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I wouldn’t even listen to that surgeon if you feel good and you’re still losing and you’re doing your activity honestly he’s just putting you in as if you’re a statistic. I really hate it when doctors do that. It’s like either. They think you’re lying about what you’re eating or they just assume that one thing works for everyone at the exact same rate. i’m doing OK I posted in another thread that I do have some medical stuff going on. I was recently diagnosed with breast cancer so I have been juggling my weight loss and fitness along with a whole lot of doctors appointments and scans and chemo. Surprisingly I think that it is my yoga and my walking that have kept me sane. I did stop doing my cardio class because they told me that the chemotherapy is extremely dehydrating and it was important to not get myself to warm like to avoid being out in the sun for a long time or anything like that and as I already mentioned on here before I sweat quite a bit When I work out. I am fighting the urge to have carbs since Thanksgiving, but part of that I believe is the steroids I get with my chemo. They told me it wouldn’t be an issue because I would be nauseous anyways and I wouldn’t be able to eat much but I haven’t been nauseous one day so far knock on wood. The chemotherapy actually seems to have increased my metabolism to wear, even though I am eating little things off plan and exercising a bit less I am still losing weight. They assigned me an oncology dietitian who told me that she does not want me to lose more than I was losing before the chemo, which is about 2 to 3 pounds a week. At first I dropped like 6 pounds and we were pretty worried but I honestly think it was just water weight or something. anyways, it’s been a challenge as I’m sure it has been for everyone to juggle whatever life events. Everyone else is dealing with, but I’m getting through it. My habits of packing food like turkey, jerky and cheese sticks and protein shakes or yogurt smoothies, and taking with me and freezing things have been my lifesavers. I don’t always exactly want to eat that and I’m giving myself a little bit of grace right now because of my circumstance but trying not to be too forgiving at the same time. I am actually doing my walk right now because I was out of town for a doctors appointment today and then I went and did a wig fitting because I’ve lost my hair for most of it anyways and I literally just walked in the door and ate my salad that I picked up on the way home for my dinner. I’ve got to get this done and get to bed early because I have yoga first thing in the morning. I am honestly just so thankful that I started this weight loss journey when I did and that my nutrition and fitness are in such a better place because I really truly feel like that is helping me already and it will continue to help me get through all of this anyways, I really hope everyone else is doing OK as well. It’s a crazy roller coaster for sure but we’ve got this!!

Yikes but good luck! I really think that if you want to have some then make sure you're aware of the quantity. Like make sure you choose one option and have 1 cookie or like half or 2 options.. we really must build some kind of system so we can sustain it FOREVER. R we never going to have cookies? I've been indulging very small portions of things I want and trying to be mindful about it. That i will try that cake but only half a spoon. Or whatever it is.. so do what works for you! As long as you're not isolating yourself... Otherwise, how r u doing? Health wise? Food after thanksgiving and ur walks? I don't have any events coming up so I'm all clear till my bday i guess 2nd Feb.. I do have an app on 23rd with my surgeon office and I am nervous about what he says about my weight loss l, last time he said he expected more so I hope he's ok with my loss. I can't handle disappointment and more anxiety.. Also keep writing on this group so we don't lost track of what needs to be done. We are in this together ❤️

I was the opposite in a way, I blindly went into the operation having being told the standard bit about possible complications but was confident in the team and was excited to start a new life so didn't over think it it all. Then suffered severe post op complications, spending months in hospital and having numerous procedures and only finished treatments 10 months after original op date BUT all of that said if your medical team are happy you are a suitable candidate I think it is worth it. You have done good work already to get to where you are and you sound like you could reach the 65lb loss yourself over time but the surgery would be a boost to that and if you work with the tool correctly over the years you should be able to maintain. That is how I looked at it, I had no problem being strict and loosing weight but it would just go back on and I would be on a yo-yo cycle. Plus who is to say what will be in a year, maybe your surgical team will change and you have to start the process again, maybe insurance coverage changes..... Travel wise I haven't had any issues, been to the US and other EU countries in the last few months and usually been able to find something suitable to eat though I always carry a few protein bars and powdered protein coffee with me just to be sure I meet my goals. A bonus on the travel is that I now fit comfortably in my plane seats and can do a little sprint through the airports if running late With regards to waiting for your wife to conceive, not sure about that one but recovery time is only a few weeks for 'strenuous' activities and wouldn't it be great to be over the surgery and well on the road to a fitter healthier you when she becomes pregnant so you can help her out more?

