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Has anything changed? New medication? Lifestyle change? Has a little complacency slipped in? Not as active? You’ve been through Thanksgiving & Christmas recently could they have contributed? Go back to tracking your food & fluids to check you’re meeting goals. Go back to how you were eating before you reached your lowest weight in regards to portion sizes, calories, macros, etc. Protein first, then vegetables & finally only if you’re able any carbs you’re allowed. Check in with your dietician to ensure you’re not missing something. Remember not everyone reaches their goal. The average weightloss at the three year mark is 65% of the weight you would need to lose to put you in a healthier range. You’ve got this.

Everyone recovers differently. One friend was back after a week, another was three weeks while I was four. Is it possible to extend your leave if you need, or return part time or with reduced daily hours? Can you work partly at home? Better to have a plan in place your employers are happy with just in case you need it. All the best with your surgery.

The reason for erratic weigh-ins (and the infamous three-week stall) is that in the early stages of running a sustained calorie deficit, your body does not burn much fat. Your body worked hard to store fat and considers it a precious commodity that it does not want to part with for no reason. For extra energy to make up for a lack of calories in the short term, your body first burns glycogen. 1 gram of glycogen is bound with 3 grams of water, so as you burn it for fuel, you also flush out this water weight. Only when the glycogen reserve is used up does your body turn to burning fat. The first few weeks after surgery, you were probably lucky to get in 600 calories per day. Your body was burning glycogen like crazy. When the numbers first dropped on the scale, that was almost entirely water weight. Now that you're a couple weeks out, you're allowed to have some pureed food, and you can probably get closer to your protein goals with your shakes. With a few extra calories coming in (still nowhere close to what you need every day to power your bodily functions), your body is at least reassured you are not in imminent danger of starvation. It's taking a look at your empty glycogen reserves with horror and doing its best to fill them back up with the calories you are giving it, like a squirrel storing up acorns for winter. For every gram of glycogen your body puts into the storage cupboard, you've got 3 grams of water tagging along for the ride. Meanwhile, you can rest assured that your body is also burning fat to keep your engines running. However, when you step on the scale, it can't really tell you that you've burned 4 pounds of fat and also stored 7 pounds of glycogen and water. It's just going to tell you that you've gained 3 pounds. But you've done nothing wrong. This is your body doing what evolution programmed it to do since humans lived in caves and constantly had to battle short-term food shortages. Once you've restocked that glycogen, you'll start being able to see the fat loss on the scale again, and in your measurements. As long as you keep doing what you're supposed to do, your weight will move in the right direction. But not as a straight line. Weight loss looks a lot more like a staircase with drops and plateaus, and a lot of small fluctuations that have nothing to do with fat. Try not to let it drive you crazy!

Nope you didn't ruin anything. Your journey will be all ups and downs and it is really best to get used to it. Throw in lots of stalls and you will be worrying like crazy if you don't believe your teams advice. You should be in a calorie deficit. Once you are on real whole foods as against puree your restriction will kick in big time. Then you will be on reduced calories again because you just can not eat much. You could have gained three pounds because of a few reasons. Have you been eating salty foods, Having a really stressful time, Have a full bowel or is it just the time of the month.

I feel you, three weeks out and I have lost that joie de vivre, nothing taste's good, I have sn awful taste in my mouth, can't stomach purees or protein drinks, when I eat something it's painful, water tastes horrible to me, but then again this is why we lose weight I can honestly say I am not having cravings more of a repulsion, hanging in there since everyone says it gets better.

