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I never did do a 5-yr anniversary post (which was like 3 months ago, oopsies). Here is a reply I made to someone's thread about being newly sleeved. I had alot of fun composing it - despite it going off an a total tangent - and thought it had a five-year-sleeve-anniversary type of feel to it so I'm putting it here! Am also adding my requisite swim suit shot, but this one is from vacay last month, and its NOT a full body shot, AND I'm half in the water, lol. Its too cold around here for me to change into one now and take a pic. Plus I'm lazy. So i give you: "5+ YEARS IN 1000 WORDS OR LESS": #### Begin #### Day 0: YES!! I'm alive! Weeks 1-2: Ouch, this kinda hurts. I detest all food and water! I'm sooo effing tired, im just gonna lay down here and be found in 3 weeks, half-eaten by wild dogs. Weeks 3-4: Oh wow, I LOVE water! Eating is such a chore. I don't want to do it. I lost HOW MUCH weight?? Whoa, this thing is gonna actually work! LET'S DO THIS! Those dogs will be very disappointed in eating me. Months 2-4: Am I ever going to eat like a normal person?? It taking me for-EVAH to eat my tiny cup of food. I am sick of people commenting on how I eat. Exercise is so much funner/easier when I'm not so big! Let me sign up for EVERYTHING! I LOVE new clothes! I am losing my hair! Who knew salad is my favourite thing on earth? Months 5-7: If one more person tells me to stop losing weight or asks if i have a disease I'm going to sic my wild dogs on them. I guess this is life now: eating tiny bits of food all day long...I guess I can do that, small price to pay for looking HAWT and feeling A-MAY-ZING. I wonder if anyone knows how full of myself I really am.... Months 8-10: OMG.I CAN'T POSSIBLY UP MY CALORIES TO MAINTENANCE LEVEL! HOW AM I GOING TO STOP LOSING WEIGHT! I AM GOING TO WITHER AWAY AND DIE! Month 11: Oh. So THAT's my maintenance calorie level. That's not so hard. I'm not going to die after all. Ok, Ok, I'll just take this ONE cigarette from you, handsome Italian guy in Italy...even though I quit cold turkey 10 years ago...it can't hurt, right? Month 14: Plastic. Surgery. Month 15: *cries* Month 16: Whoa, I'm looking even HAWT-er than before. How is this even possible? I wonder if anyone has ever exploded from being so full of themselves.... Month 17: Why hello carbs, I've missed you. bread, Pasta, Rice, we shall never be parted again! Oh, nice to meet you for the first time COVID! How long are you staying? Month 18-21: All skinny and plastic-ed up and no where to go. Eff you COVID. I guess I'll just do a little online shopping for stuff to wear when I am finally allowed out of the house. Sure, I'll have that martini for Breakfast. Hey, my hair is back to normal...and its even nicer than before. Go figure. Years 3-5: Huh. I stayed below goal weight this entire time and I am the picture of satisfactory health...does that make me awesome? I dunno...my closet is bursting with clothes...most of which I've worn maybe once or not at all. How am I still smoking??? It was only supposed to be one cigarette!!! I think I may have developed high-functioning alcoholism? Food intolerances? Who me? Nah, I can eat anything and everything, EXCEPT large amounts of sugar at one time cuz, you know, I may pass out on the couch. I may not eat as much as everyone around me, but I don't want to anyway, so there! But let me cook for you, bake for you, make copious amounts of food for you! And no, i AM NOT finished reading this menu in it's entirety...I'm about to order enough food for 5 people...you better be hungry! Today I take no medications other than for my acid reflux (which unfortunately came on due to my sleeve surgery). I eat carbs and (small amounts) of Desserts, I drink alcohol. My last physical/labs 6 months ago produced no concerns - other than an abnormal thickening of my uterine lining, but that has since resolved. I have ridiculous amounts of energy, I rarely fight with my husband, I handle stress and annoyance like a grown up. I'm digging life. Oh, and I still look HAWT. *mic drop* P.S. i also finally quit smoking 5 months and 14 days ago. yay me! hopefully I don't meet another handsome Italian with an extra cigarette in the future. Edited to add: P.P.S. sorry..i meant to just reply about the first few weeks after my sleeve surgery and food progression, but my fingers got a life of their own as I typed out my reply. plus it was kinda fun writing this. I may cut and paste this into a more appropriate thread if I find one Good Luck! ❤️ #### END ####

todays lunch: a scoop of last night's "leftovers" risotto, two asparagus spears and bacon-wrapped cod with lemon-garlic-caper sauce. estimating 600 calories for the plate. ate ½ the fish, ½ the asparagus and almost all the risotto. this was a little in the heavy and rich side, but still so yum. Mr. ate my leftovers PLUS his own portion that was like double my original portion, geez.