What you are experiencing are very normal worries - I think we all would have had some form of concern or anxiety leading up to the surgery! Just my personal experience, I started talking about surgery YEARS before I even booked a consultation with a surgeon. I am talking like 3 years worth of "umming" about whether or not I should go for it, and subsequently talking myself out of it. I would berate myself saying that I should be able to do it the natural way, I should be strong enough and surgery is risky etc, but I think I was just making excuses for myself really! I'd tried to lose weight since I was a teenager to no avail, and I honestly wish I had just had the surgery sooner! It was my first operation as an adult, so I was definitely scared of the pain and of the whole experience itself but honestly, it was all manageable and it didn't last long! You'd be so surprised how quickly you get used to your new way of living - and genuinely this forum has been an amazing place to just not feel so alone in your experiences. So, ultimately, think about the pros and cons for each potential decision and make sure it is the right one for you. You've got this!

I am hoping I still have a while left of losing! My initial goal is to get to 12 stone, which is just about 17 lbs to go I think...12 stone was the lowest I had ever weighed in my adult life when I was at university, though I didn't stay that weight for long before I ballooned to 20st+! Then I have a new goal set for after that, maybe 10 stone IF I can get there, but we will see. I'd like to see how I feel back at that 1st goal! I like the way you are looking at it though - the fact that really our bodies have a lot of control over this, and the rate of losing and where it is comfy. It is probably time I start respecting my body rather than forcing it (and sometimes failing) to do what I want 😅 Thank you for the reassurance ❤️

Only you know the answer as you have to be ready, mentally, physically and emotionally, for the surgery and the changes you will have to make to be successful with the surgery in the long term. I was healthy, no comorbidities at all yet I knew at my weight and age (almost 54) the chance of them developing was very high. I also knew I could lose weight myself as I had many, many times before (though it’s much harder as a menopausal woman) but I also knew I could put it all back on again which I always did. The decision was easy. Woke up one morning and said enough. Made an appointment with my GP and 6 weeks later I had my surgery (no or very few hoops to jump through in Australia if you meet the criteria). Yes, the first couple of months aren’t easy: restricted diet, temporarily changed tastebuds and interesting discussions with yourself around food, eating, hunger, etc. (the head work we talk about begins). Pain was gone after 4 days though if you have surgical gas pain it can linger a week or so. You’ll discover and decide how & what you want to eat in the long term to maintain and that may be different from others. It’s all about what works for you & your lifestyle. Many people still eat ‘unhealthy’ food but it’s all about the portion they eat and how often they eat it. Everyone travels & then it often comes down to making the best choices you can and not beating yourself up if you do indulge while away. I just came back from a short girls trip and ate an obscene amount of cheese & drank more than I usually do. I’m okay about it and got back on my usual path when I got home. Like @NickelChip there are things I avoid. Bread, rice, pasta sits heavily in my tummy too. Foods can be super sweet so I generally avoid sweet things (I do indulge at odd times like at Christmas). I don’t find it hard to avoid or reduce my intake of those foods I struggle to eat or choose not to eat rarely. I don’t want to waste the opportunity I’ve been given. And yes, I’d do it again in a heart beat. All the best whatever you choose to do.

Personally? Yes, I would have the surgery. Why? Because losing weight is only half the battle. Obesity is a disease. The vast majority of people will gain back all the weight they lose through diet and exercise alone within 5 years. Weight loss surgery changes your metabolism so that it works with you instead of against you. I knew from too many attempts to lose in the past that I would not be one of the lucky ones to lose and maintain on my own. Every time I lost weight, I gained it back, plus a few pounds. To address a few of your fears, I can say from my experience that my pain lasted about 5 days. I never took anything stronger than Tylenol once I was discharged from the hospital. My tastes have changed in that I now find certain foods are less pleasant to eat. More than a small piece of bread gives me an unpleasant heavy feeling in my belly. Very fatty foods will make my heart race a bit so I avoid them. Certain sweets like cake frosting and cheaper milk chocolates seem much too sweet and I don't want more than a bite or two. The adjustment period in terms of learning what you can eat lasts about 3 months, at least it did for me. Even after the first month, I was able to eat in restaurants. I just chose to split a meal with a companion and stuck with simply prepared items like a grilled chicken salad. I've gone on road trips, spent a few weeks away from home in hotels, and did just fine. I eat mostly healthy foods, I don't count calories, I get reasonable exercise but don't go out of my way for it. And at 50 years old and not quite 10 months out from surgery, after a lifetime of struggling with my weight, I am back to the size I was my first year of college and still slowly losing. I would do it again in a heartbeat.

this is pretty much it. i lost weight at a consistent rate until i made efforts to stop (i lost roughly 10 lbs a month from months 2-7...and while months 1&2 had larger drops, they were not indicative of my average rate of loss). i lost another 10-15 lbs after that over about 4-5 months trying to figure out how much exactly i needed to eat to keep me at a constant weight without gaining nor losing (which honestly is harder than losing weight man) i finally sorta stabilized at 115-120 for the next 4 years. basically i stopped losing weight when i started eating enough calories to sustain me and my lifestyle choices. now here's kicker: i am now 6 years post op and recently lost about 10 lbs in 2-ish months, again because i was/am eating less than i am expending. so i guess i'm saying it doesn't matter how far out you are, you can still lose weight if you are at a caloric deficit for YOU and YOUR lifestyle. ...and the only (easy) way you can really determine if you are in fact in a caloric deficit is if you track your intake and compare to your weight/body composition (which you'll have to track too) over time. but i get it, this is not for everyone...just offering a strategy that has worked for ME all these years.