There is a lot of conflicting information out there so I'm not going to argue. Even different surgeons say different things. I will say that all bariatric surgeries altogether have a high chance of reversing diabetes. I have not heard of anyone that still has type two diabetes after the sleeve unless they regained their weight. Maybe the 'punishing' term rang bad to you, but what I meant was consequences for carb dumping and overeating are usually more severe for DS and Bypass patients. So maybe punishing was not the correct term. I'm sorry you saw it as being negative for those with bypass/switch but that was not my intention. But I do view throwing up, foaming at the mouth, dumping, and general malaise as punishing. No one enters into these surgeries to feel that way but keeping bad habits does result in this outcome and I wouldn't call it a reward. It is a definitely and incentive for many not to eat badly. I have even read on here and seen in other places where people felt they need something really restrictive to keep their diet in check. It happens with sleeves (not the foaming bit) too but you can usually get away with more. This is why the success rate with sleeve patients are slightly less. Also you don't have to defend your choice in surgery to me or explain it. I am not saying any surgery is better or worse than the other. All surgery comes with risks and downsides. The original poster asked for the NEGATIVES and the positives for the different surgeries and I just told her what my surgeon, research, patients of all three surgeries have said, and some other bariatric surgeons I follow. Also I never said sleeve patients couldn't suffer from vitamin deficiencies. I said it is more common (easier) with switch and bypass, which it is. Sleeve is not a malabsorption surgery. Vitamin deficiency also occurs in non-bariatric patients. A lot of people are suffering from vitamin d deficiency right now who have never had surgery. I can point you to a bariatric surgeon who doesn't even believe that sleeve patients need as high as potency and 'bariatric vitamins' like bypass and switch patients but they set the standard and the industry is going with it. Also, weightloss is more rapid for switch and bypass generally which is why gallbladder problems is more common but as always it doesn't HAVE to occur. Which I never indicated this was a one shoe fits all for anybody. It's a risk. At the end of the day everyone must make their own decision on what is right for them. Be it sleeve, switch, or bypass. I commend anyone taking charge of their life and going through this difficult process to come out the other side happier and healthier.

Just keep moving, drinking water and eating protein first hand stay off the scale! Your body letting go of the weight is not just physical but mental! Give yourself some grace and be patient with the process! It will move again so stay positive and try to keep the negative thoughts away! I just came off a three week stall where I fluctuated between 3 #s to the point I thought my scale was broken!!

Hi friends! I’m now 9 days post op. I’m in the puréed food stage and although my diet plan had this amazing sounding broccoli and cheese soup (puréed) recipe, it did not set well on my tummy. I ended up experiencing my first “dumping syndrome” last night as a result of about 3 teaspoons of that soup. I’ll say it has been a challenge to learn what my body will and will not tolerate. Just because it’s in a recipe book doesn’t always mean YOUR body can handle it. The experience I’ve had so far was that when I take a bite of something I’ll sit and let it digest a little to see how my belly feels about it. Most of the time it responds with gassy feelings, but the times where it feels PAINFUL, usually means it’s a no for me, at least for this stage. But last night the soup gave me no indication that it was going to end badly, so I had three teaspoons-to my delight as my family was eating it too-so I didn’t feel so “odd-man out” for this meal. But regardless, I’m feeling that cheeses, even smooth cheeses, for me may not be an option right now. If you’ve experienced the “dump”, what are some of the indicators you’ve had to tell you BEWARE? Also, did you feel absolutely depleted afterward? I felt like I just ran a marathon and all I wanted was rest. It was awful!