Back from vacation last night and had a great time. We spent 2 days at the waterpark at Great Wolf Lodge, then drove to Hershey, Pennsylvania to visit the amusement park, followed by a trip through Lancaster County (where many Amish people live). I did what I could to meet protein goals and make healthy choices at restaurants, but I also allowed myself some sweets and tried not to stress about it too much. Weighed myself this morning and was down one pound since last week. Overall feeling good and looking forward to getting back to a more normal schedule, although I have a bit of a break from work until next week. A few random travel tips: Always make sure you are getting your food prepared the way you want it when you order. I saw a photo of a salad with grilled chicken on the menu, but I didn't realize it could also come fried until that was what the server brought me. She didn't ask which I wanted (she was new), and I just assumed it was grilled. A simple, "That's with grilled chicken, right?" would have saved me having to try to peel away all of the fried breading. If you must order fast food when on the road, a small cup of chili from Wendy's has 16g protein and 240 calories. I believe it's 22g carb (6g of which is fiber). They also have some nice salads. For a long car trip, bring a gallon-size thermal jug of ice water and keep it in the back to refill your smaller water bottle. Individual packs of edamame, beef jerky, and nuts made great portable snacks to get in some extra protein, and Quest protein chips are delicious! I also found protein pretzels in a gas station convenience store and they were good, although not as high in protein as Quest (which they also sold there).