I just had a check up with my surgeon and he told me the weight loss slows down at the 6 month mark, then at 12 months and then usually stalls around 18 months post op. I’m 8 months post up and I have definitely noticed the weight loss has slowed to 3kg (6lbs) a month. But i also noticed it’s motivated me in my choices: I’m so much more mindful in the sense that i catch myself choosing entirely willingly to eat more protein for example or to just say no to that Christmas chocolate someone’s offering - and knowing my weight loss is slower means I am even more conscious of the impact of « bad decisions » so it’s actually kind of a good thing. Almost like preparing for the future I guess But anyways yes it’s normal to see the loss slow down but put a positive spin on it My surgeon actually told me there’s and « anorexiogenic » side to WLS that can be dangerous - kinda like being addicted to seeing that number go down. So he prônes putting the scale away and weighing in once a month from 6 months post op onwards to make sure we don’t mess with our mental health

Hi y'all, I am new to this forum and just want to first acknowledge and commend the courage and strength y'all have in utilizing this fortunate tool in your journey to a healthier life. I am at a crossroads. I am a 6'2", 275lb, 39-year-old man with VSG scheduled for Jan. 16, 2025, and I am having serious doubts--some caused by my health practitioners (chiropractor and non-WSL-related psychiatrist). I am on five different maintenance pills for blood pressure and cholesterol. My highest weight was 330lb. I lost 50 lbs in 2022 for a wedding, gained 30 in 2023 and lost 25 lbs from October 31st, 2024 until now (extreme crash diet). The total down is 55. My ideal weight is 210-225, provided that weight encompasses an active lifestyle and dedicated weight training. Here is the rub: I am scared of the surgery, and that fear has really kicked my butt to get healthy. My liver no longer shows NAFLD or alcohol damage with enzymes in the normal range. That is surprising because I was (honestly) an incredible "alcoholic" from 2013-2023. It may be hubris, but I am in no way concerned about addiction transfer as I have fully recovered from alcoholism following a wegovy and booze and supplement mix that caused acute pancreatitis. Blood pressure and cholesterol are under control. Sleep apnea sucks. Mental health is good to great. Banned currently from GLP-1 ( aforementioned acute pancreatitis). I have kicked all the typical vices. Despite all that, I am cleared for surgery, and the surgeon thinks I am an ideal candidate because of the lower risk of chronic pancreatitis following the knife. My surgeon is located in America, and my insurance is on board. Meanwhile, I have had little trouble maintaining a 1600- to 1000-calorie fat-burning diet, especially since a surgery date made it a very, very real concept. My primary motivation for pursuing VSG was for my family and my 2-year-old daughter, coupled with a debilitating (but now manageable) back injury that left me sedentary for nearly 2 years, and, of course, to address my comorbidities. Now that my back is "okay," I can exercise 3 to 5 times weekly. But if I don't lose weight, spinal degradation and likely further stenosis around the sciatic nerve will continue. I was supposed to have surgery earlier in the Spring of 2024 but bailed because of a month-long family holiday to Asia and then a summer of the in-laws staying with us. Also, we are trying to get pregnant again, but my wife's self-imposed window is closing as she soon turns 40. So, what do I do? Given that my ideal weight is approximately 65 lbs away, would you pursue VSG? Would you delay it while trying to conceive (this is a big one)? Am I getting stuck on too many variables? Would VSG make global travel a different experience? Or do I buckle up and charge ahead? Should I try giving the "natural" way a shot for one more year? I have unflinching support from my family and parents to go for it, and I have little doubt that I would excel in a post-op life. But I am worried about travel, a change in taste, and, generally, pain. Pain makes me an unpleasant person at times. But I dread ballooning up to qualify for insurance if the "natural" way fails my goals. None of this was a concern until a surgery date made it real. I appreciate you reading this and thank you in advance for any comments, long or short. A simple "Go" or "No Go" would be appreciated. I am actively planning for the surgery and, regardless, look forward to the two-week pre-op diet challenge. However, I could see myself bailing like two days before. Digital prayers for all! Is anybody ever too young for a midlife crisis?