I just made an account to answer this. I am two and a half weeks post op from gastric sleeve. I too have PCOS. I am 37 years old and my highest weight was 330. At surgery and after the pre-op diet I was down to 305. I'm currently 289 today. My comorbidities were hypertension, high cholesterol, newly onset GERD, and insulin resistance. (never made it into the diabetic range). I watched a ton of videos on youtube after I decided to have surgery. I watched the testimony of patients ranging from a few weeks out to twenty years. I also listened to bariatric surgeons discuss the process, pitfalls, and successes. My PCP had been talking to me about this surgery for three years and at first I declined because of all the people I knew of that experienced full weight regain. I only decided to have the surgery when I had determined that not being able to eat as much and what I want all the time was a small price to pay for my health and quality of life. Some things to consider between sleeve and bypass. Myth: Bypass patients are much more successful at keeping weight off. The sleeve is a newer surgery and was discovered as the first part of the duodenal switch. The 5 and 10 year outcomes for weight loss and regain tend to be around the same with the bypass slightly better. The sleeve is less punishing and is easier to 'stretch' out with poor eating habits but it can be done with the bypass as well. Overall, a change in relationship with food is a higher predictor of sustained weight loss than either surgery. The Switch is the surgery with the most rapid weight loss and sustained loss without regain but it is a heavily malabsorption procedure, carries the most risk of post operative complications, including dehydration and vitamin deficiency and requires a very strict regiment to sustain a healthy lifestyle. It can also result in some interesting bowel changes. Too rapid weightloss can also result in gallstones. Quite a few bariatric patients have had gallbladder removal after surgery. It should be noted that actual operative complications are low for all surgeries but not zero. Another controversial topic of sleeve vs gastric bypass is that the bypass is better for GERD. There are contradicting experiences for both surgeries. One thing is for sure you can certainly still have GERD with the bypass, although it seems revision from sleeve to bypass has worked to cure GERD for a lot of people. My GERD was very mild before surgery and so far I have not experienced any after. I am on a daily dosage of omerprazole but that's nothing new to what I was taking before. My triggers for GERD were fried foods and canned tomatoes. I know to stay away from that now. Keep in mind that the bypass is reversible in most cases while the sleeve is not. Also, the sleeve can be converted into a bypass or switch if complications arise or you fail to lose or sustain a meaningful amount of weight. There are very few options for bypass and switch if regain occurs outside of dietary changes, exercise and will power. Bypass patients can no longer consume NSAIDS, steriods, and possibly other medications after surgery for life. Switch and Bypass patients are more likely to experience dumping syndrome but Sleeve patients can also suffer from it. Constipation, diarrhea, and blockages and strictures can occur with all surgeries. Very minimal risk for long term serious complications. I have read quite a few posts that spoke about pain after surgery with the sleeve. Speaking for myself the only pain I experienced was gas after surgery from the surgeon introducing it into my abdomen during the procedure. I was given liquid pain meds but never took any, and no otc pains meds either. I felt discomfort from the surgery port sites for maybe a week. After that I was good. My surgery team has stayed on top of any side effects that could occur after surgery and I was very lucky. They gave me medicine for nausea before surgery, put an anti-nausea patch behind my ear also before surgery and discharged me with anti-nausea dissolveable meds. I took the meds for about a week though I never experience sickness and still luckily have not. I was a water drinker before surgery and can still easily drink water without any pain or nausea. Cold or hot temps don't seem to upset my stomach though some have reported either can cause pain. I am on the puree stage and things are going well. Really, experiences vary. I'd choose a doctor carefully and if possible speak to prior patients to get their experience pre and post op. I was lucky my Aunt had the procedure done the year before and could report on her experience. We chose the same surgeon. He had a 98% success rate. So after this long-winded wall of text I choose a sleeve because: I wanted a slower and steady weight loss. I did not want to re-route my insides. Had a co-worker suffer a bad bowel blockage with a bypass and had to have part of his intestine cut out. I did not want restrictions on not being able to take certain pain or treatment options should they become necessary in the future. I did not feel I have a dependent relationship with food. I ate too much of it. And sometimes the wrong things because they were easy and accessible. But I also enjoyed a lot of healthy foods. My kryptonite has always been lack of exercise and even skipping meals so that I overate when I did eat. I'm from the finish your plate generation, but I did not and do not rely on food for comfort, bordem or pleasure. Therefore, I felt and still feel that the more punishing procedures were not right for me.

Oh my gosh @MLC3409 why the 360 with the doctor? And I don't blame you with the food because this is very hard work (especially for myself with a husband and three kids). Did he find something wrong yesterday? Is he going to keep the surgery date? (I think you said yes) and they wouldn't be ordering meds without telling you. Keep on plugging along!! And remember the why and keep telling yourself that...Reach out whenever...my problem is I am also looking at stuff for the purees stage and so on lol because I want time to fly by. I been adding "bullion" to my broth as a treat.

