weight loss (like many, many of us!) Thankfully I found an incredibly supportive GP who has helped with menopause issues and was really understanding of my frustration with my weight, and the constant feelings of guilt, anxiety and failure. She put me forward for bariatric surgery and has helped me with the initial stages. Mobility is an issue - I have Rheumatoid Arthritis, Osteoarthritis in both knees and left hip and generally feel like crap - constant pain and just a general feeling of being fed up. I’ve had my first education support meeting at the hospital and now have appointments for the dietitian, sleep test, and support group (waiting for endoscopy appointment) I’ve read, researched and downloaded what I can. I have also familiarised myself with all the information provided by the hospital and have downloaded a couple of bariatric recipe books for the different stages. I always like lots of information when embarking on something major! My plan is to start a weight loss plan come Monday and start getting my head around higher protein, lower carbs and better eating all round once again. My weight is currently 303lbs and I’m 171cm tall. I’ve taken the dreaded ‘before’ pictures (😖) and have re-started my weight loss app membership to record everything and make myself accountable. I’m looking forward to ‘meeting’ people who are on this journey too, regardless of the stage!

Maybe try some of the protein unflavored shakes and protein powders here at bariatric pal store here https://store.bariatricpal.com/pages/search-results-page?q=unflavored protein shakes

I'm actually scheduled for an exploratory peek into my pouch on June 6th so it should be interesting. If they don't find anything there, the bariatric surgeon said the traditional upper and lower GI do not go through every part of either our intestines or the bowel, cannot remember, but that he knew of 2 doctors in this area that had an 'extra long scope'. Gah, I don't want that to be the NEXT thing we try considering I just went through the yucky 'prep' for a traditional upper and lower GI last month...lol. I would think my 'new' GI doctor should have come up with some of this stuff and not just punted me to the bariatric surgeon and told that I may need a 'revision' as it sounded to him like 'dumping'. It has never felt like the dumping we experience after a bypass/sleeve. It has felt different from it this whole time. This GI doctor has decent reviews so maybe I will just follow up with him after exhausting the 'could it be related to my bypass' route he has sent me on and see if he has any other ideas of what it could be. At this point, I'm getting kind of tired. My primary who is usually really good to work with told me 'you may just have to deal with ongoing, chronic pain'. He and I will talk about that 'not helpful at all' statement.

I am looking at new hair cuts and go back to my hair lady in August. I am not her first bariatric client so she knows how to deal. Hoping I am not too fair gone where I have to go too short.

The bariatric center I go to told me the same thing about stalls. But they also added that little things could prolong them. Like I mentioned in another post about the pre workout and post workout fueling (eating). The stalls still happen, but at least I feel a little better from having more energy. That's great you're staying with your brother. That's what brothers are supposed to do! Sounds like you have a good one. You have a very interesting job to be able to travel all over the world. I'm sure there's times the traveling is too much. But, wow. All the places and different people you get to meet and work with. I hope the stalls don't last too much longer for you. From my own experience with them, they are tough to get past, even when you do see other positives going on. I wish you good rest and safe travels!

Okay first, thank you so much for such a comprehensive answer. I've seen some of your tips in the forums before but this really lays things out. I'll start varying my routine more and see if I can trip things up a bit. This iron thing in particular is interesting. In my last series of labwork my iron came back very low, but not quite anemic. (The range was 50-170, I came in at 55.) I have upgraded to the bariatric multivitamin with more iron and started also taking the iron melts with vitamin c, but I struggle to do this consistently due to how often I have dairy, and I haven't felt much of an improvement yet. I get re-tested in ~5 weeks to see if the numbers are better (or rather, to make sure they're not getting worse). Interesting lead either way.

May be we should all get that app the records how often you fart at night. We might be able to start our own bariatric tooting band. 😁

Yes the surgeon I met pre-op warned me at the time about hair loss but I was a bit dismissive as have (had!) such thick hair that I didn't think I would have as much fall out as I did. I am thankful for the thick hair as I think it is how I coped with it not being noticeable to others. My hair loss stopped after month six and the regrowth is strong and thick again not sure if that is luck or down to the fact that I added in the special bariatric hair vitamin, plus collagen on top of the other bariatric vitamins I take. I just don't know where the curl/kink is coming from now in the regrowth underneath. My hair is now long enough to tie back a bit but I will be getting it cut again next week to try and get closer to it all being one length at the back.

I don't think it made a difference to how much came out but it made my hair softer and kept it in good condition which meant I could go longer between washes. I was taking collagen every day as well, still do. The only vitamin I am no longer taking is the bariatric hair one as felt I did well with the three month supply.