you are ready when you are ready. it took me 2 extra years and 2 (self-inflicted) surgery postponement/cancellations until i finally bit the bullet and had it done. oh and i even gained an extra 35 lbs during those indecisive years for good measure. only u can decide if ur ready. i will offer a suggestion though...maybe go though with the process to the official approval step (if u get one) and just postpone ur surgery date instead of cancelling altogether. this way if u do decide to go through with it, you don't have to start at the beginning. also, *raises hand* i am 5'2" as well! this is what weight loss looked like on MY 5'2" frame. (the collage below is from my first year progress pics plus a couple pics after my plastics and 2nd & 3rd yr anniversaries. i am 6+ yrs out now, and pretty much look the same as my last pic...but i do weigh about 10lbs less today)

Things absolutely do slow down, for the reasons the others have said. I lost almost 10 stones with my sleeve, half my starting weight. 9 stones of that was in the first year post op (with many stalls towards the end that made me think I was done) and 1 stone was in the subsequent 9 or 10 months. In the last few months I was honestly losing half a pound a month or less. It's fascinating looking back. The concept I am most happy to have learned on this board is that of a new set point. Once I knew that our bodies can decide early after surgery what weight it now wants to maintain, I felt less like the driver and more like a passenger who could sit back and just enjoy the ride. No actually - not quite sit back - follow the rules strictly to enable the smooth journey to my new set point. Mine ended up a bit lower than my 'goal' (plucked out of thin air) weight. Lots of people's seem to end up much higher. All of this is fine if we can make our peace with it. I get the feeling you have much more to squeeze out of your procedure @Bypass2Freedom. I do understand the frustration when you're following the rules to the letter but not losing. It's steps and stairs always - never a linear loss (well not for me). You're doing this.

Ooh and just be sure not to do what I did after my sleeve. I got all the way down to 18 pounds from my goal and I felt like such a failure that I let it derail me. Hopefully you will keep losing and don’t stop trying BUT, also have in the back of your mind that you have already done incredible and are far more healthy than you were even if you don’t reach this arbitrary number. I have a girl in my in person bariatric support group who did the same thing over TWO POUNDS. Our brains are very powerful and it’s great to strive for a goal but also be flexible and not crazy like I was and think it was a total waste and throw it all away. After I gained it all back plus some I would have done anything to be 168 or 178 again. Granted the sleeve was not appropriate for me and I probably wouldn’t have maintained at the 178 I bounced back to for long anyways, but I’m just saying that I gave up far too easily. Just a word of caution from someone who made that mistake.

This is a new video Dr. Weiner (bariatric surgeon in Tucson) put out through his podcast this week. He is one of the best resources out there for reliable information on bariatric surgery and the science of weight loss. This 55-minute video is all the most up to date information to get you started with all the basic questions you might have (and if you want more in-depth information, he has hundreds of other videos that dive deeper). He talks about nutrition, exercise, surgery, and GLP-1 meds.

Well if you’re only eating one salad every two days and buying another on the third you are probably eating too little calories and your body is in starvation mode which sometimes you can actually gain. BUT, if you were to eat THAT same salad a couple of times a day and had breakfast too you would probably be eating too many calories to lose. Salad is very deceiving. They can actually have more calories than a bacon cheeseburger meal if you just add the good tasting stuff without measuring and counting and nutrition wise you aren’t getting a whole lot of what you need in a tiny portion of one salad as prepared. If I was you I would talk to a dietician about what choices are healthier options and how much protein you need. What you’re eating even though it’s a salad which sounds good is not the most nutritious option. First start by measuring and tracking what you’re having in an app. You would be surprised what you learn about what you eat by doing that. Most prepared salads have more than a serving of things like full fat cheese and croutons and the dressing packets they give you is far more than one serving as well. it sounds kinda silly but if you bring home your favorite salad and take the time to deconstruct it just once you can measure each thing and figure out exactly what’s in it (assuming they make it the same way each time). It’s always best to make your salad at home if possible so you can use lean or reduced fat protein and lower calorie dressings and choose healthier toppings but if you have to get it while your out you can use less of the dressing and ask for them to go light on the cheese and skip the croutons. Also, opt for grilled chicken and if possible ask for an extra fillet of chicken or two and add that to your leftover lettuce for your next meals. I do that at chic fila all the time. I make two meals out of a salad by getting a second fillet of chicken and making a grilled chicken Cesar salad with my leftover lettuce. But your focus will always need to be protein first since you do have a tiny stomach. Ask your doctor your personal goal but You should get probably be getting around 3-4oz of lean protein a meal and then fruit and veggies and then the lettuce is a filler if you have room. I prefer to bring my salad home so I can take off all the toppings and add just a tiny bit of lettuce and put that into a container. I prefer the toppings to the lettuce anyways. Also a good way to use less dressing is to mix any salad in a bowl like you would do ceaser salad and you get a bit on all the lettuce using less than you would if you just pour it over. And try to avoid the sodas like mentioned above. If you must eat and don’t enjoy water, try to find a drink mix that you like and keep a box of drink packets in your car to grab when you go in. Order water and mix in your drink packet. It’s way less calories and it’s cheaper. Note that the drink packets do have artificial sweeteners and there is evidence they aren’t the best for you either so plain water is best but they do have some made with stevia which my dietician says is the best option if I must have them. Tru lemon is one of the better ones. So many of us think we are making good choices when we are eating a salad or soup but they are not all created equal. And just eating a tiny portion of a less nutritious food isn’t the best option because you may lose weight this way but you’re not getting all the vitamins and protein your body needs. If you don’t get enough protein you may actually just be losing muscle mass and as we get older that is really hard to build back up. If you aren’t doing strength training this can be really bad. Measuring and putting things Into the Baritastic app and really looking at how much protein is In something and how much fat and carbs are in there as well as added sugars has really helped me to learn what foods are more nutritious choices. I think my protein goal with my sleeve was 60 grams minimum and with the SADI revision it is 90 grams. I was told that protein was the very most important thing but you also need to get fruits and veggies for the vitamins. And check your labs regularly to make sure you are getting what you need. I hope this helps.