Hello All- i posted for the first time just about three years ago with some anxieties as a spouse with my wife prepping to undergo the gastric sleeve. I originally noted being concerned about our lifestyle changes, relationship impacts (I had heard all the horror stories) and most of all health concerns into the future. The community was incredibly supportive and I had learned tips and useful knowledge that helped me coach and support my wife through it. I am happy to say we are better than we ever have been and her self confidence is through the roof. However the MAIN reason the surgery ever was even considered was to get her diabetes that started while she was pregnant with our first child and got very concerning bad with our fourth has still stuck around and caused issues….. First- this is Life changing not just for the partner getting the surgery, but the spouse too. We used to be foodies and that all had to go out the door. Same with alcohol. Two bites and you are full, a pint and you are drunk. So activities, dates, etc. and new hobbies should all be prepared for well in advance. Luckily we are both athletes and coaches and this allowed to have an outlet that wasn’t our prior foodies and beer/ brewery culture pastime. Two- Relationship, anyone who tells you that this leads to automatic divorce/ break up is paranoid or lying. Out of her support group offered by our health network, I think only 1 or 2 of about fifteen women ended up separating and that was from the other spouse cheating. I have to say that in many ways, after four kids and all our activities, youth sports and coaching- it created a second honeymoon period for us and really strengthened our romance and relationship because we both focused on our health again jointly and the magnetism increased dramatically. Third- It might not fix the problem…. We did not jointly go into the surgery for cosmetic or weight loss reasons. It was the diabetes and the doctors said it was a solid shot to cure or mitigate the disease. It was for a while, but it keeps back up. despite healthy eating, despite exercise and coaching, despite the surgery- medications came back into the picture and so did the celebrity weight loss drug (which is really supposed to be for diabetes…) This has been keeping everything under control but is a case of the cure being as bad as the sickness. The side effects are brutal and definitely have a quality of life impact, but we both want to live to see grandkids someday….. Fourth- dysmorphia is VERY really. We are both naturally larger people. I was a lineman in high school and college and she was a softball catcher in high school and college and ended up also playing women’s rugby there as well. Even with the surgery she went from an XL to L but she got her college/ high school figure back and as such her confidence went through the roof and started dressing like she hadn’t in years. With the medication though??? Her figure, face shape, everything changed. Down to a Small or Medium. For almost a year and a half she hasn’t recognized herself in the mirror. It’s a double wham with the surgery and the medication. Between her best friends and myself (we have all been in the same friend/ team group since college) the support was to have fun with it and go with the flow. Instead of worrying about it (the dysmorphia) it was embrace the change. All new clothes she could never wear before, she’s been a redhead now and then blonde and still is. Cut her hair shorter, started wearing makeup (never really did)- all just to try and put a positive spin on it. I’ve been the spoiled recipient of having a brand new girl (don’t think I haven’t romanced and spoiled the you-know-what out of her), but at the end of the day it’s been mitigation of all the life changes. The last part has been the most detailed because it’s the most recent and to me has been the most impactful- NOT having the surgery do its intended purpose and the dysmorphia we’re both very difficult given the efforts and life changes made. We’ve done everything we can to make lemonade out of those lemons though. We had an anniversary vacation better than our honeymoon this past summer (she has always been way out of my league and these days it’s very much over the top- I feel incredibly spoiled) and we have made time to ride our bikes together with our oldest babysitting the kids and we come to each others games when we coach. I would tell any spouse; husband or wife of someone who is going to have the surgery and then or also do all the meds: 1. Support. It’s a huge deal and you need to show up. 2. Don’t get insecure about your relationship because of the surgery. If you are worried it means you might not have a great relationship to start with…. 3. You will need to change your life too. Because of my size and my weight lifting, I need a lot of protein and calories. I will never look like a Hollywood star (like she now does) and always an NFL lineman- BUT- if I bring a cannoli, pie or a full growler into the house in addition to steak/ salmon, etc it’s teasing and not fair. You will need to learn self control to support your spouse… 4. Inspire and come up with ideas for positive re-enforcement. If the dysmorphia or depression sets in, you need to find fun things to do, supportive steps to take and positive angles to keep things going. 5. If you are doing all this as a spouse, what about YOU??? Are you going to die a martyr? Take care of YOURSELF too. I go lifting 3 times a week, go fishing in season. And for my 40th birthday when she asked what I wanted?? I got us a long weekend on the Cape, bought her some dresses I wanted to see her in and sent her to get her hair, nails, toes, eyelashes, etc.. done. Said I wanted a long weekend with my movie star wife. It was a great time, kid free and continued to strengthen our marriage. Anyways- why am I writing this? Posterity? Self reflection? Not really…. I just want to give Spouses a roadmap. It’s a huge change and you need to navigate the waters well. If you do you will benefit as much as your loved one. Good luck.

I have been overweight my whole life. My highest weight was 284 back in October of 2022. I have tried many weightloss directions including keto, fasting, tracking calories, appetite suppressing drugs, and even weight watchers. I start off good and end up just spiraling downward and stop. I really think this tool is going to be my key to success.

i am always sooooo ravenous after hot yoga. Subway Subs was calling my name as i drove by in the way home, so Subway Sub Lunch it is! (plus some Pringles). 583 calories for whats shown. ate all the chips (natch!) and about 2/3 of the 6" sub. now im stuffed and need to veg out on the couch to digest.! also some fun facts (cuz y'all know i love to weigh myself all day long) wake up after a pee: 119.1 lbs after hot yoga: 117.6 lbs after a shower: 117.6 lbs (lol) after about 1L of water (plus a couple pees) and the lunch below: 118.8 lbs

1st meal of day: leftovers! white rice, stir-fried tofu and vegetables, and the bone from a 20oz bone-in-ribeye ordered (and not even touched, geez) from dinner at the Keg last night. mr. ate the rest of it for breakfast this AM...i told him to save me the bone...i personally liked the fact i ate this at home, cuz at the restaurant i would have had the table manners not to pick it up with my hands and mow down! but at home, i can be as fred flintstone-y as i want!!) 293 calories for the plate contents shown. ate almost all of it...will get to the rest later

Calories wise, you seem to be getting enough. My calories range from 1200-1500. Looking at what you eat, I think you're where you should be. If you have a nutritionist that you can talk with, I'm sure they could point out if there's any issues with what you're doing. I think the stall is just one of those things that we have to deal with, no matter how well we do the right things for success.