Guys I don't know why but yesterday day 5 was pretty hard for me. Not the first three days lol...I just wanted to say for anyone who has the 28th we are almost there!! I am drinking a bit more broth in between but probably because I am bored and it's cold now in south GA 🤣. Love seeing everyone's posts!

It doesn't sound like it. I know that the amount sounds like a lot compared to the can-only-eat-three-spoons-of-pureed-food-and-even-less-when-solid crowd but the amounts is not what strikes me odd. If the foods you're listing are fairly typical for a day of eating you simply might be lagging nutrients. No fruits at all, only a little bit of vegetables. I'm not surprised. The sodium content of the foods you listed seems to be fairly high. Quick weight loss or weight gain usually almost includes some water retention. My weight can swing up to almost 1 kg within one day because of how much water I hold. You say you want to start tracking. Are you a person who likes to track food, a person who abhors it (raises both hands simultaneously here) or a person who is not a fan but in the end doesn't mind it? Tracking foods/calories/macros can help people - however, it could be that you can benefit from a different food selection without even having to write everything down you eat. How far out of surgery are you? Are the stats you're listing in your profile still correct?

Well the good thing is you are at the three week mark and can soon start puréed stage. That is only a week then soft food and then onto regular. Just focus on each day getting it done and then find something to occupy your time. Make sure you’re getting your water in. 4 more weeks will be done in no time.

I've had three plastic surgeries! They're a tougher recovery than weight loss surgery (especially lower body lift - that one was really tough!), but you'll be so glad you did it once you're a ways out and all healed! I'm really glad I did it. I now have a normal-looking body! P.S. it can take up to a year for you to look like you'll look permanently - although you'll have a really good idea after the first four months or so, when all the swelling is gone and the scars are starting to fade. The biggest thing I noticed after all that time is that my breasts dropped into a more "normal" location (at first they were way high up - it was kind of jarring - but my surgeon reassured me that they'd eventually drop into a more natural place - and they did) is Dr. Laura Carmina Cardenas doing your surgery? She's supposed to be really good (she specializes in plastic surgery for massive weight loss patients, so a lot of WLS patients have gone to her)

I only had to do 2 weeks of keto - I had mine in Mexico. My insurance denied me. They required BMI and THREE co-morbs 😩

This is Awesome!!!! I am hoping that things go this well for me too 🤞🏻. I am so happy to hear that you’re doing so well! I bought a cookbook that has full liquid protein recipes (it is a Bariatric cookbook) it walks through the first three week up a regular (general) diet. It has been helpful in getting ready for my post op.

like others, eight lbs in eight years is actually great. Most people have a 10-20 lb rebound - and usually earlier on than you - usually at about three years out. And fortunately, as someone implied, it's eight lbs and not 40! It should be do-able, although that said, the closer you are to a normal BMI, the harder it is to lose even a few lbs. I've said this before on here, but I remember going to Weight Watchers meetings before surgery and listening in disbelief to those barely overweight women moan and complain about how hard it was to lose 10 lbs. And there I was - 200 lbs overweight. But I totally get it now!!! I've been dealing with regain, too (I'm 20 lbs above my lowest weight and have been since even before the pandemic), but I've been weighing back and forth after all this struggling if it's even worth the struggle (and my doctor is fine with my current weight, so she doesn't "get it" - which is no help!). I know a ton of long-timers who are dealing with the same thing. Some have just given up trying and are just focusing on maintaining where they're at, some have had some success with Weight Watchers, others swear by intermittent fasting, some go really low carb for awhile. And some go back to eating the way they did the first year post-op (not all the way back to purees and soft food - but they way they were eating when they were 6-12 months or so out). Whatever works and fits your lifestyle is worth a shot. But know that it's tough - your loss will be in ounces at this point rather than pounds, so it's hard to see your successes - but it can be done and some people do succeed! Anyway, best of luck to you!