I don't think you are going bald, just going through what so many of us have had to cope with. I had long thick straight hair pre-op and thought I was doing really well when I got to month four with no hair loss and then it was like a horror movie for two months. Clumps would come out if I washed my hair, I would cry in the shower when I saw what was in the drain and my hand after just a light touch wash. I kept my hair tied back and washed just once a week during the two months but you could tell where I had been by following the trail of fallen hair, I seriously shed more than my cat! I was so self conscious about it as had bald patches but thankfully others couldn't tell it was mostly underneath. I ended up cutting my hair up to chin length so it was not as obvious. After six months the hair loss stopped and now it is about regrowth, it is nearly as annoying though not in anyway upsetting. I have been getting my hair cut every couple of months so that my existing hair is as close in length to the new hair (which is coming in with a curl) and I have to put mascara in my hair if I go out in public as there are baby hairs sticking up all over the place, looks like static hair. I took special bariatric vitamins for hair for three months, no idea if it helped but I was prepared to try anything. I also got a couple of wigs but ended up not needed them. For washing my hair I used a really soft shampoo made from oat milk. Basically I just want to let you know that what you are going through is normal after the surgery, you couldn't have prevented it, it just happens to most patients as the body is coping with the weight loss and it will get better.

1. What was the best part of surgery for you? The best part is also the hardest to explain. The best way I can put it is that pre-surgery, I had a demon in my stomach. This demon demanded rich foods and thought that if one of something tasted good, then four of something would taste amazing (this made the demon a liar, but I had to obey these lies). The surgery removed the demon. I no longer feel controlled by cravings. 2. What was the worst part of surgery for you? The 48 hours prior to the surgery were miserable. I could only have water, Gatorades and black coffee. Then I had to take strong laxatives prior to the surgery, so I was defecating so much that my body was expelling food I hadn't even eaten yet. And I couldn't go to sleep because any flatulence had the potential to be ... explosive. So it's 1 am, I am starving, dehydrated, sitting on the john and I need to be at the hospital at 5:30. 3. Did you have any complications (minor or major) during or after your surgery? Nothing major. I greatly underestimated how sore my stomach would be and how long it would take for the soreness to go away. I am a stomach sleeper and it was three months before I felt comfortable sleeping on my stomach. 4. How has adjusting to your new life been for you? I love the new life. I am able to exercise (bike, jog, lift weights) like I never have, I have great energy. I can shop at pretty much any clothing store. It has allowed me to become a better version of myself. 5. How long did it take you to feel comfortable eating food? It was probably 8 months to a year before I felt like I could try any food and not have to worry about my stomach having trouble. 6. Is there anything you can’t eat anymore that you used to enjoy? Can't eat, as in, I physically cannot handle it? Nothing. But there are plenty of things that I used to love that I am uninterested in. Like I have no desire to eat a donut. Just seems like pure sugar to me. 7. What was your recovery like? Any vomiting or dumping syndrome? I did not have dumping syndrome (although some sugar alcohols hit my stomach hard). I did have some vomiting, but it was either due to eating too fast or eating a food that my stomach wasn't ready to handle yet (I had some stewed beef at like the 90 day mark and I wasn't as ready for it as I thought I was. 8. How long did it take you to feel semi-normal after surgery? I would say 90-120 days before I felt physically normal (could sleep on my stomach, could handle most foods) 9. Did you experience higher energy level post surgery? In the immediate aftermath of the surgery, no. This was my first (and so far, only) major surgery and I really underestimated how much it would sap my energy. I was walking gingerly for a while. But once I fully recovered, I have had way more energy. 10. Did surgery affect your mental health? Yes, in mostly good ways. The pre-surgery success-failure cycle of yo-yo dieting impacted my psyche way more than I realized. So this state of long-term success helped greatly (and success, both great and small, is an excellent anti-depressant). Will it cure your depression? Absolutely not. To the extent that you think your problems in life are caused by your size ("I'm single because I'm overweight" or "My weight is why they won't give the promotion" or "my weight is why my mother is passive-aggressive toward me"), the surgery will not make those problems go away. I'm very lucky and very blessed to live an amazing life and the weight-loss has only further revealed what an amazing and blessed life I have. 11. Do you regret it? Would you recommend it? I do not regret it. I make it a personal policy not to outright recommend it to anyone because everyone has their own journey. For many years, I saw bariatric surgery as a last resort, a kind of "pull in case of emergency" lever. I realized that I was 40+ yrs old with a wife and children and no diet had ever worked for me and I was only fooling myself if I thought the next one would do the trick. I had to either pull the lever or make peace with being morbidly obese for the rest of my life. I pulled the lever and I would pull it again without hesitation.