I never really had the emotional ups and downs, mostly because at the time I had PCOS, and the influx of estrogen from both my surgeries actually normalized my hormones for a few months each time lol What I DID have, however, is the emotional issues that came with changing my relationship with food. I had NO IDEA that would be a thing lol Changing what you eat, how you eat, when and why you eat, how often you eat is like breaking up with a toxic partner. You've been together for a REALLY long time, and even though you KNOW it's a terrible, unhealthy relationship, it's really all you know and you're so dependent on it you don't think you can function without it. And now you have to figure out how to. You have to completely retrain your brain, learn the difference between true hunger and head hunger (there is an actual, real difference), and you have to learn to read the nutrition labels, track your calories and Protein and carbs, work out, don't cheat (and don't make excuse after excuse and justification after justification for why you went back to the toxic relationship even after you knew it was bad for you, yet still gave in), measure food, track fluids, take HONEST accountability for your actions (which isn't something most of us had been particularly good at) and make adjustments as needed to stay as compliant as possible for the long haul. Contrary to what so many think, there's actually a LOT of work that has to happen after the surgery. The surgery itself is just a tool. It's not a miracle cure. It won't fix all the issues if you don't put in the actual work. Just eating smaller amounts without making any of the necessary changes isn't enough, and that's a hard lesson many learn later on. All of this is such a mind eff, and takes a toll on a person. It's a lot of changes, and a lot of work, thrown at a person all at once. And no matter how ready you think you are, it can still cause so much emotional turmoil, and understandably so. What I, and so many, don't realize is that we all have ED (eating disorders) in order to get to being obese and morbidly obese (or in some cases, super morbidly obese). It's not just anorexia or bulimia. I genuinely didn't know that. We have to retrain our brains to get out of that, and sometimes that requires help, and we have to be ok with getting that help. And because we have to do that, we then get incredibly frustrated and defeated feeling when the weight comes off slower than we thought it would, or we hit stalls (or in my case, stall after stall after stall - which is COMPLETELY normal, by the way, and should be expected). I said all of this to say there's SO many different reasons we can have emotions all over the place. Influx of hormones all at once, changes in relationship with food, changes in routines and increase in the things we don't particularly like doing (or not doing anymore), learning we have to do a lot of work to get and maintain the results we want after the surgery, learning PATIENCE with the rate of weight loss and trusting the process (easier said than done, believe me, I know), realizing that body dysmorphia is REAL and we can and do struggle with seeing ourselves as anything other than our formerly obese selves (I'm 182 pounds and I still see 421 pounds sometimes when I look in the mirror), and of course, hair loss (also COMPLETELY normal, and will eventually stop). You won't go bald, there's nothing to prevent it or stop it, you need to increase your Protein, Biotin doesn't slow it down, and it's a COMPLETELY normal part of the process that many of us don't know about until it happens and then we freak out. So give yourself some grace and just know this is normal. You're doing great, and we're all here for you, just like everyone was here for me

Hi everyone. Soooo, here I am 6 months post VSG. Started at a BMI 33, reached goal at 3.5 months so kept changing goals and here I am at the 6th month mark having lost much more than anticipated and ready for maintenance (at a BMI 20 as of today, 126.7 lbs/57.6 KGs). I don’t want to bore you with too many details, other than that I bounce between a fear of becoming sickly thin (currently feeling that) and an all encompassing fear of gaining weight and going back to what I have become, it is kind of mind boggling. I read many many stories of how WLS patients gained all the weight back and then some, about them seeking revision surgeries or GLP treatments and it really freaks me out and my mind starts telling me to keep losing weight just so I don’t end up back where I started. I want to change that and start focusing on success stories. I have come across people with successful outcomes many years out but there isn’t many of them to be honest, and what I have noticed with successful WLS patients is this: - They made 360 degree changes in their lifestyles (cut all the junk, took up exercise and became very “clean” if you will). OR: - Still have fun but track their calories and weight DAILY. Very few have just lost interest in food and don’t do any of the above and remained successful. Given my history being at a low BMI and athletic my entire adulthood and only becoming overweight the past few years I can be very disciplined and committed. However I am human and I love going out to eat and trying new foods and restaurants, so for you the successful lot please enlighten me on the following: 1. What are your golden rules to successful maintenance? 2. How did you manage the mental shift (navigating fear and uncertainty) while transitioning to maintenance? I can’t seem to quiet my thoughts and anxiety around WHAT IFs? 3. How much indulgence do you actually allow yourself? I really need to strike that balance right now. Every single tip would be helpful. And to celebrate my 6 month anniversary, here’s a little before and after for y’all:

Well that alone is a HUGE NSV!! whoop whoop!! 2lbs down yasss!!! killing it! How many calories are you eating? I had my surgery 1/24 I eat around 1000-1100 but I work out like crazy. I'm a bit coo coo LOL I started with walking on my lunches for 20min, worked up to 30min, now I still walk on my lunches for 30 min, go to the gym or work out at home, 30min weight lifting, and i take my pup for a run for 20-30min. Movement really helps! Just giving you a run down of what I eat and you can take it or leave it lol but I wake up make my protein coffee- Decaf cold brew with 2tbls of collagen and a café late premier protein shake (i know I know no caffeine allowed but I haven't had adverse effects) I make these crustless quiches for my bfast: eggs whites, spinach, 1 slice of ham (deli meat kind) top with thin sargento sharp cheddar cheese on top of it. I make like little mini loaves for the week, Lunches are always a protein and a veggie. One week I did Just Bare chicken bites and carrots lol- own little take on a Wing place- This week I am doing a bento box with grapes, strawberries, celery, cucumber, cracker or quinoa chips, turkey roll up with a laughing cow cheese and nuts. snacks are a Greek yogurt. I weight and measure everything. Input everything into my netdiary tracking app and stick to it for the week. I am not perfect at all, Ill come home and grab a popsicle or fruit and might go over my calories for the day, but hey this is a lifestyle change and this is life long. Its hard to remember that when we all have so much weight to lose and we want that immediate satisfaction, but we got this!

I had the sleeve on 4/22. I have lost 36 pounds since starting liquids. I previously had a lap band that was removed 10 years ago. With the sleeve I feel almost zero restriction. I feel I could eat as long as I wanted. I can drink and drink. I’m getting close to 2 gallons a day with no issue and have been from first day post op. I am hungry all the time. I don’t feel satisfied ever. I’m restricting myself to 1200 calories a day. I thought this would be more like the band where you felt full. I hate being constantly hungry. I’m at a loss. I read other people saying they they can only eat small amounts and have to struggle to get the protein and I think I wouldn’t mind some of that.

I made this post in another thread as a response to someone else, and then I realized it's something that might help others after they've had their surgery and find themselves struggling. Maybe you're seeing an increase in hormones all of a sudden...maybe you're discovering there's a lot more work involved in getting and keeping the results you need after having the surgery. Maybe you're struggling to change your relationship with food. Whatever the case is, maybe this will help "I never really had the emotional ups and downs, mostly because at the time I had PCOS, and the influx of estrogen from both my surgeries actually normalized my hormones for a few months each time lol What I DID have, however, is the emotional issues that came with changing my relationship with food. I had NO IDEA that would be a thing lol Changing what you eat, how you eat, when and why you eat, how often you eat is like breaking up with a toxic partner. You've been together for a REALLY long time, and even though you KNOW it's a terrible, unhealthy relationship, it's really all you know and you're so dependent on it you don't think you can function without it. And now you have to figure out how to. You have to completely retrain your brain, learn the difference between true hunger and head hunger (there is an actual, real difference), and you have to learn to read the nutrition labels, track your calories and Protein and carbs, work out, don't cheat (and don't make excuse after excuse and justification after justification for why you went back to the toxic relationship even after you knew it was bad for you, yet still gave in), measure food, track fluids, take HONEST accountability for your actions (which isn't something most of us had been particularly good at) and make adjustments as needed to stay as compliant as possible for the long haul. Contrary to what so many think, there's actually a LOT of work that has to happen after the surgery. The surgery itself is just a tool. It's not a miracle cure. It won't fix all the issues if you don't put in the actual work. Just eating smaller amounts without making any of the necessary changes isn't enough, and that's a hard lesson many learn later on. All of this is such a mind eff, and takes a toll on a person. It's a lot of changes, and a lot of work, thrown at a person all at once. And no matter how ready you think you are, it can still cause so much emotional turmoil, and understandably so. What I, and so many, don't realize is that we all have ED (eating disorders) in order to get to being obese and morbidly obese (or in some cases, super morbidly obese). It's not just anorexia or bulimia. I genuinely didn't know that. We have to retrain our brains to get out of that, and sometimes that requires help, and we have to be ok with getting that help. And because we have to do that, we then get incredibly frustrated and defeated feeling when the weight comes off slower than we thought it would, or we hit stalls (or in my case, stall after stall after stall - which is COMPLETELY normal, by the way, and should be expected). I said all of this to say there's SO many different reasons we can have emotions all over the place. Influx of hormones all at once, changes in relationship with food, changes in routines and increase in the things we don't particularly like doing (or not doing anymore), learning we have to do a lot of work to get and maintain the results we want after the surgery, learning PATIENCE with the rate of weight loss and trusting the process (easier said than done, believe me, I know), realizing that body dysmorphia is REAL and we can and do struggle with seeing ourselves as anything other than our formerly obese selves (I'm 182 pounds and I still see 421 pounds sometimes when I look in the mirror), and of course, hair loss (also COMPLETELY normal, and will eventually stop). You won't go bald, there's nothing to prevent it or stop it, you need to increase your protein, biotin doesn't slow it down, and it's a COMPLETELY normal part of the process that many of us don't know about until it happens and then we freak out. So give yourself some grace and just know this is normal. You're doing great, and we're all here for you, just like everyone was here for me "