One thing I forgot to mention is that I also decided to just tell the women at my yoga class a vague version of what I am going through. Not because I am seeking attention or pity as some people may believe but because the doctors told me that with the first phase of chemo I need that I would no doubt be losing my hair and not to even torture myself trying cold caps because they wouldn’t work for me. I didn’t want to have to miss any days trying to hide that when it was inevitable that they would find out anyways. I can’t wear a wig to yoga without dying of heat stroke even if I can find one that doesn’t irritate my head and won’t fall off doing downward dog. Also, I have to wear a mask until class starts and I’m at my mat and far enough away from people. Also, with the chemo i do get a little dizzy at times and physically I have to take a tiny break once in a while which doesn’t go unnoticed I’m sure. I just decided that I have no clue what is going to happen with my body in days to come but I’m going when I can and doing as much as I can. I’m not missing something that is good for my health, weight loss journey and that I really enjoy just to try and keep something a secret. I have spent enough of my life hiding because of my weight and I have finally broken free of that. I’m not going back in that dark place ever again. I am usually a pretty private person so it was a big choice for me with sharing about the bariatric surgery and now with the cancer, but so far I am happy with my decisions for both. I just told them that I don’t want them to make a big deal about it that we are there to relax and do yoga, but I just didn’t want to feel awkward wondering what they must be thinking so I was just getting it out there. It was partly because I did the same with my revision surgery and it has worked out positively for me. With the sleeve I didn’t tell anyone outside of my best friends and that wasn’t successful so with the SADI i decided to try something different. I told the women in my crochet group and the one craft group because I have known them almost two years now (but not the one I joined more recently). They do ask how I’m doing or congratulate me on my weight-loss and ask what I’m eating and about my exercise, I briefly answer but then I will say enough about me we are here to craft and ask what they are working on today and that seems to work pretty well. So with yoga, now, I hope I can just walk in with my hat or wig and take it off before class begins and do my thing and when I take more an more breaks they will just ignore me. I’m sure it will feel really weird for me the first time when I’m bald because it was when i had to go really short and I was thinning with a head band covering most of the bald spots but everyone already knows about the elephant in the room now and hopefully we can just focus on YOGA. Food for thought for those with the decision about cancer and for those on the fence about whether to tell about their bariatric journey as well because people who see you once or twice a week notice things and they are probably wondering. It has worked for me to just rip off the bandaid and move on.

Stalls are normal, and I believe 1 month is very reasonable. While I didn't stall during weight loss, I stabilized at 9.5 months only to lose weight again 3 months later! Now I believe that I was probably in a weight stall for 3 months (I was more than happy to stabilize and stop losing weight, but the point is that it was probably a stall). The best thing to do is to stick to your plan, eat well, walk your steps (8-10k a day), get your protein in and introduce some sort of exercise you enjoy. It will come off

Oh my gracious @ShoppGirl what a battle you have been fighting. But it sounds like you are facing this with your usual strength & focus though I’m sure there are days that are extremely difficult. I think it ‘s amazing you are still trying to balance your weight loss with your treatments. And it sounds like you have a great attitude around doing the best you can when you can & f*@k the days you can’t. You were enjoying your yoga and am glad you have access to some virtual classes. I too love the inner peace yoga provides. (I still get it with the few yoga stretches I do at home.) Sending blessings your way.