Funny you mention that. I have seen a few people have gotten sick just before surgery. well, as far as the ones that passed neither of them was due to surgery complications. One was a drug overdose. She had so many issues after surgery and had to have a couple of emergency surgery to repair sutures. That however was on her! She did not follow the plan and less than three weeks post op she was eating Doritos. Well one c got lodged in her suture line and they had to repair it. She also over ate regular food and got some kind of blockage. the second one that passed she actually committed suicide. Now that MIGHT have been surgery related because your body goes through so many hormonal changes as well. So that is something that if you start feeling regret know that it is Normal but find a therapist to talk it out with. my other friend he had issues during surgery and they ended up putting him in a medical coma for two weeks. He was a large guy like me, well he was bigger by like 60 pound at around 450. I don’t know what all happened but I know he was having bleeding issues. But he was ok in a couple weeks and he was doing well the last time I talked to him. my other friend I think she just gave up and has gone back to “normal “ for her. So she is gaining weight. I do know I have to work on my mental health and stay disciplined after. And it shows how stuff we can control and some stuff we can’t. We just have to go into this knowing it is only a tool not a cure. so since you have kids I would really say make sure you have a therapist. It will be rough for a few weeks after surgery I’m sure. everything else is out of our hands. I know it is cliche but I follow the AA motto. Accept the things we can not change, Change the things we can, And may God grant us the wisdom to know the difference. all I’m in charge of is what food I put in my body and how much I exercise. Everything else is out of my hands.

In the UK it’s not about BMI, on the NHS you have to do a LRD for three weeks prior to your surgery!! I’m nearly two weeks into it, one week left on Tuesday before my surgery on the 19th!! I’m 14lb down though so far.

Just an update on my situation: On Wednesday evening, I emailed my primary care physician and asked her if she could look into things because I still had heard nothing. Yesterday, I heard back from her, confirming she had reached out on my behalf and the center was indeed closing. She was shocked I had received no information. This morning, I got a call first from the office of the doctor I had seen at the weight management center up until July, when I moved from the medical to surgical side. She wants me to come in Monday so she can walk me through things, and I think just to see how I am doing with all this because she's really nice and had been my doctor for 6+ years. A few hours later, I finally heard from the manager who was supposed to be contacting me. He told me the center is officially closing in February, so all remaining surgeries were cancelled, and he told me of three options for centers within the same hospital group (Beth Israel Lahey) that had agreed to help absorb the affected patients. He is supposed to be sending my information to the one I chose, Winchester Hospital, and I also left them a message this afternoon (their office closes early on Fridays so I just missed them). Praying that I'll have a better idea on Monday how big a delay this will cause and how many new flaming hoops I will have to jump through. Bottom line, reaching out to my primary care doctor seemed to get the wheels turning, so never be afraid to be the squeaky wheel! Also, I managed to keep my temper in check with the manager because I'm positive this is not his doing, but I would welcome the chance to express my displeasure to the hospital administration. A troop of poorly trained chimpanzees could have handled this with more compassion and competency, and I think that reflects directly on the upper management (upon whom I have been wishing many unpleasant afflictions this week).

The first three weeks - I won't be coy here.... were really really hard. Having bones sawed off, and replaced and drilled into place is really painful; at any weight. However, once I got to being able to move around more - once the 34 staples were removed after just over 2 weeks; I was able to start moving around more. I totally gave up on the narcotics by the end of week two. I couldn't hold them down well, and the only thing I could eat was.... basically toast with a bit of jam. I finally at about the middle of week three could start walking a bit outside instead of around my dining room table - and progressed from taking 300 steps a day to over 1000 in that third week. At week 6 I am now able to walk for about 10 minutes with a cane, twice a day, and am able to take care of myself, the house, a flock of chickens (less any heavy lifting), the dog, parrot and reptiles. I weigh basically almost half of what I did at my heaviest. With this surgery,.... right before it, I was very limited in my ability to walk. I had gained 8 pounds from my lowest. After surgery at week 2 I was up another few pounds - Surgeon told me this is normal from how much IV fluids I was getting to keep me going. I am frankly eating A LOT of healthy foods right now. On dr's and nutritionist suggestion to build back muscle, nerve and bone loss. I am told that in another couple weeks I will start to lose the weight again. I am not worried, and I can hang with the process. I am walking about 4,000 to 5000 steps a day - over what I should be for my age and where I am post op.