It sounds like you've made a big effort to manage your weight, but it's frustrating when progress stalls. Consider seeing a dietitian to make sure your portion sizes and food choices match your weight loss goals after surgery. Sometimes, metabolic changes or hidden calories can affect weight loss. Also, try changing your exercise routine to avoid plateaus. Stay positive and keep monitoring your progress; with adjustments, you can find what works best for your body.

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.

I think you have absolutely got this. Forewarned is forearmed and you have definitely done your research. With regard to your two categories of successful maintainers I think there might be a crossover too. I did clean up my act AND I track everything. I regained 8lbs from my lowest weight about 9 months ago. I knew/know I was eating more than the approx 1600 calories I need to maintain (even if not eating crap) but wasn't upping my exercise. No further regain for a couple of months so I am hoping that's me done (?) Best of luck on your journey 😍 and interesting thread!

And I kind of want to cry. Anyone care to proofread and critique before i send it in tomorrow? Would really appreciate it. Describe the limitations morbid obesity imposes on you in your daily activity: So, today I was dancing with my daughter. Turned on the music, singing, dancing, laughing. I lasted about 4 min before my hip and knee gave out, and I was horribly out of breath. My adorable two year old is going "mama, dance!" and I can't anymore. I'm in too much pain. I go to get dressed and none of my clothes fit anymore. I'm stuffing myself into things two sizes too small because I don't want to admit my real size. My sister completed suicide last December. I promised her I'd take up running, like she'd always done. I told her I'd run the NAMI Walks 5k in her honor. But how can I? I can't even dance for 4 min. I can't run for 30! Even trying Couch to 5k hurts too badly. I have a flap of skin where I've had two c-sections, and I have a nasty rash there regularly from sweat and skin and yuck. It itches and burns and frankly smells horrible. I hate looking at myself in the mirror now. I know, buried deep in there, is the girl I once was. The one that loved to dance. The cheerleader. The former military girl who was in excellent shape. She's in there, I know she is. She's buried under a fat girl that can't seem to lose the weight. She's tried every diet she could. She's counted calories, she's counted carbs. She's exercised, she's paid for HCG shots. And still the fat girl looks back at me in the mirror instead of the girl I want to be. So far, I'm pretty lucky. For a fat person, I'm fairly healthy. But I know it's a matter of time. I know I'm a time bomb, waiting to go off, where I'll get worse as time goes on. And I tell myself I'm relatively health as my knees give out. As my hip gives out. As I struggle to sleep at night and struggle to wake up in the morning. As I deal with severe depression. As I spend every day so tired I don't want to move. As I deal with fibromyalgia. But I know others have it worse, so I deem myself "better" and "more healthy" so I can ignore what my weight is doing to me and how unhealthy it truly makes me. I hate that I'm discriminated against in life for being fat. I hate that I'm discriminated in healthcare. This essay requirement alone is proof of that... would you make someone write an essay on why they need a knee replacement or a pacemaker? Or is it just fat people that need to convince an insurance agency to pay for what's covered under the policy they pay for? The discrimination we face as fat people is so pervasive and endless that we just put up with it. We do what we're told. We deserve it, we're fat. I want to be in charge of my life. I want control over food back. I want to run that 5k in honor of my sister. I want to dance with my baby. I don't want to hurt. I want my life back. This surgery can help me in that goal. Thank you.