Good Evening everyone!!!! Today is Saturday December 14, 2024. I had the Gastric bypass surgery on 10/9/18. I started at 510, pre op weight was 420lbs, and my lowest weight was 261 lbs in october of 2020. I relocated to Upstate NY in August of 2019, to meet the love of my life and we've been together solidly for 5 years. When 2020 hit, of course we all went down. My epilepsy took over along with my depression issues, so I gave up. I have a eating disorder and did not accept it until after surgery. I fell back into my eating disorder, along with drinking alcohol. Fast forward to 2024, February hits and I decided to get back on the journey. I started at 486 lbs and now am down to 344 lbs. I want to continue, until i hit my lowest weight again, of 261 lbs. What I am looking for is an accountability partner. I am wanting someone to talk with daily, someone who will take advice and will give advice also, someone who will accept hard love and encouragement, also provide it. Its just me and my woman, she has her own health matters and is not on the same journey as i am. So, i am alone with this. I dont have friends locally. And ive tried groups on facebook, no success. So, if anyone is interested, let me know please! it will be a judgement free zone and I do understand that everyones journey is different and we all have different goals. 4

Oh, I forgot to mention for breast cancer if someone is considering reconstruction afterwards, which I am, the cosmetic surgeon said there is no rush for his part. They are going to put in expanders during my mastectomy and they can stay in a pretty long time safely. This means that I can wait until I reach my goal weight to do the cosmetic part. The way it works. Is they put in the expanders in and they are like deflated balloons that are sewn to the chest wall and slowly inflate them a little bit at a time each week until you find a size that suits your body. But if I’m still actively losing, that may be too big so they can also deflate it if I want to until I find a size that is comfortable for me and my body is settled and then schedule the surgery. Since that’s just the cosmetic part, the cancer will already be gone. Well, I know that when I lost weight with the sleeve, I had bounced back weight. So I think I’m going to stick with the expanders for a while and just make sure that my body doesn’t change before I commit to something in a surgery. They did say that if you gain a significant or lose a significant amount of weight and the implant shifts or whatever that they will do surgery again, but of course that’s costly and painful and I’m already just about sick of doctors so I’m sure by then I won’t want to do that. Anyways, that is an option someone else may want to consider as well. Some doctors tried to push doing both parts of the surgery in one, skipping the expanders and just putting the implants in right away, but my doctor did not recommend that for my situation.