I'm almost 5 months post op RNY Gastric Bypass 1/3/24. 52 F 5'9.5 HW 272 SW 255 Surgery date 219, CW 174 1. I had surgery for a variety of reasons, severe GERD, hiatal hernia, gastroparesis, obesity, chronic pain and disability. The best part is not feeling either nauseous, in pain, or hungry 24/7. I feel hungry, I eat, and I feel good. Don't get me wrong, I still have some nausea or pain if I eat too much or too fast, or just knowing something isn't likely going to agree with me, but I've been pretty good at avoiding those things. The chronic pain is lessened, I'm more mobile, and feel more energetic throughout the day, instead of just in the morning. 2. I've had some hard days with emotions, not being able to eat mindlessly anymore, regardless of the food. It's been an adjustment, but honestly, no one needs to eat mindlessly, it just isn't good for anyone. 3. I had a sketchy bladder issue, it didn't wake up for a few days after surgery. I had a sketchy bladder already (Previous Cauda Equina Syndrome), so it wasn't completely out of nowhere that it didn't cooperate. 4. It's been really good for the most part, there have been moments that felt hard like traveling with family and not planning well enough, had a hunger meltdown, and struggled getting what I needed in a hotel room with a barbie fridge. Though recently traveled again, same scenario, but better prepared, no melt downs, no strife. 5. I was started on purees in the hospital and it was a slow progression to regular food and I felt okay through every stage though I would say that I started feeling "normal" when eating after about 3 months? 6. I don't eat bread, pasta, rice, fried foods anymore. My ultra favorite was fish fry, now I have baked cod and still eat it with tartar sauce, so I don't feel deprived. Most foods that I crave I've been able to find a satisfying alternative for that works for me. . 7. I have not vomited once since the surgery, I've wished I could at least twice, but it was a matter of having eaten too much and needing to wait to let it settle. That is a good reminder for me to go slow and take breaks. I've not had any dumping, though I avoid all sugar anyways, and did prior to surgery. 8. It's different for everyone, I think I felt most like myself again at about 8 weeks. Though that doesn't mean that I felt bad before that, I just felt less energetic, a bit more emotional, etc. 9. Yes, very much so. I don't have that afternoon slump anymore, I feel clearer and just happier. I feel like I am now what I was supposed to be all this time. If that makes sense? 10. It affected my mental health in the expected way, I was weepy, sad, afraid, etc. I was thoroughly prepared for it by reading on this site and American Bariatrics site. I knew what to expect and it didn't shock me or frighten me when it happened. Thanks to all of you who so generously shared about those experiences. I'm definitely happier now, I feel more comfortable in my own body now than I have in a very long time. 11. I don't regret a moment of it, would definitely recommend it to anyone who is eligible and interested in having surgery. For me, the biggest piece of it is that feeling of eating, then feeling satisfied. When I go out with friends or family, even though there is so much food still on the table, or on my plate, it doesn't keep me preoccupied. I'm able to just sit and enjoy the time with friends and family without spending the entire time talking to myself about one more bite, one more piece, no, no, maybe...................This piece right here is invaluable, and when combined with the fact that I don't feel sick all the time anymore, it's definitely been worth it many times over for me.

Definitely worrying too much. You won't stretch anything out by drinking too much. If you follow your bariatric diet, you won't stretch your stomach out with food. You won't even eat regular food until 6-8 weeks out. And by then you'll be healed, but have a lot of restriction that will prevent you from over eating. As time goes on, your stomach does stretch a little. That's normal. But it never gets anywhere near the size it was pre-surgery. It's ok, and actually good. As you heal and increase your activity levels, you have to increase your calories and carbs, but again, nowhere what they were pre surgery. Don't be afraid to eat. You can't run a car without gas and you can't run your body without food.

Medicaid typically requires 6 months of documented medically supervised weight loss attempts with your doctor, bmi of 40 or 35 with at least 2 comorbidities, pass an ekg, blood work, and pass a psych eval before they will approve the surgery. They may also require a referral to a bariatric surgeon from your primary doc. They will also require a letter from your primary doctor approving you to have the surgery. All of that gets submitted to Medicaid by the bariatric surgeon and then Medicaid decides if they will approve it or not. If they deny it, they'll usually tell you why and you can either do whatever else they need you to do or appeal it if you already have it done. That's all I can think of. I actually originally looked into bariatric surgery way back when I was on Medicaid, but ended up not doing it. Once I started my previous job and got BCBS, I looked into it again and ended up doing it. When I had my revision a year later, I was changing jobs and in between insurance and back on Medicaid (if the revision if for complications and not failed weight loss, they tend to approve the revision really fast - in my case, it was 72 hours, if it's for failed weight loss, you basically have to start everything all over again as if you're doing the surgery from scratch, and all the previous requirements are back in place). Now I'm at my current job (dream job) and have United Health Care. I hope this helps somewhat!

The last time I was talking about having a stall after nearly 3 weeks. My weight all the sudden dropped. But, I can also tell that I'm losing inches. Even when the weight doesn't move. My energy is all over the place the past week or so, I feel like I could do a triathlon, sometimes I feel like I just did a triathlon without doing anything. I assure you it's normal. I'm seeing this first hand, also this is what I get told by the doctor, dietician, nurse and exercise specialist. Two of them have had gastric bypass. The other two have been in the bariatric field for several years. The Dietician told me my stomach is like a new baby, since I'm only 3 months post op. There's several more months ( or longer) for our body to get it figured out. Right now it's brand new. I know how tough it is to see the scale not move, but I also know this is still early in the process. I'm trying to look at it like I have a brand new 3 months old stomach and there's going to be growing pains. Try not to be hard on yourself, it's a process and it takes time. That's what I keep trying to tell myself. I know it's cheesy and a line from a movie. But, like Rocky Balboa, if you get knocked down the only thing you can do is get up and keep moving forward.