read as much as you can (hanging out on this forum should be very helpful!) and start trying to eat a really healthy diet - lean proteins, fruits & veggies, whole grains. You may or may not be required to lose weight before the surgery, but I was - I think 20 lbs or something (it's been over nine years for me, so I can't remember the exact number). I worked with a dietitian for six months (actually required by my issurance) and she had me eating 2300 calories/day in addition to focusing on types of food (same ones I mentioned - lean proteins, fruits & veggies, whole grains). I ended up losing more like 50 lbs rather than just the 20! Also, some programs (but not all) require you to give up caffeine for the for the first few weeks or months after surgery, so she also had me gradually wean myself off of it (replacing regular coffee with decaf a little at a time until I was on total decaf). She also got me exercising - slowly at first (I think I started with walking - but I eventually added swimming, too). All this really prepared me for post-surgery life, and I think made it all much easier.

☝️i'm one of these. with a dash of some major changes...specifically my regular exercise regime. though i have to say that what i was doing when the first year or so of maintenance is very different from what i am doing now. i was still pretty strict about carbs and desserts and drinking calories that first year and a bit after reaching goal. as the years went on, i became less strict about WHAT i was eating, but still continued to keep an eye and stick to the TOTAL NUMBER OF CALORIES i needed to maintain...this amount changed up and down depending on my activity level, and i made sure to make changes as needed. i love going out and socializing and eating and drinking, and i've discovered that i can do all that and still maintain my current weight. i love to try new restaurants and tick off all the michelin star venues i could possibly go to before i die. and i am forever grateful for my wls and its restriction that has conditioned me to not overindulge...just have a taste to try and i am satisfied. (i am also forever greatful for whatever powers that be that have me loving exercise lol) with that said, let me attempt to provide my answers to your questions. NOTE: starting weight 235 lbs, 5'2" female, 46 yrs old at surgery. i lost 108 lbs in 7 months (plus my 2 wk pre-op diet) to reach goal. i am now 5 years, 8 months post op, and weighed 118.2 lbs this morning. 1. What are your golden rules to successful maintenance? - be flexible, be willing and able to change and make adjustments. weigh daily, always be aware of your calorie intake (i.e., track). EXERCISE: it makes you look and feel good. don't give into the angst...nobody is perfect...including YOU. i realize this is not for everyone, it takes a certain type of personality to be ok with this...i just happen to be one of them. 2. How did you manage the mental shift (navigating fear and uncertainty) while transitioning to maintenance? I can’t seem to quiet my thoughts and anxiety around WHAT IFs? - TIME. as time goes by you will gain experience and knowledge and hopefully learn to trust yourself. 3. How much indulgence do you actually allow yourself? - any time i want. hard to put a number or amount on this because it varies day by day, week by week. but i probably eat SOMETHING or other that most "dedicated" wls-ers would consider "bad" every day. (ASIDE: i personally don't think anything is "bad" just stuff higher in calories than others, with varying macro-makeups.

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.

Okay, so it's very common to have a stall, and they can last several weeks. It's not because of anything you're doing, and aside from just stopping to assess that you are still following your plan in a reasonable way, there's nothing you can do to change it. Are you hitting your protein goals? Getting your hydration? Eating on a regular schedule and prioritizing your protein and non-starchy veggies? Sticking to a reasonable portion size by using a small saucer or luncheon plate? Avoiding empty calories in the form of sugary drinks, simple carbs, and snacking or grazing? Getting some basic movement every day, like going for a walk or using resistance bands? If no to any of these, focus on changing that issue. If yes, try not to panic. You will likely start losing again soon, but possibly slower than before because that's just how it works. In the meantime, take your measurements or try on some clothing to see if it fits differently. I recently had a month of very slow loss, just 2.8 lbs in 4 weeks with so much up and down. But my clothing fit differently and my measurements were getting smaller. All of a sudden, I lost 10 lbs in 3 weeks. I did nothing differently.