I wasn’t going to discuss this on these boards since I don’t want to turn the discussion away from weight loss. I figured I would talk cancer at the cancer support group and weight related stuff here, but I am quickly realizing that it’s very much intertwined. I had my revision surgery to SADI on 8/7/2024 and I felt something on my breast in the shower in September. I went to gyno, got sent to get a diagnostic mammogram and ultrasound and then biopsies and it came back as cancer 11/6/2024 (about 4 months post op). A few days later I was with the breast surgeon and was told it was triple negative and it’s very aggressive so the process is a little different for me in that it’s all very fast moving but it’s pretty much the same collection of treatments for most cancer I believe. I am currently two rounds into chemotherapy and just started immunotherapy and also doing appointments for all kinds of scans and imaging as well as meeting the rest of my doctors and setting up my future treatments which will be double mastectomy, then radiation and then maybe oral chemo. Basically I have not sat down since I learned the diagnosis and I have had to learn a tremendous amount very fast to make some pretty heavy decisions very quickly to keep the ball rolling. It’s been a whirlwind From a bariatric standpoint things have been incredibly challenging. For one my appointments are all over Florida. I have a medical oncologist, a breast surgeon, a cosmetic breast surgeon, a radiation oncologist, and a second opinion oncologist and now a gynocologist in the mix but that’s pretty specific to me. So far and I have had to have imaging done at 3 different places as well since it’s all been so rushed it’s just about who can get me in the soonest and then since these places aren’t connected I have to wait around for records and discs and carry them all to each of my appointment to make sure everyone has everything I have been traveling non stop with little time to prepare things so prioritizing my nutrition and exercise has been a huge challenge just in terms of time. There are just not enough hours in the day!! Then there is the chemo, the shot that builds up your white blood cells, and the immunotherapy infusion which also take time (2-3 different appointments depending on how it works out that week) but also all of this effects my cravings and energy. First there is the fact that I have to be on steroids which we all know are the enemy of weight loss but also the fact that eating is different. I consider myself very fortunate that food doesn’t taste bad to me and nausea is not an issue like it is for so many but it’s still not the same. I crave something very specific. I taste it and it’s good but I eat three bites and don’t want it anymore. My refrigerator is a leftover graveyard lol. In terms of energy I am on the strongest treatment regimen the oncologist says so fatigue sorta goes with the territory. I have been walking everyday still except for the biopsy day and my chemo port surgery day and I have done my yoga when my schedule permits but I have not done my cardio class because I think I sweat too much considering how dehydrating the chemo already is. Also I can’t touch community stuff for 24 hours after chemo without possibly exposing others to the chemo drug and we use balls, bars, discs, etc. Also more recently there is the fact that I have lost about 85% of my hair and I get too hot to wear a hat. I think once I’m bald it will actually look better and I am going to try really hard to just get over that but right now I don’t look like I have cancer. It just looks like a botched hair cut to me so I’m living in hats. The good news is it’s going very fast. It started falling out last week and it’s almost gone already so by next week I think I will just be bald. Well, yesterday I did totally forget to exercise with all that I had going on and I’m feeling guilty today now that I remembered but I know that’s silly. I am just hoping that as treatment goes on I am able to keep up my exercise. All the doctors say it’s good to keep pushing myself just not too hard. Exercise and good nutrition are going to make this alot easier on me. Back to food again. Not sure if it’s just the stress of the whole situation or the fact that chemo puts you into early menopause but Thursday was a particularly bad day. My moods were erratic to say the least and I had a bunch of blood drawn after having nothing but a protein shake all day so at 7pm I was pretty much famished by the time we stopped to eat. Olive Garden was the most convenient option and I planned soup and salad but when I got in there that went out the window. I went totally off plan. Again I feel guilty but these darn steroids and all the crazy emotions are making it so much harder to make the better choices when it’s staring at me tempting me I did still get my protein for the day though if there is any good in that What’s really hard about this is that even with the pasta and bread I am actually still losing weight so for my previously obese brain it’s tempting to not just enjoy that while it lasts. But I know that the processed crap is not good for my body, especially right now. I don’t feel as good since I have not been exercising as much and I’ve been eating off plan. I don’t sleep as well at night and I seem to crave more and more junk as well as have less energy throughout the day. thankfully my program has provided to me free of charge an oncology dietician, but I am her first patient who is actively still in weight loss phase undergoing chemo. She had agreed to check in with me once a week since this is new for both of us and she seems amazing so far. She suggested that I do not lose more than two to three pounds a week which was my average before the chemo. Because the chemo has apparently sped up my metabolism she says that I need to increase calories but to add healthy ones which is extremely difficult because adding calories goes against all we just learned and over 2000 calories of healthy food is a very large volume of food that my body is just not wanting right now (I was eating around 900-1000 before this and already felt like I was eating all day. And remember that most of these meals are on the road these days so I have to eat what I can fit in a cooler or stop somewhere on the side of the highway most times. Not easy to find clean healthy food on the road. Enough stating the obvious that it’s tough, here’s what I actually have to offer so far in terms of advice. First thing when I wake up in the morning I have a protein shake which is a really good head start to the day and if I am lucky enough to still be around a couple of hours later I have a second breakfast instead of waiting until there’s time to eat on whatever adventure the day brings. That helps with the protein if I don’t have time to stop at all. Although recently the shakes haven’t gone down so well so I just wake up and have scrambled eggs with 2% cheese and whatever leftover veggies are on hand.. If I know I won’t have time for that I also have some boiled eggs In the fridge that I can eat real fast or slice up with some cheese and take on the go. I carry in my cooler a high protein yogurt drink, chomps pepperoni flavored turkey jerky and baby bell light or mozzarella sticks. It helps to put the ice pack in a ziplock with these items if you live where it gets hot. I also carry a bag with high protein snacks quest protein chips, kind minis, cliff minis, pistachio nuts, nut butter packets, quest cheddar cheese crackers, granola to add to yogurt, etc Freezer meals!! Omg. I was doing these before my diagnosis and they were super convenient then and have been a lifesaver now. I have tex med chili, chicken chili, turkey meatballs, turkey taco meat, grilled chicken, meatloaf, etc in the freezer and it’s all measured and weighed out so that I can pop in the fridge the night before or even jet defrost in microwave if need be. When I have time to cook I do double batches so I can keep my freezer stock replenished. I have a note in my phone notes that it titled In freezer and I just keep adding to it what I freeze and how many portions are in there so if I’m not home I can check my freezer stock. I also do a version of meal prep with chick fila as well I like their market and southwest salads (I get the market one without the blue cheese) I buy one of each with two extra chicken fillets and take them home and I make four salads out of that. I take off all the toppings with a bit of lettuce and put into a smaller container to make a market salad and do the same with the southwest. Then I put the leftover lettuce with the chicken into another container and I have fresh shredded Parmesan in snack ziplocks and ceaser dressing also in ziplocks (sorta less pleasant looking but I figure less risk if bacteria than them tiny containers which are hard to get really clean since I am immunocompromised and infection is so dangerous right now) i cut off a corner and squeeze it out like an icing bag. I just use half of the packets of dressing with the market and southwest salads and then toss the rest. I have the ziplock containers that have the twist top lids and these are easy to toss into the cooler when they do not open at all I still log my macros in Baritastic this has really been helpful for me to be honest about what I’m eating with my oncology dietician so she can keep me on track . It also lets you log your activity, weight, inches lost and set notifications for vitamins and stuff. I added a reminder to put on my fitness watch and to take my regular meds too I also carry my water with me and I set alarms again to drink. You have to wear a mask and for me that seems to make me drink like a quarter as much as I do without one so I have to have reminders again. Vitamins need alarms too. Chemo brain is a real thing and when your days is never the same it’s hard to have a routine anyways so I actually have alarms for just about everything in life right now. I made different tones for water, vitamins and appointments and I have a checklist to go over before I leave the house to make sure I did and packed everything. My friend and family also have reminders for me in their phones for the real important stuff and they call or text to make sure I haven’t forgotten. I just found out that two of the programs I belong too offer virtual yoga sessions. I haven’t tried it yet because they are at set times as well but I added them to my calendar as recurring appts just like the live one so I can attend whichever one I have time for. Someone else suggested you tube for videos but I haven’t tried that either. Yoga by the way is my only sense of calm throughout all of this so I HIGHLY recommend it. That and meditation I know that both of these sound a little fruity before you give them a good fair try and meditation takes a lot of practice before it really Did anything for me but I swear my mind runs non stop with anxiety and worry and for that one hour I’m in yoga or the few minutes I’m meditating it is at peace. It’s amazing!! So I am a little over a month into this and I’ve got a good year and a half to go if all goes well so I’m sure I will have more to add to this but I just wanted to pop In and share what my experience has been juggling a new cancer diagnosis while pretty early out from bariatric surgery. I hope this helps someone. Even if it’s less advice and more to let you know that you are not alone in the struggle.