Hello, My name is Alex and I am scheduled for the gastric sleeve procedure on 12/18/23. Growing up I never had a problem with my weight; as a matter of fact I was very thin. Due to changes in life and past trauma, I used food as a coping mechanism. I ballooned from 160 pounds at 18 years old to 475 pounds by the time I turned 31. I was "content" being overweight because I refused to deal with it. At the behest of my wife, I begrudgingly scheduled an appointment to be seen by a primary care physician for the first time in years at the height of the pandemic. At this appointment, I weighed in at 475 pounds and was diagnosed with high blood pressure... extremely high blood pressure. This made total sense as I couldn't walk very far without being out of breath, I couldn't go up steps without sweating and having my heart pounding, and I couldn't play with my nieces and nephews. I was prescribed blood pressure meds at 31 years old and told that if I didn't make significant changes and lose weight, I was staring down an early death. That was the kick in the ass I needed. I immediately got a gym membership, downloaded a calorie tracker, immediately made improvements in my diet and dove in head first. Over the course of the next year and a half I lost nearly 100 pounds through diet and exercise alone. I knew that to get to my goal weight though, that I needed more tools.... or a more powerful one. So I was seen by a bariatric provider and over the course of many months was approved for sleeve gastrectomy and was scheduled for surgery. I am currently on the liquid diet and I am struggling. I am dying for flavor... the protein shakes, cottage cheese, greek yogurt, and jello that have been my diet for the last three days are not cutting it. I've made a few mistakes... a piece of cheese here or a nibble of chicken there. I am striving for today being a good day.. but it has been hard. I am constantly cold, I'm less tolerant of daily B.S. than I normally am, and am just now starting to not feel as irritable as I have the last few days. I am looking forward to having this procedure done, but I am nervous that I won't lose enough. I'm nervous that I'll ruin it or some other nonsense I keep telling myself. After being overweight for so long its hard to imagine not being as large as I am. I am looking forward to a healthier life, the ability to play with my nieces, nephews and daughter, and being in more control of my life. Thank you for reading this very long post and I look forward to chatting with you on this journey!

I didn’t while losing & still don’t. I’ve tried bread & pasta a couple of times in the last 4 years as a test but they still sit heavily so I expect rice will do the exact same thing. Don’t mind because of the their low nutrient content (rather eat something nutritionally dense) & don’t miss them either (& I used to eat a lot of all three). I have a friend with a sleeve & she can eat all three so … 🤷🏻‍♀️ You can only give it a go when your plan okays it & see how you go.

How wonderful for you. And congratulations on maintaining your weight too - inspiring! I remember my mum saying how horrendous the pain was with her knee reconstruction (she had both done at once - yikes). She was on opioids for ages & iced her knees three times a day for a couple of months. Hope your pain subsides soon & you have a speedy recovery.

I had my RNY mid-September and while I'm in a weird headspace where I don't think I'm losing weight 'fast enough' compared with some of the stories I've read here (I know, don't compare, everyone is different; intellectually I get it, it's still something of a challenge sometimes...) I HAVE lost 55lbs. More importantly, the jeans I was wearing pre-op now fit like I'm trying to look like a 20 year old rapper wannbe, hanging half way down my ass if I don't cinch down a belt (which I've had to punch several new holes in and currently wraps around to my side when I use it), and I'm regularly wearing jeans that haven't seen the light of day since I blew up my knees (three months apart, one after the other in 2008)