Just made this. It serves 8-10 2-3 oz servings. Has sat well on my stomach in the pureed phase. 1 lb. soft tofu 1 bag of cauliflower stir fry rice with edamame and carrots Marinade 3 TBspoon soy 1 Tbspoon hoisin sauce 1-2 Tbspoon sriracha sauce 2 dashes of soybean oil Tsp spring roll sweet and sour Squeeze excess liquid from tofu by putting on a plate and laying 2-3 plates on top about 20 minutes. Dump excess liquid. Put tofu and marinade in zip bag for overnight. Put bag of cauliflower rice in microwave for 2 mins Drain tofu of excess marinade. Stir fry on med hi with a little soybean oil. It will look like scrambled egg that goes in stir fry rice. Add cauli rice and stir up to heat through. Slotted spoon to serve. No this is not restaurant stir fried rice. But it is also not carb heavy or calorie heavy. 1/3 cup is 68 cal, 2 fat grams, 7 protein grams, 6 gr carb.

There's no shame in postponing or calling off the surgery if you're feeling uncertain about it. It's a big step to take, and there's no un-doing it. It can change your life for the better, but there's also lots of changes that become necessary that are difficult. Not to mention, any surgery carries risks associated. Maybe take this weekend to think about why you decided to get the surgery to begin with. Everyone's reasons are different, but for the most part I think a lot of us have had the up-down fluctuations, the diets that works and then the weight came back, the diets that never worked to begin with, etc. Is the weight loss your only goal, or do you have other obesity related health conditions that this would improve? Do the benefits to your life outweigh (hehe) the potential drawbacks? Also, question your uncertainty now. Is it because you think you haven't given other weight loss attempts a fair shot, and feel like you now can? Is it because you think the pre-op weight loss will continue at a similar rate, or do you feel like this jumpstart of weight loss has given you a better starting point to continue with other diet/exercise methods to lose the rest? Or is it because the surgery itself / risks / post-op side effects / etc are giving you reason to doubt? Like @SleeveToBypass2023 said, the pre-op diet isn't meant to last long term. It's basically a cleanse / crash diet to reduce complications prior to surgery. I don't know what your specific program had you on during this stage, but I had two weeks of 'medical shakes' that basically amounted to a starvation diet in terms of calories. My pre-op diet program definitely would not have been healthy to continue long term -- and honestly, it reminded me of other diets I tried in the past (looking at you 1990's slim fast) that would help you shed some quick initial pounds but came back ridiculously easily just trying to stay in 'maintenance'. There's no right or wrong answer here. No matter what choice you make, you'll be making in your own best interest.

For me, I live on 1100 - 1200 calories on non work out days and 1300-1400 on workout days. On my weight training day, I tend to go up to 1500 calories. I work out 5 days per week. I also have 2 rest days. My protein, fluid intake, carbs, healthy fats, and calories are all higher on workout days, but I still can't get anywhere NEAR 2100 per day. 1500 is really pushing it, but I only do heavy weight training once per week, so it's ok. For quite a while, my calories on non workout days were 800-900 or so and workout days were 1100-1300, depending on what workouts I was doing that day. As time has gone on, my calorie and food intake has increased, but I still stick to the rule that I eat until I'm not hungry anymore, not until I'm stuffed. It's normal for our stomachs to hold a little more and our calories to increase as time goes by. What's important is to be selective with where those calories and carbs come from, not to overeat, and to be mindful of moving your body and getting in enough fluids.

out with the gals last night...had margaritas with a side of guacamole and chips for dinner omg. i kept meaning to order a proper entree, but just didn't get around to it so just ate the leftover chips and guac that was on the table... the margaritas alone were like 800 cals! so warning to those drinking mixed drinks during weight loss phase! keep your calorie counts in mind! one of my margaritas!