Unfortunately you can stall many times while you are losing. Each time it is just as frustrating, They will break. I wonder if you are making too many changes and just need to stay your coarse for a while. Remember a stall occurs when your body needs to take reassess and take stock of your current needs in regards to metabolic rate, digestive hormones, etc. The weight loss and duet is quite stressful to your body and it too needs to take a time out, shut the door, and take a breath much like we need to do mentally in stressful times. Certainly getting your iron levels and any other deficiencies sorted is important. It may help as the deficiencies might be adding to the stress your body is under. All the best.

Yes, it could be the beginning of a stall but remember all the weight loss rates you read about and weekly/monthly weight loss goal you may be given are all based on averages @eJean. For everyone who meets those averages there’s someone who exceeds it and someone who doesn’t meet it and that’s okay. There’s nothing wrong with having lost 16.5lbs in your first month. Don’t ‘only’ it. You’ve lost more than a stone in a month. Amazing! I remember my weight loss slowed so much around months 5 & 6 I was losing grams/ounces a week @Bypass2Freedom. I never thought I would hit my goal - it was hellish frustrating to be so close yet so far in my mind. Yet I did and then continued to lose 11kgs more for another 11 months at various rates. So don’t give up. Do remember though that if you reduce your calorie intake to reduce your weight more you will have to continue to eat less than you are now to maintain the lower weight. You never know the weight you will stabilise at and you can maintain. You can stay your oath or make some adjustments and see what happens. Oh, and don’t forget you can still experience stalks along the way nit just at the beginning. PS Check out a basal metabolic rate calculator. They’re not perfect much like a BMI calculator but might give you an idea of whether you are eating less than you need to maintain your current weight & the activity you are doing. If you are consuming less than they say you need you should keep losing.

I’ve still got my fingers crossed for my brows. Have a few coming in but they seem finer. I’m patchy. Lost some of my brows from a combination of following those micro fine brows of the 80s & then a skin infection. Get my brows micro bladed which is great (about 5 years ago) but I’d still like some more of my own brow hairs as well. The hair loss with the weight loss is an acceleration of your natural hair loss cycle not a permanent loss. So you’re just shedding hair you would usually be shedding in your normal cycle more quickly. People lose different amounts, some more than others for about 3 or so months from around months 3 or 4. Doesn’t seem to differ if people take supplements or not. Certainly won’t hurt @Mskmartin & it may make your new growth stronger.

Semaglutide (and other various GLP-1 agonists) effectiveness can be dose dependent. 4 weeks is likely not long enough to see changes especially if you are still at the starting dose. Here’s a link with some decent easy to understand info: https://www.richlandmd.com/cosmetic/semaglutide-dose-for-weight-loss/ Also these meds are used in conjunction with lifestyle modifications. According to a meta analysis reviewing multiple trials “We observed that aside from the administration of semaglutide, reduced calorie diet and increased physical activity were also part of the intervention. Hence, semaglutide alone probably will not be able to achieve an 11.85% weight loss” https://pmc.ncbi.nlm.nih.gov/articles/PMC9758543/ Take a look at your early post op diet plan and give that a try again. If you didn’t have one, I can share that mine was protein forward (80g minimum) with minimal carbs (under 50 g and mostly complex) and low fat (20g) and almost no calories from drinks unless they are protein shakes. *edited to add: These meds can cause constipation so any weight gain could be due to that You really should consider checking in with the prescribing/administering physician to ask about your progress. Best of luck!